Sample records for canadian uro-oncology specialists

  1. The Experiences of Specialist Nurses Working Within the Uro-oncology Multidisciplinary Team in the United Kingdom. (United States)

    Punshon, Geoffrey; Endacott, Ruth; Aslett, Phillippa; Brocksom, Jane; Fleure, Louisa; Howdle, Felicity; Masterton, Morven; O'Connor, Anita; Swift, Adrian; Trevatt, Paul; Leary, Alison

    United Kingdom prostate cancer nursing care is provided by a variety of urology and uro-oncology nurses. The experience of working in multidisciplinary teams (MDT) was investigated in a national study. The study consisted of a national survey with descriptive statistics and thematic analysis. A secondary analysis of a data subset from a UK whole population survey was undertaken (n = 285) of the specialist nursing workforce and the services they provide. Data were collected on the experience of working in the MDT. Forty-five percent of the respondents felt that they worked in a functional MDT, 12% felt that they worked in a dysfunctional MDT, and 3.5% found the MDT meeting intimidating. Furthermore, 34% of the nurses felt that they could constructively challenge all members of the MDT in meetings. Themes emerging from open-ended questions were lack of interest in nonmedical concerns by other team members, ability to constructively challenge decisions or views within the meeting, and little opportunity for patients' wishes to be expressed. Despite expertise and experience, nurses had a variable, often negative, experience of the MDT. It is necessary to ensure that all participants can contribute and are heard and valued. More emphasis should be given to patients' nonmedical needs.

  2. [Specialist uro-oncological rehabilitation after treatment for prostate cancer--update 2015. Position statement of the working group on "rehabilitation of urological and nephrological diseases" of the German Society of Urology with respect to current S3 guidelines]. (United States)

    Müller, G; Otto, U; Vahlensieck, W; Zermann, D-H


    After uro-oncological primary therapy of prostate cancer the quality of life of patients is often limited. The adequate and prompt treatment of specific urological functional, physical and mental deficits has a decisive influence on the quality of life. These deficits can be recorded using instruments for measuring the quality of life, in particular the QLQ-C30 of the European Organization for Research and Treatment of Cancer (EORTC) and the SF-36 questionnaires. The quality of life is the most important parameter for quality assurance of the results. The primary objectives are the therapy of postoperative functional disorders, in particular urinary incontinence and erectile dysfunction in addition to overcoming the disease. The "urological triad" plays a central role in recovering the quality of life and patient satisfaction.

  3. Implementation rates of uro-oncology multidisciplinary meeting decisions. (United States)

    Kinnear, Ned; Smith, Riley; Hennessey, Derek B; Bolton, Damien; Sengupta, Shomik


    To assess implementation rates of the consensus plans made at the uro-oncology multidisciplinary meeting (MDM) of an Australian tertiary centre, and analyse obstacles to implementation. A retrospective review was performed of all patients discussed at the uro-oncology MDM at our institution between 1 January and 30 June 2015. Rates of referral for MDM discussion after a new histological diagnosis of malignancy, categorised by tumour type, were assessed. Patient records were interrogated to confirm MDM plan implementation, with the outcomes examined being completion of MDM plan within 3 months and factors preventing implementation. During the enrolment period, from 291 uro-oncological procedures, 240 yielded malignant histology of which 160 (67%) were discussed at the MDM. Overall, 202 patients, including 32 females, were discussed at the uro-oncology MDM. MDM consensus plans were implemented in 184 (91.1%) patients. Reasons for deviation from the MDM plan included delay in care, patient deterioration or comorbidities, patient preference, consultant decision, loss to follow-up, and change in patient scenario due to additional new information. The MDM is increasingly important in the care of uro-oncology patients, with about two-thirds of new diagnoses currently captured. There appear to be few barriers to the implementation of consensus plans, with nearly all patients undergoing the recommended management. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

  4. [Increase in uro-oncological health care needs due to demographic change: Extrapolation of cancer incidence numbers through 2030 as a basis for directed regional planning]. (United States)

    Winter, A; Vohmann, C; Wawroschek, F; Kieschke, J


    In Germany a considerable increase in the number of urological cancers is expected due to demographic change. Small-scale analyses are important for directed planning of uro-oncological health care due to significant regional variability in the demographic development. In this study the number of new urological cancer cases was extrapolated on the county level for Lower Saxony. The incidence rates for penile (C60), prostate (C61), testis (C62), kidney (C64), renal pelvis/ureter (C65-66) and bladder cancer (C67, D09.0, D41.4) were extrapolated for counties and urban communes from 2010 to 2020 and to 2030 based on the regional population forecast of the State Office for Statistics of Lower Saxony (2009-2031) and gender- and 5-year age-specific incidence rates for Lower Saxony (averaged for 2006-2010). From 2010 (n=12.668) to 2020 and 2030, increases of 15% (n = 14.519; men: 15%, women: 10%) and 28% (n=16.201; men: 29%, women: 20%) are expected in urological cancers for Lower Saxony. The greatest rise is predicted for prostate cancer (2030: 31%, n = 9.732; C67 + D09.0 + D41.4: 30%; C60: 28%; C65-66: 27%; C64: 19%). Only testicular carcinomas are expected to decrease (-13%). The increase varies considerably between regions. In the counties the rates range from 7% (2030; C61: 10%) in Osterode am Harz to 63% in Vechta (C61: 70%). In the urban communes the greatest increase is predicted for Oldenburg (total: 40%; C61: 45%) and the lowest increase for Wolfsburg (total: 3%; C61: 3%). Demographic change is expected to lead to a sharp increase in urological cancers. In health care planning (e.g. specialist care) regionally very heterogeneous developments and in particular high growth and close to home care of more and more older and less mobile cancer sufferers, respectively, must be considered for rural areas.

  5. The Canadian University Copyright Specialist: A Cross-Canada Selfie

    Directory of Open Access Journals (Sweden)

    Erin Patterson


    Full Text Available This article discusses the results of a 2015 study of Canadian university copyright officers, which were presented at the ABC Copyright Conference in Halifax in May 2016. The study’s primary aim was to generate a snapshot of this emerging profession. Who are the people occupying copyright positions at Canadian universities? What do they call themselves? What is their academic background? What kind of copyright education and training do they have? Where do they fit into the structure of the organization? The study’s secondary aim was to probe the intersection of copyright and academic freedom: not the academic freedom of faculty members in creating and using copyright-protected works, but the academic freedom of the copyright officer in interpreting copyright, providing copyright information, teaching and writing about copyright, and engaging in advocacy efforts. The results indicate that the typical Canadian university copyright officer holds an MLS degree or equivalent but has no formal copyright or legal education; works exclusively as a copyright officer within the library system; and is very new to copyright work. Just under half of the copyright officers surveyed have academic freedom, and of those, almost none have considered the implications of this for their copyright work. The author argues that the position of university copyright officer should have faculty status so that the copyright officer can exercise academic freedom as they negotiate the changing and contentious copyright landscape. Cet article décrit les résultats d’une enquête menée en 2015 auprès des agents du droit d’auteur dans les universités canadiennes. Ces résultats ont d’abord été présentés lors du congrès ABC Copyright qui a eu lieu en mai 2016 à Halifax. Cette enquête avait comme objectif principal de fournir un portrait de la situation actuelle de cette profession émergente. Qui sont les personnes qui occupent des postes en droit d

  6. Approach to hyponatremia in congestive heart failure: a survey of Canadian specialist physicians and trainees. (United States)

    Miller, Amanda; Kuehl, Bonnie; Tennankore, Karthik; Soroka, Steven


    Canadian specialist physicians and trainees. A more consistent approach to hyponatremia is required and might best be achieved through formal knowledge translation.

  7. Investigating Language Assessment Literacy: Collaboration between Assessment Specialists and Canadian University Admissions Officers (United States)

    Baker, Beverly A.; Tsushima, Rika; Wang, Shujiao


    There are increasing numbers of non-native English speaking applicants to Canadian universities (AUCC 2008a, 2010), which are committed to promoting linguistic and cultural diversity (AUCC 2008b). One result of this trend is that university admissions officers, as gatekeepers, are faced with a growing and potentially confusing array of language…

  8. Survey of Canadian Kidney Transplant Specialists on the Management of Morbid Obesity and the Transplant Waiting List. (United States)

    Chan, Gabriel; Soucisse, Mikael


    Obesity is associated with increased surgical complications and long-term cardiovascular mortality. Studies of access in kidney transplantation have found a bias against obese patients on the wait-listing. To determine the current state of clinical practice for the management of obesity in kidney transplantation. A survey in two versions, PDF and traditional paper, composed of categorical questions. A pan-Canadian survey of transplant nephrologists and surgeons. The survey PDF was distributed electronically to the Kidney Group of the Canadian Society of Transplantation. A shorter, hardcopy version was distributed subsequently at a national transplant meeting. There were 47 responses, including almost every Canadian adult transplant program. Most (81%) reported the use of a body mass index limit for access to the waiting list. However, only 40% reported a strict enforcement. There were several instances of intra-hospital disagreements regarding the use of a policy, among the centers with multiple responses. The body mass index limit was most commonly 40 kg/m 2 (62%), followed by 35 kg/m 2 (36%). Despite the body mass index limit, few centers (30%) reported having a weight management program. The reported experience with bariatric surgery was small, though nearly all replied that they would refer to a bariatric specialist in the future. This national survey provides a broad assessment of clinical practice. The distinction between an official policy and informal clinical tendencies is difficult. The results cannot be used to support any specific limit or policy. This survey found that the body mass index limit for access to the kidney transplant waiting list was common in Canada. Several inconsistencies suggest a lack of official policy. To achieve equity in access, clear guidelines for obesity should be established and enforced. Bariatric surgery has the promise of rapid weight loss. Resource allocation to study obesity in transplant patients will be essential.

  9. Pediatric Specialists (United States)

    ... Healthy Children > Family Life > Medical Home > Pediatric Specialists Pediatric Specialists Article Body ​Your pediatrician may refer your child to a pediatric specialist for further evaluation and treatment. Pediatric specialists ...


    Directory of Open Access Journals (Sweden)



    Full Text Available The paper is about the training, the mission and the condition of the 21th century specialist, who must keep up with the challenges of the informational era, which is rapidly establishing and embracing human society. It analyzes the characteristics of the digital age, information overload, technological impact, communication, which requiring specialists to increasingly leverage their digital techniques, both in training and activity.

  11. Advances in uro-oncology "OncoForum": the best of 2013. (United States)

    Gómez-Veiga, F; Alcaraz-Asensio, A; Burgos-Revilla, J; Cózar-Olmo, J


    To present the new findings in oncologic urology with impact on clinical practice which were displayed at 2013 major annual meetings (EAU, ESTRO, AUA, ASCO and ASTRO). The abstracts on prostate kidney, bladder and upper tract urothelial cancer with the highest scores by the OncoForum committee, presented in 1013 Congresses are included in this paper. the following messages were considered as important by the OncoUrology Forum committee. In renal tumors T1a, comorbidities should be evaluated by its impact on overall and specific cancer survival, especially in men over 65. In metastatic renal tumors, the benefit of Everolimus vs. Sunitinib has not been demonstrated. Patients with non-muscle invasive bladder cancer of high risk, with three or more risk factors, should be considered for radical cystectomy. The ERSPC study' data demonstrate the benefit of the systematic screening in prostate cancer. In metastatic disease, the results of the Ra-223 and enzalutamide studies show benefit in pain control and overall survival in metastatic disease. Localized renal and non-muscle invasive bladder of high-risk tumors, should be assessed according to comorbidities or oncologic risk factors, to determinate the adequate treatment options. New data from metastatic prostate cancer clinical trials have shown promising results in the control of the disease. Copyright © 2014 AEU. Published by Elsevier Espana. All rights reserved.

  12. [Funcion sparing surgery in uro-oncology: germ cell tumors of the testis]. (United States)

    Catanzaro, Mario; Piva, Luigi; Torelli, Tullio; Biasoni, Davide; Stagni, Silvia; Milani, Angelo; Necchi, Andrea; Giannatempo, Patrizia; Nicolai, A; Salvioni, Roberto


    Surgery in germ cell tumors of the testis (TGT) may result in andrological disorders, both after orchiectomy and after retroperitoneal lymphadenectomy (RPLND). Bilateral orchiectomy suppresses both testicular functions: exocrine and endocrine. In selected cases with bilateral TGT (metachronous/synchronous), or in the case of TGT in monorchid patients, partial orchiectomy (enucleation of the tumor) can preserve both functions with a low risk of relapse in residual testicular parenchyma, in the absence of intraepithelial neoplasia (TIN). In cases of TIN and normal testosterone levels (80%), the fertility is maintained in 50% of patients. In these cases the use of radiotherapy on the residual testicular parenchyma can prevent the future development of invasive cancer, though compromising the hormonal function. The RPLND (open or laparoscopic) can produce major side effects, such as retrograde ejaculation. Knowledge of the adrenergic fiber retroperitoneal neuroanatomy enables to implement a "nerve sparing" surgery with an almost total reduction of this serious side effect, but that option is only available in few centers of excellence. Semen cryopreservation has become a common practice performed before any treatment that might impact on the andrological function of patients.

  13. I Am Canadian

    DEFF Research Database (Denmark)

    Goddard, Joe


    "I Am Canadian: Immigration and Multiculturalism in the True North" looks at Canadian immigration history from a contemporary point of view. The article scrutinizes recent discussions on dual nationality and what this may mean for Canadianness......."I Am Canadian: Immigration and Multiculturalism in the True North" looks at Canadian immigration history from a contemporary point of view. The article scrutinizes recent discussions on dual nationality and what this may mean for Canadianness....

  14. Specialist Bibliographic Databases (United States)


    Specialist bibliographic databases offer essential online tools for researchers and authors who work on specific subjects and perform comprehensive and systematic syntheses of evidence. This article presents examples of the established specialist databases, which may be of interest to those engaged in multidisciplinary science communication. Access to most specialist databases is through subscription schemes and membership in professional associations. Several aggregators of information and database vendors, such as EBSCOhost and ProQuest, facilitate advanced searches supported by specialist keyword thesauri. Searches of items through specialist databases are complementary to those through multidisciplinary research platforms, such as PubMed, Web of Science, and Google Scholar. Familiarizing with the functional characteristics of biomedical and nonbiomedical bibliographic search tools is mandatory for researchers, authors, editors, and publishers. The database users are offered updates of the indexed journal lists, abstracts, author profiles, and links to other metadata. Editors and publishers may find particularly useful source selection criteria and apply for coverage of their peer-reviewed journals and grey literature sources. These criteria are aimed at accepting relevant sources with established editorial policies and quality controls. PMID:27134485

  15. Staff Specialist Survival Course (United States)


    The syllabus for this 4.5-day course addresses the challenges for today’s staff specialists and provides not only hands-on review of actual artifacts...but also case studies to enhance learners’ actual experiences. Background The course was designed to magnify the staff specialist’s skills in

  16. Heating Systems Specialist. (United States)

    Air Force Training Command, Sheppard AFB, TX.

    This instructional package is intended for use in training Air Force personnel enrolled in a program for apprentice heating systems specialists. Training includes instruction in fundamentals and pipefitting; basic electricity; controls, troubleshooting, and oil burners; solid and gas fuel burners and warm air distribution systems; hot water…

  17. Diet Therapy Specialist. (United States)

    Air Force Training Command, Sheppard AFB, TX.

    This four-volume student text is intended for use in training Air Force diet therapy specialists. The first volume, a study guide and workbook for self-directed instruction, covers nutrition, food processing and preparation, therapeutic diets, security precautions in medical food service, procedures for ordering equipment and supplies, food…

  18. Library Media Specialists: Premier Information Specialists for the Information Age (United States)

    Neuman, Delia


    The information age has given library media specialists an unprecedented opportunity to play a leading role in helping teachers, administrators, and especially students access and use information intelligently. As the school's premier information specialist; the library media specialist has a unique role to play in helping everyone in the school…

  19. Canadian Consensus Recommendations for the Optimal Use of Enfuvirtide in HIV/AIDS Patients

    Directory of Open Access Journals (Sweden)

    Anita Rachlis


    Full Text Available BACKGROUND AND OBJECTIVES: An eight-member group consisting of Canadian infectious disease and immunology specialists and a family physician with significant experience in HIV management was convened to update existing recommendations, specifically intended for use by Canadian HIV-treating physicians, on the appropriate use of enfuvirtide in HIV/AIDS patients with resistance to other antiretroviral drugs.

  20. Dictionaries of Canadian English

    African Journals Online (AJOL)

    Information Technology

    ... Globe and Mail said, an enterprising publication. Despite the existence of the Winston dictionary, some Canadians were still, at the end of the 1950s, prepared to dismiss Canadian lexicography as pointless. When the idea of a Canadian dictionary was introduced to the Dean of Arts and Science at Dalhousie University in ...

  1. Canadian guidelines for acute bacterial rhinosinusitis (United States)

    Kaplan, Alan


    Objective To provide a clinical summary of the Canadian clinical practice guidelines for acute bacterial rhinosinusitis (ABRS) that includes relevant considerations for family physicians. Quality of evidence Guideline authors performed a systematic literature search and drafted recommendations. Recommendations received both strength of evidence and strength of recommendation ratings. Input from external content experts was sought, as was endorsement from Canadian medical societies (Association of Medical Microbiology and Infectious Disease Canada, Canadian Society of Allergy and Clinical Immunology, Canadian Society of Otolaryngology—Head and Neck Surgery, Canadian Association of Emergency Physicians, and the Family Physicians Airways Group of Canada). Main message Diagnosis of ABRS is based on the presence of specific symptoms and their duration; imaging or culture are not needed in uncomplicated cases. Treatment is dependent on symptom severity, with intranasal corticosteroids (INCSs) recommended as monotherapy for mild and moderate cases, although the benefit might be modest. Use of INCSs plus antibiotics is reserved for patients who fail to respond to INCSs after 72 hours, and for initial treatment of patients with severe symptoms. Antibiotic selection must account for the suspected pathogen, the risk of resistance, comorbid conditions, and local antimicrobial resistance trends. Adjunct therapies such as nasal saline irrigation are recommended. Failure to respond to treatment, recurrent episodes, and signs of complications should prompt referral to an otolaryngologist. The guidelines address situations unique to the Canadian health care environment, including actions to take during prolonged wait periods for specialist referral or imaging. Conclusion The Canadian guidelines provide up-to-date recommendations for diagnosis and treatment of ABRS that reflect an evolving understanding of the disease. In addition, the guidelines offer useful tools to help

  2. Can We Predict the Surgical Margin Positivity in Patients Treated with Radical Prostatectomy? A Multicenter Cohort of Turkish Association of Uro-Oncology

    Directory of Open Access Journals (Sweden)

    Deniz Bolat


    Full Text Available Objective To analyze the parameters that predict the surgical margin positivity after radical prostatectomy for localized prostate cancer. Materials and Methods In this multicenter study, the data of 1607 consecutive patients undergoing radical prostatectomy for localized prostate cancer in 12 different clinics in Turkey between 1993-2011 were assessed. Patients who had neoadjuvant treatment were excluded. We assessed the relationship between potential predictive factors and surgical margin status after radical prostatectomy such as age, cancer characteristics, history of transurethral prostate resection, surgical experience and nerve-sparing technique by using univariate and multivariate Cox regression analyses and t test. Results The overall surgical margin positivity rate was 22.6% (359 patients. In univariate analyses, preoperative prostate specific antigen level, clinical stage, biopsy Gleason score, percentage of tumor involvement per biopsy specimen, transurethral prostate resection history, surgical experience and nerve-sparing technique were significantly associated with positive surgical margin rate. In multivariate analyses, preoperative prostate specific antigen level (OR: 1.03, p=0.06, percentage of tumor involvement per biopsy specimen (OR: 7,14, p<0,001, surgical experience (OR: 2.35, p=0.011 and unilateral nerve-sparing technique (OR: 1.81, p=0.018 were independent predictive factors for surgical margin positivity. Conclusion Preoperative prostate specific antigen level, percentage of tumor involvement per biopsy specimen, surgical experience and nerve-sparing technique are the most important predictive factors of surgical margin positivity in patients undergoing radical prostatectomy for localized prostate cancer.

  3. Framing Canadian federalism

    National Research Council Canada - National Science Library

    Saywell, John; Anastakis, Dimitry; Bryden, Penny E


    ... the pervasive effects that federalism has on Canadian politics, economics, culture, and history, and provide a detailed framework in which to understand contemporary federalism. Written in honour of John T. Saywell's half-century of accomplished and influential scholarly work and teaching, Framing Canadian Federalism is a timely and fitting t...

  4. What Is a Pediatric Infectious Diseases Specialist? (United States)

    ... Text Size Email Print Share What is a Pediatric Infectious Diseases Specialist? Page Content Article Body If ... the teen years. What Kind of Training Do Pediatric Infectious Diseases Specialists Have? Pediatric infectious diseases specialists ...

  5. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services endorsed by the American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association for Cardiovascular Prevention and Rehabilitation, Inter-American Heart Foundation, National Association of Clinical Nurse Specialists, Preventive Cardiovascular Nurses Association, and the Society of Thoracic Surgeons

    National Research Council Canada - National Science Library

    Thomas, Randal J; King, Marjorie; Lui, Karen; Oldridge, Neil; Piña, Ileana L; Spertus, John; Bonow, Robert O; Estes, 3rd, N A Mark; Goff, David C; Grady, Kathleen L; Hiniker, Ann R; Masoudi, Frederick A; Radford, Martha J; Rumsfeld, John S; Whitman, Gayle R


      Endorsed by the American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association...

  6. Canadians' eating habits

    National Research Council Canada - National Science Library

    Garriguet, Didier


    This report is an overview of Canadians' eating habits: total calories consumed and the number of servings from the various food groups, as well as the percentage of total calories from fat, protein and carbohydrates...

  7. findings from specialist treatment centres

    African Journals Online (AJOL)

    A retrospective study of OTC and prescription medicine misuse among 9 063 patients from 23 specialist substance abuse treatment centres in Cape Town, South Africa, between 1998 and 2000. Results. OTC and prescription medicine misuse places a burden on health and social services in South Africa. This is evidenced ...

  8. ISD Designed Medical Specialist Training. (United States)

    Rock, Samuel K., Jr.; Chagalis, George P.

    The Basic Medical Specialist course has one of the largest enrollments of the U.S. Army's Academy of Health Sciences; 11,000 soldiers were trained in this course in 1977 and 1978. Training encompasses both emergency first aid (for field medics) and basic nursing skills. A task force working to improve Army training developed this course, in…

  9. Retention of specialist physicians in Newfoundland and Labrador. (United States)

    Fleming, Patrick; Mathews, Maria


    Although specialist physicians comprise nearly half of the physician workforce in Newfoundland and Labrador (NL), relatively little is known about their retention patterns. We compared 2 cohorts of physicians who were initially licensed to practise in NL between 1993 and 1997 and between 2000 and 2004, to examine whether retention had changed over time. Additionally, we examined the retention of 4 groups of physicians in each cohort: (1) fully licensed medical graduates of Memorial University, (2) fully licensed medical graduates of other Canadian universities, (3) provisionally licensed international medical graduates (IMGs) and (4) fully licensed IMGs. Provisional licences allow physicians who have not received Canadian certification to practise while obtaining credentials. We hypothesized that fully licensed physicians (largely physicians who are locally trained) would remain in NL longer than provisionally licensed physicians (largely IMGs). Using data from the provincial medical registrar and Memorial University's office of postgraduate medical education, we used survival analysis (Cox regression) to compare the retention of the 2 cohorts and the 4 groups of physicians within each cohort. After 48 months, roughly 60% of the physicians in the 2000-04 cohort and 45% of the physicians in the 1993-97 cohort remained in NL. Medical graduates of Memorial University comprised 61/180 (33.9%) of the 2000-04 cohort and 38/211 (18.0%) of the 1993-97 cohort.Physicians in the 2000-04 cohort were 1.6 (95% confidence interval [CI] 1.23-2.08) times less likely to leave NL than physicians in the 1993-97 cohort. In the 2000-04 cohort, medical graduates of Canadian universities, provisionally licensed IMGs and fully licensed IMGs were 3.19 (95% CI 1.47-6.89), 1.85 (95% CI 1.09-3.17) and 4.39 (95% CI 1.91-10.10) times more likely to leave NL than medical graduates of Memorial University. In the 1993-97 cohort, IMGs with provisional licences were 2.16 (95% CI 1.37-3.42) times more

  10. Heart specialists' art of care. (United States)

    Speight, J D; Blixt, S L


    Primary care physicians who encourage patients to interact in the medical interview receive high ratings of patient satisfaction with art of care. To determine if this finding holds true in specialty medicine, we designed a two-factor [art of care (high/low); heart specialty (cardiology/cardiovascular surgery)] four-group analogue study. Videotapes for each of the four conditions depicted the first interview between (actor) patient with coronary artery disease and (actor) specialist. The high art of care physicians elicited the patient's story in his own words and encouraged questions and feedback during the interview; the low art of care physicians did not encourage patient interaction. The cardiologists discussed medical treatment and the cardiovascular surgeons discussed surgical treatment. A pilot study of the instrument we developed indicated that the Art of Care Scale, Technical Quality of Care Scale, and Willingness to be Treated Scale demonstrated high internal consistency and that the Art of Care Scale and the Technical Quality of Care Scale defined two dimensions. In the final study, 124 graduate students in education in a midwestern United States university each viewed one videotape and used the instrument to evaluate the physician. Subjects rated the specialists who encouraged patients to interact higher on the Art of Care Scale than specialists who did not encourage interaction. Art of Care Scale Scores predicted subjects' willingness to be treated by the physician they viewed on the videotape. No significant differences in ratings of Art of Care could be attributed to specialty.

  11. Specialist training in pediatric anesthesia

    DEFF Research Database (Denmark)

    Hansen, Tom G


    There has been a great deal of focus on specialist training in pediatric anesthesia in the last decade or so. Internationally, however, there is still no uniform agreement as to how such a training program should be arranged and organized. Since September 2003, the Scandinavian Society of Anaesth......There has been a great deal of focus on specialist training in pediatric anesthesia in the last decade or so. Internationally, however, there is still no uniform agreement as to how such a training program should be arranged and organized. Since September 2003, the Scandinavian Society...... of Anaesthesiology and Intensive Care Medicine has coordinated an advanced Inter-Nordic educational program in pediatric anesthesia and intensive care. The training program is managed by a Steering Committee. This program is intended for physicians who recently have received their specialist degree in anesthesiology...... and intensive care. The training period is 12 months of which 9 months are dedicated to pediatric anesthesia and 3 months to pediatric intensive care. During the 1-year training period, the candidates are designated a Scandinavian host clinic (at a tertiary pediatric center in Scandinavia approved...

  12. What Is a Pediatric Sports Medicine Specialist? (United States)

    ... induced asthma Concussions Nutrition and supplement issues Diabetes Eating disorders Stress fractures Heat illness Unique conditions of the athlete with special needs Where Can I Find A Pediatric Sports Medicine Specialist? Pediatric sports medicine specialists practice in ...

  13. What Is an Adolescent Health Specialist? (United States)

    ... behavioral, and emotional health care needs—from physical exams and immunizations to reproductive and mental health care. What Type of Training Do Adolescent Health Specialists Have? Adolescent health specialists are medical doctors who have completed at least 4 years ...

  14. Making Hospitals Less Traumatic. Child Life Specialists. (United States)

    Jessee, Peggy O.


    Discusses the importance of child life specialists and programs in helping children cope with the stress and anxiety of hospital experiences. These specialists and programs promote children's growth and development both in the hospital and after returning home. (BB)

  15. Canadian pediatric gastroenterology workforce: Current status, concerns and future projections (United States)

    Morinville, Véronique; Drouin, Éric; Lévesque, Dominique; Espinosa, Victor M; Jacobson, Kevan


    BACKGROUND: There is concern that the Canadian pediatric gastroenterology workforce is inadequate to meet health care demands of the pediatric population. The Canadian Association of Gastroenterology Pediatric Committee performed a survey to determine characteristics and future plans of the Canadian pediatric gastroenterology workforce and trainees. METHODS: Estimates of total and pediatric populations were obtained from the 2001 Census of Population, Statistics Canada (with estimates to July 1, 2005). Data on Canadian pediatric gastroenterologists, including clinical full-time equivalents, sex, work interests, opinions on workforce adequacy, retirement plans, fellowship training programs and future employment plans of fellows, were gathered through e-mail surveys and telephone correspondence in 2005 and 2006. RESULTS: Canada had an estimated population of 32,270,507 in 2005 (6,967,853 people aged zero to 17 years). The pediatric gastroenterology workforce was estimated at 9.2 specialists per million children. Women accounted for 50% of the workforce. Physician to pediatric population ratios varied, with Alberta demonstrating the highest and Saskatchewan the lowest ratios (1:69,404 versus 1:240,950, respectively). Between 1998 and 2005, Canadian pediatric gastroenterology fellowship programs trained 65 fellows (65% international trainees). Twenty-two fellows (34%) entered the Canadian workforce. CONCLUSIONS: The survey highlights the variable and overall low numbers of pediatric gastroenterologists across Canada, an increasingly female workforce, a greater percentage of part-time physicians and a small cohort of Canadian trainees. In conjunction with high projected retirement rates, greater demands on the work-force and desires to partake in nonclinical activities, there is concern for an increasing shortage of pediatric gastroenterologists in Canada in future years. PMID:17948136

  16. The role of child life in pediatric pain management: a survey of child life specialists. (United States)

    Bandstra, Nancy F; Skinner, Linda; Leblanc, Chantal; Chambers, Christine T; Hollon, Ellen C; Brennan, Debbie; Beaver, Chantal


    Pain management is often described as a component of child life specialists' work. No research has described the specific pain management strategies used by child life specialists. The objectives of this study were to determine child life specialists' use of nonpharmacological strategies, to describe the perceived efficacy of these strategies, to determine how much training child life specialists had in these various strategies, and to determine what demographic characteristics predict the use of evidence-based techniques. Six hundred seven child life specialists from hospitals and health centers across North America responded to an online survey (response rate: 85.4%). Results indicate that child life specialists use a variety of techniques with varying degrees of perceived efficacy. The most commonly endorsed techniques were providing information/preparation, comforting/reassurance, and positive reinforcement. Respondents reported receiving substantial training in some techniques (eg, providing information/preparation, medical play) and high interest in receiving additional training in all techniques. Certification status, the proportion of patients for whom participants reported providing pain management services, and participants' perceived levels of knowledge and skill emerged as significant predictors of the use of evidence-based strategies. The results of this survey suggest that child life specialists are actively involved in pediatric pain management. American and Canadian child life specialists were surveyed to assess their involvement in managing the pain of pediatric patients. Findings of the survey indicate that child life specialists are involved in the management of pediatric pain and are receptive to additional training in evidence-based techniques.

  17. Invisible Roles of Doctoral Program Specialists (United States)

    Bachman, Eva Burns; Grady, Marilyn L.


    The purpose of this study was to investigate the roles of doctoral program specialists in Big Ten universities. Face-to-face interviews with 20 doctoral program specialists employed in institutions in the Big Ten were conducted. Participants were asked to describe their roles within their work place. The doctoral program specialists reported their…

  18. Twitter and Canadian Educators (United States)

    Cooke, Max


    An emerging group of leaders in Canadian education has attracted thousands of followers. They've made Twitter an extension of their lives, delivering twenty or more tweets a day that can include, for example, links to media articles, research, new ideas from education bloggers, or to their own, or simply a personal thought. At their best,…

  19. Documenting coordination of cancer care between primary care providers and oncology specialists in Canada. (United States)

    Brouwers, Melissa C; Vukmirovic, Marija; Tomasone, Jennifer R; Grunfeld, Eva; Urquhart, Robin; O'Brien, Mary Ann; Walker, Melanie; Webster, Fiona; Fitch, Margaret


    To report on the findings of the CanIMPACT (Canadian Team to Improve Community-Based Cancer Care along the Continuum) Casebook project, which systematically documented Canadian initiatives (ie, programs and projects) designed to improve or support coordination and continuity of cancer care between primary care providers (PCPs) and oncology specialists. Pan-Canadian environmental scan. Canada. Individuals representing the various initiatives provided data for the analysis. Initiatives included in the Casebook met the following criteria: they supported coordination and collaboration between PCPs and oncology specialists; they were related to diagnosis, treatment, survivorship, or personalized medicine; and they included breast or colorectal cancer or both. Data were collected on forms that were compiled into summaries (ie, profiles) for each initiative. Casebook initiatives were organized based on the targeted stage of the cancer care continuum, jurisdiction, and strategy (ie, model of care or type of intervention) employed. Thematic analysis identified similarities and differences among employed strategies, the level of primary care engagement, implementation barriers and facilitators, and initiative evaluation. The CanIMPACT Casebook profiles 24 initiatives. Eleven initiatives targeted the survivorship stage of the cancer care continuum and 15 focused specifically on breast or colorectal cancer or both. Initiative teams implemented the following strategies: nurse patient navigation, multidisciplinary care teams, electronic communication or information systems, PCP education, and multicomponent initiatives. Initiatives engaged PCPs at various levels. Implementation barriers included lack of care standardization across jurisdictions and incompatibility among electronic communication systems. Implementation facilitators included having clinical and program leaders publicly support the initiative, repurposing existing resources, receiving financial support, and

  20. Canadian Mathematical Congress

    CERN Document Server


    For two weeks in August, 1975 more than 140 mathematicians and other scientists gathered at the Universite de Sherbrooke. The occasion was the 15th Biennial Seminar of the Canadian Mathematical Congress, entitled Mathematics and the Life Sciences. Participants in this inter­ disciplinary gathering included researchers and graduate students in mathematics, seven different areas of biological science, physics, chemistry and medical science. Geographically, those present came from the United States and the United Kingdom as well as from academic departments and government agencies scattered across Canada. In choosing this particular interdisciplinary topic the programme committee had two chief objectives. These were to promote Canadian research in mathematical problems of the life sciences, and to encourage co-operation and exchanges between mathematical scientists" biologists and medical re­ searchers. To accomplish these objective the committee assembled a stim­ ulating programme of lectures and talks. Six ...

  1. Perceptions of cardiac rehabilitation patients, specialists and rehabilitation programs regarding cardiac rehabilitation wait times

    Directory of Open Access Journals (Sweden)

    Grace Sherry L


    Full Text Available Abstract Background In 2006, the Canadian Cardiovascular Society (CCS Access to Care Working Group recommended a 30-day wait time benchmark for cardiac rehabilitation (CR. The objectives of the current study were to: (1 describe cardiac patient perceptions of actual and ideal CR wait times, (2 describe and compare cardiac specialist and CR program perceptions of wait times, as well as whether the recommendations are appropriate and feasible, and (3 investigate actual wait times and factors that CR programs perceive to affect these wait times. Methods Postal and online surveys to assess perceptions of CR wait times were administered to CR enrollees at intake into 1 of 8 programs, all CCS member cardiac specialists treating patients indicated for CR, and all CR programs listed in Canadian directories. Actual wait times were ascertained from the Canadian Cardiac Rehabilitation Registry. The design was cross-sectional. Responses were described and compared. Results Responses were received from 163 CR enrollees, 71 cardiac specialists (9.3% response rate, and 92 CR programs (61.7% response rate. Patients reported that their wait time from hospital discharge to CR initiation was 65.6 ± 88.4 days (median, 42 days, while their ideal median wait time was 28 days. Most patients (91.5% considered their wait to be acceptable, but ideal wait times varied significantly by the type of cardiac indication for CR. There were significant differences between specialist and program perceptions of the appropriate number of days to wait by most indications, with CR programs perceiving shorter waits as appropriate (p  Conclusions Wait times following access to cardiac rehabilitation are prolonged compared with consensus recommendations, and yet are generally acceptable to most patients. Wait times following percutaneous coronary intervention in particular may need to be shortened. Future research is required to provide an evidence base for wait time

  2. Canadian petroleum history bibliography

    Energy Technology Data Exchange (ETDEWEB)

    Cass, D.


    The Petroleum History Bibliography includes a list of more than 2,000 publications that record the history of the Canadian petroleum industry. The list includes books, theses, films, audio tapes, published articles, company histories, biographies, autobiographies, fiction, poetry, humour, and an author index. It was created over a period of several years to help with projects at the Petroleum History Society. It is an ongoing piece of work, and as such, invites comments and additions.

  3. Tuberculosis in Aboriginal Canadians

    Directory of Open Access Journals (Sweden)

    Vernon H Hoeppner


    Full Text Available Endemic tuberculosis (TB was almost certainly present in Canadian aboriginal people (aboriginal Canadians denotes status Indians, Inuit, nonstatus Indians and metis as reported by Statistics Canada before the Old World traders arrived. However, the social changes that resulted from contact with these traders created the conditions that converted endemic TB into epidemic TB. The incidence of TB varied inversely with the time interval from this cultural collision, which began on the east coast in the 16th century and ended in the Northern Territories in the 20th century. This relatively recent epidemic explains why the disease is more frequent in aboriginal children than in Canadian-born nonaboriginal people. Treatment plans must account for the socioeconomic conditions and cultural characteristics of the aboriginal people, especially healing models and language. Prevention includes bacillus Calmette-Guerin vaccination and chemoprophylaxis, and must account for community conditions, such as rates of suicide, which have exceeded the rate of TB. The control of TB requires a centralized program with specifically directed funding. It must include a program that works in partnership with aboriginal communities.

  4. Canadian identity: Implications for international social work by Canadians

    DEFF Research Database (Denmark)

    Hiranandani, Vanmala Sunder


    This paper is in response to recent calls to conceptualize and articulate Canadian perspectives and experiences in international social work, given that the Canadian standpoint has been lacking in international social work literature. This paper contends that it is imperative, first of all......, to critically examine and unpack our ‘Canadian’ identity in order to practice international work that is socially just and anti-imperialist. Drawing on the work of post-colonial authors, critical race theorists, and those who study national myth-making, this essay revisits Canadian identity because...... it is this identity that Canadian social workers often carry into their international work....

  5. [The fiscal position of medical specialists]. (United States)

    Stevens, S; Moors, M


    Independent medical specialists in the Netherlands are treated as entrepreneurs for tax purposes and therefore enjoy tax benefits. A change in the legal relationship between medical specialists and hospitals is foreseen in 2015. Independent medical specialists will then no longer be considered to be entrepreneurs. This could negatively affect their tax position. The Dutch government has adopted a policy aimed at controlling expenses arising from medical specialists' fees. According to this policy, the formation of regional practices or mega-practices of specialists will be discouraged. In contrast, the current fiscal legislation encourages medical specialists to incorporate their practice into regional practices or mega-practices or to become shareholders of their hospitals. It has been proposed that fiscal benefits be linked to certain aspects of entrepreneurship, such as investing in medical equipment or employing medical personnel.

  6. The specialist nurse: a classification system. (United States)

    Whyte, S


    This paper focuses on the important developments of specialty nursing practice within Australia and reports the results of a recent survey of specialist nurses in Victoria. Debate among the worldwide nursing community reflects confusion and ambiguity about specialist practice. Similarly, variation, duplication and inconsistency characterise the status of specialist nurse education in Australia. This situation contributes to role problems for specialist nurses and may arise from their lack of contribution to the decision making process. Seventy-five nurses undertaking a range of specialist nursing courses offered by three educational providers (a university, major teaching hospital and professional organisation) completed a survey questionnaire to establish the extent to which they agreed with the major recommendations proposed in the National Review of Specialist Nurse Education (Specialist Review) (Russell et al 1997). Despite contention within the profession, specialist nurses in Victoria show support for a unified approach toward definition, title and credentials. The discussion specifically addresses the implications for the future classification of specialist nurses in Australia.

  7. Practices of epilepsy during pregnancy: a survey of Canadian neurologists. (United States)

    Morrison, C; Rieder, M J


    The optimal management of epilepsy in epileptic pregnancies remains controversial. We surveyed all neurologists in Canada to determine their usual practice in managing epilepsy during pregnancy. We identified 436 neurologists in the 1990 edition of the Canadian Handbook of Medical and Surgical Specialists. We mailed a questionnaire enquiring with respect to details of management of epilepsy during pregnancy to all neurologists; in the case of nonrespondents, a follow-up questionnaire was mailed eight weeks later. We achieved a 65% response rate. We found that carbamazepine was the antiepileptic drug of first choice for the management of epilepsy during pregnancy among the majority of neurologists (75%), while phenobarbital (10%) and phenytoin (11%) were recommended much less frequently. Eight percent of respondents never used polytherapy during pregnancy. Despite recent controversy over the reproductive safety of carbamazepine, monotherapy with carbamazepine is regarded by the vast majority of Canadian neurologists as the therapy of first choice for epilepsy during pregnancy.

  8. Iron sufficiency of Canadians. (United States)

    Cooper, Marcia; Greene-Finestone, Linda; Lowell, Hélène; Levesque, Johanne; Robinson, Stacey


    Iron deficiency is the most common nutritional deficiency in the world, but little is known about the iron status of people in Canada, where the last estimates are from 1970-1972. The data are from cycle 2 (2009 to 2011) of the Canadian Health Measures Survey, which collected blood samples from a nationally representative sample of Canadians aged 3 to 79. Descriptive statistics (percentages, arithmetic means, geometric means) were used to estimate hemoglobin and serum ferritin concentrations, and other markers of iron status. Analyses were performed by age/sex group, household income, self-perceived health, diet, and use of iron supplements. World Health Organization reference values (2001) were used to estimate the prevalence of iron sufficiency and anemia. The overall prevalence of anemia was low in the 2009-to-2011 period--97% of Canadians had sufficient hemoglobin levels. Generally, hemoglobin concentration increased compared with 1970-1972; however, at ages 65 to 79, rates of anemia were higher than in 1970-1972. Depleted iron stores were found in 13% of females aged 12 to 19 and 9% of females aged 20 to 49. Lower household income was associated with a lower prevalence of hemoglobin sufficiency, but was not related to lower serum ferritin sufficiency. Self-perceived health and diet were not significantly associated with hemoglobin and serum ferritin levels. The lack of a relationship between iron status and diet may be attributable to the use of questions about food consumption frequency that were not specifically designed to estimate dietary iron intake. Factors other than iron intake might have contributed to the increase in the prevalence of anemia among seniors.

  9. Canadian space robotic activities (United States)

    Sallaberger, Christian; Space Plan Task Force, Canadian Space Agency

    The Canadian Space Agency has chosen space robotics as one of its key niche areas, and is currently preparing to deliver the first flight elements for the main robotic system of the international space station. The Mobile Servicing System (MSS) is the Canadian contribution to the international space station. It consists of three main elements. The Space Station Remote Manipulator System (SSRMS) is a 7-metre, 7-dof, robotic arm. The Special Purpose Dextrous Manipulator (SPDM), a smaller 2-metre, 7-dof, robotic arm can be used independently, or attached to the end of the SSRMS. The Mobile Base System (MBS) will be used as a support platform and will also provide power and data links for both the SSRMS and the SPDM. A Space Vision System (SVS) has been tested on Shuttle flights, and is being further developed to enhance the autonomous capabilities of the MSS. The CSA also has a Strategic Technologies in Automation and Robotics Program which is developing new technologies to fulfill future robotic space mission needs. This program is currently developing in industry technological capabilities in the areas of automation of operations, autonomous robotics, vision systems, trajectory planning and object avoidance, tactile and proximity sensors, and ground control of space robots. Within the CSA, a robotic testbed and several research programs are also advancing technologies such as haptic devices, control via head-mounted displays, predictive and preview displays, and the dynamic characterization of robotic arms. Canada is also now developing its next Long Term Space Plan. In this context, a planetary exploration program is being considered, which would utilize Canadian space robotic technologies in this new arena.

  10. contribution of specialists in the sadf sjampanjeglas

    African Journals Online (AJOL)

    performing their national service, it is essential to bear in mind that the whole motivation for the employment of such personnel in their specialist directions is to increase the efficiency of the. SADF in the execution of its role in defence of the nation. Specialists must therefore receive such military training and exposure as to ...

  11. Urban revival in the polish specialist literature


    Rogatka, Krzysztof


    The aim of this article is to review and assess the Polish specialist literature on urban revival, i.e. all the actions undertaken to revitalise and restructure urban areas. The discussion of this issue was based on classification of the specialist literature on urban revival into four thematic groups: socio-demographic, spatial-functional, economic and cultural.

  12. Today's School Library Media Specialist Leader (United States)

    Dees, Dianne C.; Alexander, Kristi; Besara, Rachel; Cambisios, Robb; Kent, Teresa; Delgado, Jodie Player


    Whether it is high school, middle school, or elementary school, the library media specialist hits the ground running each day. For many, their background is the classroom, and, as media specialists, they have taken on the largest classroom in the school. Leadership is the ability to influence or inspire others to achieve shared goals. The media…

  13. Unique Factors Affecting Canadian Education. (United States)

    Farquhar, Robin H.

    In a background statement identifying what is unique about Canada and the issues it currently faces, this paper begins by discussing the concurrent movements toward Canadian nationalism and Quebec nationalism as an illustration of the problems caused by large size and great diversity. It then focuses on unique aspects of Canadian education,…

  14. Are Peer Specialists Happy on the Job? (United States)

    Jenkins, Sarah; Chenneville, Tiffany; Salnaitis, Christina


    This study was designed to examine the impact of role clarity and job training on job satisfaction among peer specialists. A 3-part survey assessing job training, job satisfaction, and role clarity was administered online to 195 peer specialists who are members of the International Association of Peer Specialists. Data was analyzed using descriptive statistics, correlational analyses to include multiple linear regressions and analysis of variance. Self-study and online training methods were negatively correlated with job satisfaction while job shadowing was positively correlated with job satisfaction. Role clarity was positively correlated with job satisfaction and job training satisfaction as well as job shadowing and one-on-one training. The use of self-study and online training for peer specialists is contraindicated by current findings, which suggest the need to utilize job shadowing or training methods that allow for personal interaction between peer specialists and their colleagues. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Specialist gelator for ionic liquids. (United States)

    Hanabusa, Kenji; Fukui, Hiroaki; Suzuki, Masahiro; Shirai, Hirofusa


    Cyclo(l-beta-3,7-dimethyloctylasparaginyl-L-phenylalanyl) (1) and cyclo(L-beta-2-ethylhexylasparaginyl-L-phenylalanyl) (2), prepared from L-asparaginyl-L-phenylalanine methyl ester, have been found to be specialist gelators for ionic liquids. They can gel a wide variety of ionic liquids, including imizazolium, pyridinium, pyrazolidinium, piperidinium, morpholinium, and ammonium salts. The mean minimum gel concentrations (MGCs) necessary to make gels at 25 degrees C were determined for ionic liquids. The gel strength increased at a rate nearly proportional to the concentration of added gelator. The strength of the transparent gel of 1-butylpyridinium tetrafluoroborate ([C(4)py]BF(4)), prepared at a concentration of 60 g L(-1) (gelator 1/[C(4)py]BF(4)), was ca. 1500 g cm(-2). FT-IR spectroscopy indicated that a driving force for gelation was intermolecular hydrogen bonding between amides and that the phase transition from gel to liquid upon heating was brought about by the collapse of hydrogen bonding. The gels formed from ionic liquids were very thermally stable; no melting occurs up to 140 degrees C when the gels were prepared at a concentration of 70 g L(-1) (gelator/ionic liquid). The ionic conductivities of the gels were nearly the same as those of pure ionic liquids. The gelator had electrochemical stability and a wide electrochemical window. When the gels were prepared from ionic liquids containing propylene carbonate, the ionic conductivities of the resulting gels increased to levels rather higher than those of pure ionic liquids. The gelators also gelled ionic liquids containing supporting electrolytes.

  16. A survey of adult referrals to specialist attention-deficit/hyperactivity disorder clinics in Canada

    Directory of Open Access Journals (Sweden)

    Klassen LJ


    Full Text Available Larry J Klassen,1 C Matthew Blackwood,2 Christopher J Reaume,3 Samuel Schaffer,3 James G Burns3 1Eden Mental Health Centre, Winkler, MB, 2Cedar Care Clinic, Mission, BC, 3International Medical Affairs, Shire Pharma Canada ULC, Toronto, ON, Canada Background: Canadian guidelines encourage family physicians to diagnose/manage adults with uncomplicated attention-deficit/hyperactivity disorder (ADHD; specialist referral is recommended only for complex cases. This retrospective case review investigated adults referred to Canadian ADHD clinics. Methods: Adult ADHD specialists reviewed referral letters/charts of patients (aged ≥18 years and no family history/known/expressed childhood ADHD from family physicians/psychiatrists over 2 years. Results: Data on 515 referrals (mean age 33 years, 60% males were collected (December 2014 to September 2015; 472/515 (92% were made by family physicians. No psychiatric comorbid symptoms were noted in 344/515 (67% referrals. ADHD was confirmed by a specialist in 483/515 (94% cases, whether comorbid symptoms were noted at referral (155/171 [91%] or not (328/344 [95%]. ADHD was reported to impact “work” (251/317 [79%], “school” (121/166 [73%], “social/friends” (260/483 [54%], and “spouse/family” (231/483 [48%]. Overall, 335/483 (69% patients had more than or equal to one comorbid symptom (diagnosed by referring physician or specialist. Stimulant monotherapy was recommended for 383/483 (79% patients, non-stimulant monotherapy for 41/483 (8% patients, and stimulant plus non-stimulant monotherapy for 39/483 (8% patients. Almost half of patients were returned for referring physician’s follow-up, either before treatment initiation (102/483 [21%] or after treatment stabilization (99/483 [20%]. Follow-up was by a specialist for 282/483 (58% patients. Conclusion: ADHD diagnosis was specialist confirmed in most cases. Although most referrals (67% noted no psychiatric comorbid symptoms, 69% of patients had

  17. Senior Program Specialist | IDRC - International Development ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Job Summary Working as a member of one or two multi-disciplinary teams under the guidance of the Program Leader (PL), Program Manager (PM) if applicable, and Director Program Area (DPA), the Senior Program Specialist:

  18. Agricultural Chemical Sourcebook for Wildlife Contaminants Specialists (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of this handbook is to provide information to contaminant specialists involved in evaluating agricultural chemical impacts on wetlands. The handbook...

  19. Probation Officers and Correctional Treatment Specialists. (United States)

    Alpert, Andrew D.


    Discusses the changes in the work of probation officers and correctional treatment specialists. Includes information about job outlook, earnings, training requirements, and working conditions as well as sources of additional information. (JOW)

  20. Subacute Sclerosing Panencephalitis: Results of the Canadian Paediatric Surveillance Program and review of the literature

    Directory of Open Access Journals (Sweden)

    Walop Wikke


    Full Text Available Abstract Background Subacute Sclerosing Panencephalitis (SSPE is so rare in developed countries with measles immunization programs that national active surveillance is now needed to capture sufficient number of cases for meaningful analysis of data. Through the Canadian Paediatric Surveillance Program (CPSP, the SSPE study was able to document a national incidence and determine the epidemiology of affected Canadian children. Methods Between 1997 and 2000, the CPSP surveyed monthly 1978 to 2294 Canadian pediatricians and sub-specialists for SSPE cases. The response rate varied from 82–86% over those years. Results Altogether, four SSPE cases were reported to the CPSP: one case before, two during and one after the study period. The incidence of SSPE in Canadian children was 0.06/million children/year. Of the four cases, diagnosed between ages four and 17 years, three children had measles infection in infancy. All children showed a progressive course of dementia, loss of motor skills and epilepsy. Two children were treated with isoprinosine and intraventricular interferon but died in less than three years from disease onset. One child did not have any treatment and died after seven years of illness. One child received intraventricular ribavirin and remains alive, but markedly impaired, nine years following diagnosis. Conclusion The CPSP has demonstrated that Canadian paediatricians and paediatric neurologists may encounter cases of SSPE. This report highlights the clinical course of affected Canadian children and provides a review of the disease and its management.

  1. Subacute Sclerosing Panencephalitis: Results of the Canadian Paediatric Surveillance Program and review of the literature (United States)

    Campbell, Craig; Levin, Simon; Humphreys, Peter; Walop, Wikke; Brannan, Renee


    Background Subacute Sclerosing Panencephalitis (SSPE) is so rare in developed countries with measles immunization programs that national active surveillance is now needed to capture sufficient number of cases for meaningful analysis of data. Through the Canadian Paediatric Surveillance Program (CPSP), the SSPE study was able to document a national incidence and determine the epidemiology of affected Canadian children. Methods Between 1997 and 2000, the CPSP surveyed monthly 1978 to 2294 Canadian pediatricians and sub-specialists for SSPE cases. The response rate varied from 82–86% over those years. Results Altogether, four SSPE cases were reported to the CPSP: one case before, two during and one after the study period. The incidence of SSPE in Canadian children was 0.06/million children/year. Of the four cases, diagnosed between ages four and 17 years, three children had measles infection in infancy. All children showed a progressive course of dementia, loss of motor skills and epilepsy. Two children were treated with isoprinosine and intraventricular interferon but died in less than three years from disease onset. One child did not have any treatment and died after seven years of illness. One child received intraventricular ribavirin and remains alive, but markedly impaired, nine years following diagnosis. Conclusion The CPSP has demonstrated that Canadian paediatricians and paediatric neurologists may encounter cases of SSPE. This report highlights the clinical course of affected Canadian children and provides a review of the disease and its management. PMID:16356180

  2. The clinical nurse specialist as brief psychotherapist. (United States)

    Shires, B; Tappan, T


    As managed care continues to flourish, the psychiatric clinical nurse specialist may function as a case manager for a managed care company or as a utilization review nurse for a hospital, community provider, or administrator. Stressing the strengths of the psychiatric clinical nurse specialist as brief therapist, the author reviews elements of the brief treatment model, including assessment, focus of treatment, knowledge of community resources, patient education, group skills, crisis intervention, and treatment planning.

  3. Integrated system for training of aviation specialists

    Directory of Open Access Journals (Sweden)

    J. Stankunas


    Full Text Available Co-operation between university and industrial potential is one of the most effective ways of organizing expensive studies in a small country. Co-operation between civil universities and military schools and structures is expedient in preparing reserve military specialist. An integrated system for the preparation of the specialists of civil and military aviation is precondition for the development of integrated management system of aviation and air space

  4. Canadian Practice Assessment in Chronic Obstructive Pulmonary Disease: Respiratory Specialist Physician Perception Versus Patient Reality

    Directory of Open Access Journals (Sweden)

    Paul Hernandez


    Full Text Available INTRODUCTION: Chronic obstructive pulmonary disease (COPD is a common respiratory condition and the fourth leading cause of death in Canada. Optimal COPD management requires patients to participate in their care and physician knowledge of patients’ perceptions of their disease.

  5. Development status and prospect of rehabilitation clinical nurse specialist

    Directory of Open Access Journals (Sweden)

    Xiao-ping WANG


    Full Text Available Through access to a lot of relevant information on the role of the rehabilitation nurse specialist functions, explore how rehabilitation specialist nurse qualifications provides a basis for our rehabilitation specialist nurse cultivating and development.

  6. Canadian National Vegetation Classification (CNVC) (United States)

    US Fish and Wildlife Service, Department of the Interior — The mandate of the CNVC is to comprehensively classify and describe natural and semi-natural Canadian vegetation in an ecologically meaningful manner. The...

  7. Engendering migrant health: Canadian perspectives

    National Research Council Canada - National Science Library

    Spitzer, Denise L


    .... What contributes to this deterioration, and how can its effects be mitigated? Engendering Migrant Health brings together researchers from across Canada to address the intersections of gender, immigration, and health in the lives of new Canadians...

  8. Natural history of Canadian mammals

    National Research Council Canada - National Science Library

    Naughton, Donna; Banfield, A. W. F


    .... A complete revision of A.W.F. Banfield's classic text Mammals of Canada, it features brand-new, full-colour images of each species, as well as stunning photographs from Canadian Geographic magazine's national photography...

  9. Engendering migrant health: Canadian perspectives

    National Research Council Canada - National Science Library

    Spitzer, Denise L


    "Voluntary migrants to Canada are generally healthier than the average Canadian, but after ten years in the country they report poorer health and higher rates of chronic disease than those born here...

  10. Canadian leadership in energy

    Energy Technology Data Exchange (ETDEWEB)



    Canada's energy is complex and an important resource as it fuels and funds the economy. The unique character of Canada's energy production and consumption provides strength to the country. The purpose of this booklet was to highlight Canada's energy production and consumption and to demonstrate Canada's rank globally with other major global energy players. The document also presented information on the value of Canada's energy exports, Canada's relationship with the United States, and Canada's energy-related carbon dioxide emissions. Specifically, the document discussed Canada's energy in a global context; the value of Canada's energy exports; domestic value of energy; Canada's unique energy mix; Canada's electricity mix; Canada's carbon dioxide emissions; energy strategies; and the importance of energy to Canadians. It was concluded that there are 14 federal, provincial and territorial jurisdictions managing their respective energy resources. All of these regions, with the exception of Saskatchewan have produced an energy strategy document or a climate change action plan focusing on 8 areas of action, notably awareness; benefit; efficiency; development; diversification; electricity; and emissions. refs., tabs., figs.

  11. Differences in quality standards when prescribing nutritional support: Differences between specialist and non-specialist physicians. (United States)

    Morán López, Jesús Manuel; Piedra León, María; Enciso Izquierdo, Fidel Jesús; Luengo Pérez, Luis Miguel; Amado Señaris, José Antonio


    Adequate nutritional support includes many different aspects, but poor understanding of clinical nutrition by health care professionales often results in an inadequate prescription. A study was conducted to compare enteral and parenteral nutritional support plans prescribed by specialist and non-specialist physicians. Non-specialist physicians recorded anthropometric data from only 13.3% of patients, and none of them performed nutritional assessments. Protein amounts provided by non-specialist physicians were lower than estimated based on ESPEN (10.29g of nitrogen vs 14.62; P<.001). Differences were not statistically significant in the specialist group (14.88g of nitrogen; P=.072). Calorie and glutamine provision and laboratory controls prescribed by specialists were significantly closer to those recommended by clinical guidelines. Nutritional support prescribed by specialists in endocrinology and nutrition at San Pedro de Alcántara Hospital was closer to clinical practice guideline standards and of higher quality as compared to that prescribed by non-specialists. Copyright © 2015 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

  12. Canadian synthetic resins industry

    Energy Technology Data Exchange (ETDEWEB)

    Margeson, J. [Industry Canada, Ottawa, ON (Canada)


    The growth of the synthetic resin industry in Canada is described. In 1999 the industry had shipments totalling $6.3 billion and employed about 9,000 people in 105 establishments. The industry is concentrated in Alberta, Ontario and Quebec. Plants in Alberta produce commodity-grade thermoplastic resins from raw materials derived mainly from natural gas, whereas plants in Ontario and Quebec produce both thermoplastic and thermoset resins using raw materials derived from both crude oil and natural gas. Sixty-four per cent of the synthetic reins produced in Canada, worth about $4.1 billion, are exported. This is offset by imports of 68 per cent of domestic consumption, (valued at $5.0 billion) reflecting rationalization and specialization of the resin industry on a continental basis. Process and product technologies used in Canada are up-to-date and licensed from parent or other foreign chemical companies. Capital investment in the Canadian resin industry is lagging behind investment in the United States, however, this is expected to change once the impact of recent investments in the industry in Alberta is reflected in the statistics. A five to seven per cent real average annual growth in world-wide consumption is predicted over the next five years. Growth in North America is projected to be in the three to four per cent range. The Alberta-based component of the industry, being relatively new, is expected to improve its ability to compete globally in commodity thermoplastics. In contrast, the plants in Ontario and Quebec suffer from the fact that they were built prior to the Free Trade Agreement and were designed to satisfy domestic requirements. They are attempting to compensate for their lack of economics of scale by developing strategies to supply niche products. 8 figs.


    Directory of Open Access Journals (Sweden)

    I. I. Leonovich


    Full Text Available Complicated conditions, under which road enterprises of the Republic are forced to operate, put forward and reveal the necessity to innovative way of development. In order to fulfill this task it is necessary to have specialists who are capable and ready to realize this endeavour. The most acceptable variant is to train specialists who will be able to introduce innovations and who are presently involved in the production process. Such training should be carried out within the framework of post-graduate education. Authors have provide a number of reasons in favour of quick development of such education. 

  14. Responsible Canadian energy progress report

    Energy Technology Data Exchange (ETDEWEB)



    The Canadian Association of Petroleum Producers (CAPP) represents oil and gas companies throughout Canada; its members produce over 90% of Canada's natural gas and crude oil output. The aim of the Association is to improve the economics of the Canadian upstream petroleum sector in an environmentally and socially responsible way. The aim of this Responsible Canadian Energy report is to present the performance data of CAPP's members for the year 2009. Data, trends, and performance analyses are provided throughout the document. This analysis makes it possible to determine where progress has been made and where performance improvement is necessary. It also presents success stories and best practices so that other companies can learn from them how to improve their own performance. This paper provides useful information on the performance of the upstream petroleum industry in Canada and highlights where the focus should be for further improvement in its performance.

  15. Transnational archives: the Canadian case

    Directory of Open Access Journals (Sweden)

    Julia Creet


    Full Text Available This paper is a brief overview of the concept of the transnational archive as a counterpoint to the idea that a national archive is necessarily a locus of a static idea of nation. The Canadian national archives is used as a case study of an archives that was transnational in its inception, and one that has continued to change in its mandate and materials as a response to patterns in migration and changing notions of multiculturalism as a Canadian federal policy. It introduces the most recent formation of the transnational archive and its denizens: the genealogical archive inhabited by family historians.

  16. Avionics Instrument Systems Specialist (AFSC 32551). (United States)

    Miller, Lawrence B.; Crowcroft, Robert A.

    This six-volume student text is designed for use by Air Force personnel enrolled in a self-study extension course for avionics instrument systems specialists. Covered in the individual volumes are career field familiarization (career field progression and training, security, occupational safety and health, and career field reference material);…

  17. Specialist Teams Needed to Support Youth. (United States)

    Mellin, Laurel M.


    Presents seven reasons why it is important for health specialist teams to take action supporting the prevention and treatment of childhood obesity. The article offers guidelines to help parents assist their children in maintaining positive eating, exercise, and self-esteem patterns, noting sensitive intervention is preferable to imposed diets. (SM)

  18. Librarians/Media Specialists: Unsung Superheroes (United States)

    Burgess, Jan


    School librarians can be an important resource for school administrators, provided that the right relationship is in place between them. In this article, the author reports on the critical points emphasized with librarians/media specialists in a recent panel presentation on their changing roles: (1) the importance of building ongoing relationships…

  19. Ethics and the Library Media Specialist (United States)

    Baxter, Veanna


    It is common belief that most people can distinguish between right and wrong actions and usually make decisions to do the right thing. As educators, library media specialists are called upon to make decisions every day. Those decisions chart the course for that particular day and the future, for themselves and for those they work with. In this…

  20. Apprentice Food Service Specialist (AFSC 62230). (United States)

    Air Univ., Gunter AFS, Ala. Extension Course Inst.

    This two-volume student text is designed for use by Air Force personnel enrolled in a self-study extension course for apprentice food service specialists. Covered in the first volume are fundamentals of food preparation and service (careers in food service, food service sanitation, principles of food preparation and service, and baking…

  1. Readying the Health Education Specialist for Emergencies (United States)

    Geiger, Brian F.; Firsing, Stephen L., III; Beric, Bojana; Rodgers, Joel B.


    This article provides a resourceful guide for the health education specialist to improve emergency management knowledge and skills specific to their setting, including training and preparing for emergencies and providing adequate support to students, clients, and colleagues. Five steps guide competent health education practice before, during, and…

  2. Professional Training of Marketing Specialists: Foreign Experience (United States)

    Zakharchenko, Yuliia


    Due to content-based analysis of marketing specialists' professional training and approaches to development of their educational trajectory, it has been revealed that curricula and their content are given much attention by employers whose demands are focused on meeting current labour market conditions. It has been justified that despite the…

  3. STS-88 Mission Specialist Krikalev checks equipment (United States)


    STS-88 Mission Specialist Sergei Konstantinovich Krikalev, a Russian cosmonaut, looks over equipment inside a module at the Space Station Processing Facility. Betsy Ahearn, with Boeing, is at his right. Mission STS-88 is targeted for launch on Dec. 3, 1998. It is the first U.S. flight for the assembly of the International Space Station and will carry the Unity connecting module.

  4. The changing role of the subject specialist

    Directory of Open Access Journals (Sweden)

    Michael Cotta-Schønberg


    Full Text Available As we all know, libraries are these years rapidly undergoing change on unparalleled scale. Evidently, this applies to librarians, too, and not the least to that important category of library staff, the subject specialist. As recruiting and education of library workers differ from country to country it is difficult to give a detailed, generally valid description of the subject librarian in libraries, but I believe that you can describe an ideal model of subject librarianship as follows: Within each of the major subject disciplines covered by the library, the library should have a subject specialist preferably with a master degree or at least a bachelor degree in the particular subject discipline. The role of the subject specialist is to perform four basic functions where extensive subject knowledge is considered to be necessary: selecting and classifying books, assisting users with advanced subject inquiries, giving subject-specific courses in information retrieval, and maintaining liaison with relevant academic departments and centres. Personally, I know this system very well since I got employment in the Royal Library in Copenhagen as a subject specialist in psychology in the very month I finished my degree in psychology from the University of Copenhagen, back in 1973. The subject librarian system at the Royal Library in Copenhagen was patterned on the ideal model, as I just described it, and it was closely paralleled in the other academic libraries in Denmark, also the new university libraries which were founded in the seventies.

  5. Dual Role of the Urban Reading Specialist (United States)

    Lapp, Diane; Fisher, Douglas; Flood, James; Frey, Nancy


    Reading specialists in several San Diego schools assist both in providing tutoring to students and coach peers, a dual role that has helped to create and sustain schoolwide improvements in literacy. In just a few years, these high-poverty schools have doubled the number of 2nd graders reading at grade level.

  6. Host specialist clownfishes are environmental niche generalists (United States)

    Litsios, Glenn; Kostikova, Anna; Salamin, Nicolas


    Why generalist and specialist species coexist in nature is a question that has interested evolutionary biologists for a long time. While the coexistence of specialists and generalists exploiting resources on a single ecological dimension has been theoretically and empirically explored, biological systems with multiple resource dimensions (e.g. trophic, ecological) are less well understood. Yet, such systems may provide an alternative to the classical theory of stable evolutionary coexistence of generalist and specialist species on a single resource dimension. We explore such systems and the potential trade-offs between different resource dimensions in clownfishes. All species of this iconic clade are obligate mutualists with sea anemones yet show interspecific variation in anemone host specificity. Moreover, clownfishes developed variable environmental specialization across their distribution. In this study, we test for the existence of a relationship between host-specificity (number of anemones associated with a clownfish species) and environmental-specificity (expressed as the size of the ecological niche breadth across climatic gradients). We find a negative correlation between host range and environmental specificities in temperature, salinity and pH, probably indicating a trade-off between both types of specialization forcing species to specialize only in a single direction. Trade-offs in a multi-dimensional resource space could be a novel way of explaining the coexistence of generalist and specialists. PMID:25274370

  7. Common Features of Training of Information Specialists. (United States)

    Seeger, Thomas, Ed.; Wersig, Gernot, Ed.

    This is a collection of 14 papers presented at a professional association conference to explore the possibilities of how the Federation Internationale de Documentation (FID) could improve the education and training of information specialists. The subject was approached from four viewpoints: (1) professional aspects of education and training; (2)…


    African Journals Online (AJOL)


    Sep 15, 2009 ... In this study, the development of a model is regarded as being consistent with middle-range theory generation (George 2002:6), which, in turn, guides the education practice of specialist nurses. According to Smith and Liehr,. [m]iddle range theory can be defined as a set of related ideas that are focused on ...


    Taylor, Andrew; Sutherland, Adam


    Clinical supervision is defined by Barber and Norman as having four main functions: educational, supportive, managerial and development of self-awareness.1 It is common practice within initial pharmacy education for clinical supervision to take place at undergraduate, pre-registration and foundation level pharmacist stages. But what about the specialist trainees? It is probably a fair observation that the amount of clinical supervision provided for pharmacists undergoing their advanced level practice drops vividly.One study suggests that clinical supervision improves patient outcomes,2 however this and many other studies are related to nursing clinical supervision, there is little published evidence to support this claim with regards to pharmacy clinical supervision.We present a case where effective clinical supervision of a specialist trainee had a direct impact on patient safety and outcome in a paediatric intensive care unit. The case involves a child with a presentation of sepsis related to group A Streptococcus toxic shock syndrome (TSS) and associated acute kidney injury (AKI) that may have been precipitated or worsened iatrogenically. An experienced band 7 pharmacist attends the daily ward round and refers complex patients to the nominated senior specialist pharmacist. An educational pharmacist ward round takes place twice a week where the band 7 pharmacist will present each patient, proposed pharmaceutical management plan and the patient's care is discussed in an open, non-judgemental forum.After each discussion an agreed action plan is implemented, further educational needs identified and goals agreed to meet them. A strong component of this ward round is a reflective element with the senior pharmacist encouraging specialist trainees to reflect verbally. Significant event reflections will be documented. The specialist trainee identified that this patient required senior review, and referred the patient up appropriately.Following independent assessment by

  10. Canadian Children's Literature: An Alberta Survey (United States)

    Bainbridge, Joyce; Carbonaro, Mike; Green, Nicole


    This article presents the findings of an online survey administered to Alberta elementary school teachers in 2000-2001. The survey explored the teachers' knowledge and use of Canadian children's literature and their thoughts about the role of Canadian literature in elementary school classrooms. Canadian children's trade books espouse particular…

  11. Phonological Variability in Canadian English. (United States)

    de Wolf, Gaelan Dodds

    A study compared salient variables of Canadian English from two concurrent sociodialectal surveys, one for Ottawa, Ontario and one for Vancouver, British Columbia. Using the Labovian model of phonological variation in association with sociological parameters and other linguistic variables within each specific area, the analysis investigated four…

  12. Engendering migrant health: Canadian perspectives

    National Research Council Canada - National Science Library

    Spitzer, Denise L


    .... Focusing on the context of Canadian policy and society, the contributors illuminate migrants' testimonies of struggle, resistance, and solidarity as they negotiate a place for themselves in a new country. Topics range from the difficulties of Francophone refugees and the changing roles of fathers, to the experiences of queer newcomers and the importance of social unity to communal and individual health."--pub. desc.

  13. Universal values of Canadian astronauts (United States)

    Brcic, Jelena; Della-Rossa, Irina


    Values are desirable, trans-situational goals, varying in importance, that guide behavior. Research has demonstrated that universal values may alter in importance as a result of major life events. The present study examines the effect of spaceflight and the demands of astronauts' job position as life circumstances that affect value priorities. We employed thematic content analysis for references to Schwartz's well-established value markers in narratives (media interviews, journals, and pre-flight interviews) of seven Canadian astronauts and compared the results to the values of National Aeronautics and Space Administration (NASA) and Russian Space Agency (RKA) astronauts. Space flight did alter the level of importance of Canadian astronauts' values. We found a U-shaped pattern for the values of Achievement and Tradition before, during, and after flight, and a linear decrease in the value of Stimulation. The most frequently mentioned values were Achievement, Universalism, Security, and Self-Direction. Achievement and Self Direction are also within the top 4 values of all other astronauts; however, Universalism was significantly higher among the Canadian astronauts. Within the value hierarchy of Canadian astronauts, Security was the third most frequently mentioned value, while it is in seventh place for all other astronauts. Interestingly, the most often mentioned value marker (sub-category) in this category was Patriotism. The findings have important implications in understanding multi-national crew relations during training, flight, and reintegration into society.


    Directory of Open Access Journals (Sweden)

    Vladimir A. Romanov


    Full Text Available The aim of the investigation is development of innovative strategy of quality control training of engineers and skilled workers (hereinafter – future specialists in educational professional organizations on the principles of social partnership.Methods. Theoretic: theoretic and methodological analysis, polytheoretic synthesis, modeling. Empirical: research and generalization of the system, process and competence – based approaches experience, experiment, observation, surveys, expert evaluation, SWOT-analysis as a method of strategic planning which is to identify the internal and external factors (socio-cultural of the organization surrounding.Results. The strategy of the development of the process of quality control training in educational professional organizations and a predictive model of the system of quality control training for future engineers and workers have been created on the analysis and synthesis of a quantitative specification of the quality, the obtained experience and success in control training of future specialists in educational professional organizations in recent economic and educational conditions.Scientific novelty. There has been built a predicative model of quality control training of future specialists to meet modern standards and the principles of social partnership; the control algorithm of the learning process, developed in accordance with the standards (international of quality ISO in the implementation of the quality control systems of the process approach (matrix-based responsibility, competence and remit of those responsible for the education process in the educational organization, the «problem» terms and diagnostic tools for assessing the quality of professional training of future specialists. The perspective directions of innovation in the control of the quality of future professionals training have been determined; the parameters of a comprehensive analysis of the state of the system to ensure the

  15. Specialist pre-operative assessment clinics. (United States)

    Dhesi, J K; Swart, M


    While specialist pre-operative assessment is not new, its focus has evolved in response to more operations and changes in the surgical population. Patients are older and have more long-term medical comorbidities. At the same time, there has been a move from paternalistic medical decision-making to shared decision-making, based on an individual patient's choice or preference. Specialist pre-operative consultations have had to adapt to these changes by broadening their scope. Pre-operative clinics have a central role in shared decision-making, coordinating and planning care before, during and after surgery, including rehabilitation and discharge planning. Multiple specialties need to work together to deliver quality patient-centred care. © 2015 The Association of Anaesthetists of Great Britain and Ireland.

  16. Information specialist for a coming age (5) (United States)

    Sakajoh, Mitsunobu

    Deluge of conflicting and overwhelming information and media are creating a state of information anxiety. In such a society, an organization is also seeking a variety of information in wide corporate activities. The searcher, looking for information, must determine for him/herself not only which databases to search, but also which database system will deliver a fullest, good and trustworthy information of his needs. Commercial databases here in Japan have been accepted and searched by increased number of searchers as well as end-users. In the 90's, our online specialist's challenge is no longer to find information; we have to aim at professional information specialists to respond with increased educational and consultant role to assist further increasing number of end-users.

  17. Stoma coloproctology nurse specialist: a case study. (United States)

    Chaney, Ursula; Hasson, Felicity; Keeney, Sinead; Sinclair, Marlene; Poulton, Brenda; McKenna, Hugh P


    The aim of this paper is to provide insight into the role of a Stoma Coloproctology Nurse Specialist. This paper presents the findings of an in-depth case study of a stoma coloproctology nurse specialist employed in one health board area in Northern Ireland. This case study was part of a larger study exploring innovative nursing and midwifery roles in Northern Ireland. Specialist nursing roles have evolved and developed in response to changing health care needs, patient expectations, changes in professional regulation and government initiatives. A case study approach was adopted. Semi-structured interviews with the post holder (PH), her line manager and the human resource manager were undertaken. Non-participant observation of the PH's practice was also carried out. Analysis was undertaken on secondary data such as job specification, annual reports and other documentation relating to the post. Findings illustrate the PH's function and the impact of the role on patient care. Examples of innovative practices relating to providing care, support and guidance for patients and their families were identified; however, limitations to her role were also identified. The PH provides an invaluable service to patients, demonstrating a positive impact on care. However, the findings suggest the importance of establishing clear role boundaries, which may lead to professional growth and practice development. Although this study provides a valuable insight into the role of a Stoma Coloproctology Nurse Specialist a number of challenges exist, as the CNS role requires policy and appropriate educational preparation to practice at an advanced level. Further research investigating the development of the CNS role in the clinical setting and its relationship to members of the multi-professional team would be beneficial.

  18. Burnout Syndrome of Leisure Time Activities Specialist.


    REBROVÁ, Iveta


    This thesis is dealing with burnout syndrome among leisure time specialists. Theoretical part describes burnout syndrome, its historical basis, symptoms and causes, protective factors and preventive techniques, which prevent from burnout syndrome risk. Next part deals with common stress, its causes and symptoms, and psychosocial stress, which is closely related with burnout syndrome. Ending of the theoretical part is focused on understanding the differences between jobs of common teacher and ...

  19. The predictability of phytophagous insect communities: host specialists as habitat specialists.

    Directory of Open Access Journals (Sweden)

    Jörg Müller

    Full Text Available The difficulties specialized phytophagous insects face in finding habitats with an appropriate host should constrain their dispersal. Within the concept of metacommunities, this leads to the prediction that host-plant specialists should sort into local assemblages according to the local environmental conditions, i.e. habitat conditions, whereas assemblages of host-plant generalists should depend also on regional processes. Our study aimed at ranking the importance of local environmental factors and species composition of the vegetation for predicting the species composition of phytophagous moth assemblages with either a narrow or a broad host range. Our database consists of 351,506 specimens representing 820 species of nocturnal Macrolepidoptera sampled between 1980 and 2006 using light traps in 96 strict forest reserves in southern Germany. Species were grouped as specialists or generalists according to the food plants of the larvae; specialists use host plants belonging to one genus. We used predictive canonical correspondence and co-correspondence analyses to rank the importance of local environmental factors, the species composition of the vegetation and the role of host plants for predicting the species composition of host-plant specialists and generalists. The cross-validatory fit for predicting the species composition of phytophagous moths was higher for host-plant specialists than for host-plant generalists using environmental factors as well as the composition of the vegetation. As expected for host-plant specialists, the species composition of the vegetation was a better predictor of the composition of these assemblages than the environmental variables. But surprisingly, this difference for specialized insects was not due to the occurrence of their host plants. Overall, our study supports the idea that owing to evolutionary constraints in finding a host, host-plant specialists and host-plant generalists follow two different models of

  20. Sports Medicine: What is a Sports Medicine Specialist? (United States)

    What is a Sports Medicine Specialist? A physician with significant specialized training in both the treatment and prevention of illness and injury. The Sports Medicine Specialist helps patients maximize function and minimize ...

  1. The Canadian safeguards support program

    Energy Technology Data Exchange (ETDEWEB)

    Keeffe, R. [Atomic Energy Control Board, Canadian Safeguards Support Program, Ottawa, Ontario (Canada)


    Canada supports international safeguards as a means by which the proliferation of nuclear weapons can be discouraged. Canada recognizes that,to meet that the IAEA must have effective safeguards techniques and the active cooperation of Member States. Therefore the Canadian Government decided in 1976 to initiate a program in support of IAEA safeguards, known as the Canadian Safeguards Support Program (CSSP). The CSSP is funded and administered by the Atomic Energy Control Board (AECB). The CSSP is a co-ordinated program for the development and the application of safeguards instruments and techniques for nuclear facilities and materials on behalf of the IAEA and also in support of Canada's own national nuclear material safeguards system, implemented by the AECB. (author)

  2. Canadian safeguards - an historical perspective

    Energy Technology Data Exchange (ETDEWEB)

    Ironside, A.M. (Ontario Hydro, Toronto, Ontario (Canada)); Smith, R.M.


    The paper summarizes safeguards activities and programs undertaken in Canada. In 1970, Canada, in collaboration with the IAEA, began a study of procedures and equipment required for the application of safeguards to on-line-fueled reactors. In 1977, this assistance was substantially increased and formalized into the Canadian Safeguards Support Program (CSSP). To date, Canada has spent in excess of $35 million Canadian on this program. The CSSP provides support to the IAEA safeguards effort for areas in which Canada has expertise and has been primarily engaged in developing safeguards procedures and equipment for the CANDU power reactors in Canada and throughout the world. Work, projects, and equipment development undertaken by CANDU CSSP are highlighted.

  3. Canadian prostate brachytherapy in 2012 (United States)

    Keyes, Mira; Crook, Juanita; Morris, W. James; Morton, Gerard; Pickles, Tom; Usmani, Nawaid; Vigneault, Eric


    Prostate brachytherapy can be used as a monotherapy for low- and intermediate-risk patients or in combination with external beam radiation therapy (EBRT) as a form of dose escalation for selected intermediate- and high-risk patients. Prostate brachytherapy with either permanent implants (low dose rate [LDR]) or temporary implants (high dose rate [HDR]) is emerging as the most effective radiation treatment for prostate cancer. Several large Canadian brachytherapy programs were established in the mid- to late-1990s. Prostate brachytherapy is offered in British Columbia, Alberta, Manitoba, Ontario, Quebec and New Brunswick. We anticipate the need for brachytherapy services in Canada will significantly increase in the near future. In this review, we summarize brachytherapy programs across Canada, contemporary eligibility criteria for the procedure, toxicity and prostate-specific antigen recurrence free survival (PRFS), as published from Canadian institutions for both LDR and HDR brachytherapy. PMID:23671495

  4. Reframing the Canadian Oil Sands


    Patchett, Merle M; Lozowy, A


    Reframing the Canadian Oil Sands” is a collaborative exchange between photographer Andriko Lozowy and cultural geographer Merle Patchett that engages photography and photographic theory to evoke a more critical and politically meaningful visual engagement with the world’s largest capital oil project. Since the appearance of Edward Burtynsky’s aerial and abstracted photographic-mappings of the region, capturing the scale of the Oil Sands from ‘on high’ has become the dominant visual imaginary....

  5. School Library Media Specialist-Teacher Collaboration: Characteristics, Challenges, Opportunities (United States)

    Cooper, O. P.; Bray, Marty


    The most successful school library media specialists are those who collaborate with teachers as full partners in the instructional process. Without assertive action by the school library media specialist, however, school administrators and teachers are likely to be more aware of the media specialist's administrative role than the roles of teacher,…

  6. Elder Specialists: Psychosocial Aspects of Medical Education in Geriatric Care (United States)

    McCann-Stone, Nancy; Robinson, Sherry B.; Rull, Gary; Rosher, Richard B.


    This paper describes an Elder Specialist Program developed by one school of medicine to sensitize medical students to geriatric psychosocial issues. Elder Specialists participate in panel discussions as part of each geriatric session. As an alternative to traditional senior mentoring programs, the Elder Specialist Program provides all students a…

  7. Problems of forming professional competencies of future marketing specialists


    Putintsev, A.; Prischepa, N.


    The article investigates aspects of professional competence that determines conditions for forming pedagogic basis for developing professionally important qualities of economic specialists in the modern economic space; theoretical analysis of different views of the problem of forming professionalism of future marketing specialists is performed; ways of forming professionalism of future marketing specialists are defined.

  8. Nutritional risk among older Canadians. (United States)

    Ramage-Morin, Pamela L; Garriguet, Didier


    Nutritional risk screening is typically done in clinical settings to identify individuals at risk of malnourishment. This article presents the first population-level assessment of nutritional risk based on a large national sample representative of Canadian householders aged 65 or older. Data from the 2008/2009 Canadian Community Health Survey-Healthy Aging were used to estimate the prevalence of nutritional risk by selected characteristics. Factors associated with nutritional risk were examined with restricted and full logistic models. The distribution of responses on the SCREEN II-AB nutritional risk instrument is reported. Based on the results of the 2008/2009 survey, 34% of Canadians aged 65 or older were at nutritional risk. Women were more likely than men to be at risk. Among people with depression, 62% were at nutritional risk, compared with 33% of people without depression. Level of disability, poor oral health, and medication use were associated with nutritional risk, as were living alone, low social support, infrequent social participation, and not driving on a regular basis. Lower income and education were also associated with nutritional risk. Nutritional risk is common among seniors living in private households in Canada. The characteristics of people most likely to be at nutritional risk provide evidence for targeted screening and assessment.

  9. Perceptions of Nigerian medical specialists on research

    Directory of Open Access Journals (Sweden)

    Abdulraheem Olarongbe Mahmoud


    Full Text Available The current research aimed at collating the views of medical specialists on disease priorities, class and outcomes of health research in Nigeria, and draw appropriate policy implications. Structured questionnaires were distributed to consent 90 randomly selected medical specialists practising in six Nigerian tertiary health institutions. Participants' background information, relative disease priority, research types and class, type and class of publication media, frequency of publications, challenges faced in publishing research, impact of their research on health practice or policy, and inventions made were probed. Fifty-one out of the 90 questionnaires distributed were returned giving a response rate of 63.3%. Sixty-four point six percent indicated that the highest priority should be given to non communicable diseases while still recognizing that considerations should be giving to the others. They were largely “always” involved in simple low budget retrospective studies or cross-sectional and medical education studies (67.8% and over a third (37.5% had never been involved in clinical trials. They largely preferred to “always” publish in PubMed indexed journals that are foreign-based (65.0%. They also indicated that their research works very rarely resulted in inventions (4% and change (4% in clinical practice or health policy. Our study respondents indicated that they were largely involved in simple low budget research works that rarely had significant impacts and outcomes. We recommend that adequate resources and research infrastructures particularly funding be made available to medical specialists in Nigeria. Both undergraduate and postgraduate medical education in Nigeria should emphasize research training in their curricula.

  10. Academic Information Security Researchers: Hackers or Specialists? (United States)

    Dadkhah, Mehdi; Lagzian, Mohammad; Borchardt, Glenn


    In this opinion piece, we present a synopsis of our findings from the last 2 years concerning cyber-attacks on web-based academia. We also present some of problems that we have faced and try to resolve any misunderstandings about our work. We are academic information security specialists, not hackers. Finally, we present a brief overview of our methods for detecting cyber fraud in an attempt to present general guidelines for researchers who would like to continue our work. We believe that our work is necessary for protecting the integrity of scholarly publishing against emerging cybercrime.

  11. Professional Legitimation for Education in Canadian Universities: "The Canadian Journal of Education", 1976-1997 (United States)

    Fisher, Donald


    In this commentary, Donald Fisher reports on the history of the "The Canadian Journal of Education" as part of this 40th anniversary issue. Fisher states that the history of the Canadian Society for the Study of Education (CSSE) has been profoundly influenced by changes in the role of the Canadian State. The 1960s and 1970s were a time…

  12. Postgraduate medical education and specialist training in Singapore. (United States)

    Chew, C H; Chee, Y C


    The Singapore Medical School celebrates its Centenary in 2005. This historical review is presented on Singapore's postgraduate medical education and specialist training programmes. The special informal role of the Alumni Association and its members during the early years and soon after World War II is highlighted. Postgraduate education and specialist training was more formalised only during the challenging years when Singapore became more autonomous and politically independent with the establishment of the Academy of Medicine, the School's postgraduate medical studies, the Singapore Medical Association, specialist societies and, more recently, the College of Family Physicians. Specialist training programmes and the process of specialist accreditation are also outlined. While Singapore has gone far towards developing a comprehensive programme of postgraduate medical education and specialist training, the process is still evolving and can be improved upon. As long as we keep pace with relevant and realistic strategies, the future for postgraduate medical training and specialist training should be assured.

  13. Canadian Council for Area Studies Learned Societies - 2007-2008 ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    CCASLS) provides a shared secretariat for four area studies associations: the Canadian Association of African Studies (CAAS); the Canadian Asian Studies Association (CASA): the Canadian Association of Latin American and Caribbean Studies ...

  14. E-learning for medical imaging specialists: introducing blended learning in a nuclear medicine specialist course. (United States)

    Haslerud, Torjan; Tulipan, Andreas Julius; Gray, Robert M; Biermann, Martin


    While e-learning has become an important tool in teaching medical students, the training of specialists in medical imaging is still dominated by lecture-based courses. To assess the potential of e-learning in specialist education in medical imaging. An existing lecture-based five-day course in Clinical Nuclear Medicine (NM) was enhanced by e-learning resources and activities, including practical exercises. An anonymized survey was conducted after participants had completed and passed the multiple choice electronic course examination. Twelve out of 15 course participants (80%) responded. Overall satisfaction with the new course format was high, but 25% of the respondents wanted more interactive elements such as discussions and practical exercises. The importance of lecture handouts and supplementary online material such as selected original articles and professional guidelines was affirmed by all the respondents (92% fully, 8% partially), while 75% fully and 25% partially agreed that the lectures had been interesting and relevant. E-learning represents a hitherto unrealized potential in the education of medical specialists. It may expedite training of medical specialists while at the same time containing costs.

  15. The Predictability of Phytophagous Insect Communities: Host Specialists as Habitat Specialists

    NARCIS (Netherlands)

    Müller, J.; Stadler, J.; Jarzabek-Müller, A.; Hacker, H.; Braak, ter C.J.F.; Brandl, R.


    The difficulties specialized phytophagous insects face in finding habitats with an appropriate host should constrain their dispersal. Within the concept of metacommunities, this leads to the prediction that host-plant specialists should sort into local assemblages according to the local

  16. The Canadian mobile satellite system (United States)

    Bertenyi, Elemer


    Plans to upgrade Canadian mobile data services by introducing a full, two way mobile voice and data service, using a large geostationary satellite which is scheduled to be launched in 1994, are reported. This Mobile Satellite (MSAT) will offer customers the ability to communicate, using mobile or transportable terminals, from the most remote parts of the continent, to any other point within North America, and indeed the whole world. Currently planned MSAT services are reviewed, the main features of the overall system are outlined, and the configuration and key performance parameters of the MSAT satellite are presented. The communications subsystem is detailed, and a summary of the spacecraft service module is given.

  17. Canadian Cardiovascular Society and Canadian Thoracic Society Position Statement on Pulmonary Arterial Hypertension

    Directory of Open Access Journals (Sweden)

    David Langleben


    Full Text Available The Canadian Cardiovascular Society and the Canadian Thoracic Society requested a position statement on pulmonary arterial hypertension from leading Canadian experts. The present document is intended to act as an update for the clinician, to provide a template for the initial evaluation of patients, to enable the understanding of current therapeutic paradigms based on approved indications for Canada, to highlight new therapies on the horizon, and to state the positions of the Canadian Cardiovascular Society and the Canadian Thoracic Society on resource management for pulmonary arterial hypertension in Canada.

  18. Clinical nurse specialists as entrepreneurs: constrained or liberated. (United States)

    Austin, Lynn; Luker, Karen; Roland, Martin; Ronald, Martin


    This qualitative study explored the experiences of two groups of clinical nurse specialists--continence advisors and tissue viability nurses--working in primary care in the UK. In particular, the study focused on how clinical nurse specialists' relationships with other health-care professionals had an impact on their role. Clinical nurse specialists are recognized worldwide as having expertise in a given field, which they use to develop the practice of others. Additionally, clinical nurse specialists share many of the characteristics of entrepreneurs, which they use to develop services related to their speciality. However, little research has been conducted in relation to clinical nurse specialists' experiences as they attempt to diversify nursing practice. An ethnographic approach was adopted comprising many elements of Glaserian grounded theory. Data were collected via participant observation and face-to-face interviews with 22 clinical nurse specialists. Services provided by clinical nurse specialists were not static, clinical nurse specialists being the main drivers for service developments. However, clinical nurse specialists encountered difficulties when introducing new ideas. Given their role as advisors, clinical nurse specialists lacked authority to bring about change and were dependent on a number of mechanisms to bring about change, including 'cultivating relationships' with more powerful others, most notably the speciality consultant. The UK government has pledged to 'liberate the talents of nurses' so that their skills can be used to progress patient services. This study highlights the fact that a lack of collaborative working practices between health-care professionals led to clinical nurse specialists being constrained. Health-care organizations need to provide an environment in which the entrepreneurial skills of clinical nurse specialists may be capitalized on. In the absence of an outlet for their ideas regarding service developments, clinical

  19. CASID and Canadian Journal of Development Studies ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    CASID and Canadian Journal of Development Studies : Organizational Strengthening 2007-2010. The Canadian Association for the Study of International Development (CASID) is a national, bilingual, multidisciplinary and pluralistic association devoted to the study of international development in all parts of the world.

  20. Guide to Canadian Aerospace Related Industries, (United States)


    fabrication, PWC assembly & test, automatic backplane wiring, computerized wire History : AEI, an established Canadian company for over 55...production of Automatic Number Identification (ANI) systems and 911 Emergency History : Aeo Machining Ltd is a small machining company Reporting Systems for...Aircraft, DeHavilland, Grumman Aircraft, and Canadian Digital Radar Data Processing - Contract with Fundacao Vickers Ltd. Educacional de Bauru, Brazil

  1. 47 CFR 90.121 - Canadian registration. (United States)


    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Canadian registration. 90.121 Section 90.121 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Applications and Authorizations § 90.121 Canadian registration. Form 410 shall be...

  2. Rural Canadian Youth Exposed to Physical Violence (United States)

    Laye, Adele M.; Mykota, David B.


    Exposure to physical violence is an unfortunate reality for many Canadian youth as it is associated with numerous negative psychosocial effects. The study aims to assist in understanding resilience in rural Canadian youth exposed to physical violence. This is accomplished by identifying the importance of protective factors, as measured by the…

  3. The internal medicine specialist and neurosurgery

    Directory of Open Access Journals (Sweden)

    A. Pizzini


    Full Text Available BACKGROUND The neurosurgical patient is often a real challenge for the physicians, because of a frequent multimorbidity and a higher risk for severe complications. Cooperation between internal medicine specialist and neurosurgeon is essential to prevent the fatal effects of cranial and spinal injuries. The topic issues of medical interest in neurosurgery are the disorders of sodium balance, the glycemic control, the thromboembolic risk, the intracerebral bleeding management and the infective problems. The neurosurgeons could be worried by treating these complications that are mostly of internal medicine interest and that could unfortunately rise the risk of death or irreversible insults. AIM OF THE REVIEW This review summarizes the modality of diagnosis and therapy of the foremost concerns in neurosurgical field.

  4. Tenth target fabrication specialists` meeting: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Foreman, L.R.; Stark, J.C. [comp.


    This tenth meeting of specialists in target fabrication for inertial confinement is unique in that it is the first meeting that was completely unclassified. As a result of the new classification, we were able to invite more foreign participation. In addition to participants from the US, UK, and Canada, representatives from France, Japan, and two Russian laboratories attended, about 115 in all. This booklet presents full papers and poster sessions. Indirect and direct drive laser implosions are considered. Typical topics include: polymer or aluminium or resorcinol/formaldehyde shells, laser technology, photon tunneling microscopy as a characterization tool, foams, coatings, hohlraums, and beryllium capsules. Hydrogen, deuterium, tritium, and beryllium are all considered as fuels.

  5. Knowledge Assessment Software in Mining Specialist Training (United States)

    Lebedev, Vladimir; Puhova, Olga


    The article reviews the knowledge assessment software module of electronic teaching and testing in mining specialist training. To develop the software module integrated programming environment state-of-the-art is used. Its advantage consists in small computer resource consumption, simple editing, and protection against the users' trying to find out the correct answers to test tasks. The software makes it possible to learn the ongoing learning information systematically and consistently as well as to assess the current knowledge in mining. The developed module meets the following requirements: a software module user-friendly interface, the storage of passed test results to be used for subsequent viewing, analyses, and evaluation, fast troubleshooting in case of any troubles with a stable module operation, and further software function extension and upgrading.

  6. Twelve Scientific Specialists of the Peenemuende Team (United States)


    Twelve scientific specialists of the Peenemuende team at the front of Building 4488, Redstone Arsenal, Huntsville, Alabama. They led the Army's space efforts at ABMA before transfer of the team to National Aeronautic and Space Administration (NASA), George C. Marshall Space Flight Center (MSFC). (Left to right) Dr. Ernst Stuhlinger, Director, Research Projects Office; Dr. Helmut Hoelzer, Director, Computation Laboratory: Karl L. Heimburg, Director, Test Laboratory; Dr. Ernst Geissler, Director, Aeroballistics Laboratory; Erich W. Neubert, Director, Systems Analysis Reliability Laboratory; Dr. Walter Haeussermarn, Director, Guidance and Control Laboratory; Dr. Wernher von Braun, Director Development Operations Division; William A. Mrazek, Director, Structures and Mechanics Laboratory; Hans Hueter, Director, System Support Equipment Laboratory;Eberhard Rees, Deputy Director, Development Operations Division; Dr. Kurt Debus, Director Missile Firing Laboratory; Hans H. Maus, Director, Fabrication and Assembly Engineering Laboratory

  7. Multidisciplinary training of cancer specialists in Europe

    DEFF Research Database (Denmark)

    Benstead, Kim; Turhal, Nazim Serdar; O'Higgins, Niall


    . Questionnaires were sent to National Societies of Radiation Oncology and Medical Oncology concerning similarities and differences in training programs and multidisciplinary care in member states in Europe. Results indicated wide variation in training systems and practice. Data were lacking for Surgery because...... Surgical Oncology is not recognised as a speciality in the EU and most specialist training in cancer surgery is organ based. A period of time in cross-disciplinary training in each of the other two disciplines for all trainees in Medical Oncology, Radiation Oncology and Surgical Oncology (including all...... surgeons training in cancer surgery) is recommended. This is likely to improve the value of multidisciplinary meetings and may result in improved patient care. The Expert Group on Cancer Control of the European Commission has endorsed this recommendation....

  8. Thoracic ultrasonography for the pulmonary specialist. (United States)

    Koenig, Seth J; Narasimhan, Mangala; Mayo, Paul H


    Thoracic ultrasonography is a noninvasive and readily available imaging modality that has important applications in pulmonary medicine outside of the ICU. It allows the clinician to diagnose a variety of thoracic disorders at the point of care. Ultrasonography is useful in imaging lung consolidation, pleural-based masses and effusions, pneumothorax, and diaphragmatic dysfunction. It can identify complex or loculated effusions and be useful in planning treatment. Identifying intrathoracic mass lesions can guide sampling by aspiration and biopsy. This article summarizes thoracic ultrasonography applications for the pulmonary specialist, related procedural codes, and reimbursement. The major concepts are illustrated with cases. These case summaries are enhanced with online supplemental videos and chest radiograph, chest CT scan, and ultrasound correlation.

  9. The Advanced Practice Clinical Nurse Specialist. (United States)

    Mayo, Ann M; Ray, Melinda Mercer; Chamblee, Tracy B; Urden, Linda D; Moody, Rachel

    The clinical nurse specialist (CNS), one of the 4 advanced practice registered nurse (APRN) categories, has a unique role to play in contributing to high-quality patient care and system-level change across multiple health care settings. CNS practice requires advanced knowledge and skills, including specialty expertise, the ability to integrate new knowledge and innovation into the system of care, the ability to consult and collaborate with all health professions, and the mentoring of nursing staff to support and fully implement that new knowledge. The purpose of this article was to describe the role of the CNS, explain the background of the CNS role as it relates to APRN practice, provide current CNS workforce statistics, and share opportunities for hospitals and health systems to strategically use CNSs to advance patient and organizational goals.

  10. Impact of information technology on information gaps in canadian ambulatory care encounters. (United States)

    Korosec, Lauren; Balenko, Krista; Hagens, Simon


    Specialist physicians require clinical information for patient visits in ambulatory encounters, some of which they may access via digital health solutions. This study explored the completeness of information for patient care and the consequences of gaps for ambulatory specialist services provided in ambulatory settings in Canada. A sample of specialist physicians practising in outpatient clinics was recruited from a health care provider research panel. The study (n=1800 patient encounters) looked at the completeness of patient information experienced by physicians who work in environments with rich health information exchange (Connected) and a comparison cohort with less information available electronically (Unconnected). Unconnected physicians were significantly more likely to be missing information they needed for patient encounters (13% of encounters for Unconnected physicians vs 7% for Connected physicians). Unconnected physicians were also more likely to report that missing information had consequences (23% vs 13% of encounters). Lab results were the most common type of patient information missing for both Unconnected and Connected specialists (25% for Unconnected physicians vs 11% Connected physicians). The results from this study indicate that Canadian physicians commonly experience information gaps in ambulatory encounters, and that many of these gaps are of consequence to themselves, their patients, and the healthcare system. Wasting physician and patient time, as well as being forced to proceed with incomplete information, were the most common consequences of information gaps reported.

  11. Brazilian infectious diseases specialists: who and where are they? (United States)

    Cassenote, Alex Jones Flores; Scheffer, Mario César; Segurado, Aluísio Augusto Cotrim


    The infectious diseases specialist is a medical doctor dedicated to the management of infectious diseases in their individual and collective dimensions. The aim of this paper was to evaluate the current profile and distribution of infectious diseases specialists in Brazil. This is a cross-sectional study using secondary data obtained from institutions that register medical specialists in Brazil. Variables of interest included gender, age, type of medical school (public or private) the specialist graduated from, time since finishing residency training in infectious diseases, and the interval between M.D. graduation and residency completion. Maps are used to study the geographical distribution of infectious diseases specialists. A total of 3229 infectious diseases specialist registries were counted, with 94.3% (3045) of individual counts (heads) represented by primary registries. The mean age was 43.3 years (SD 10.5), and a higher proportion of females was observed (57%; 95% CI 55.3-58.8). Most Brazilian infectious diseases specialists (58.5%) practice in the Southeastern region. However, when distribution rates were calculated, several states exhibited high concentration of infectious diseases specialists, when compared to the national rate (16.06). Interestingly, among specialists working in the Northeastern region, those trained locally had completed their residency programs more recently (8.7yrs; 95% CI 7.9-9.5) than physicians trained elsewhere in the country (13.6yrs: 95% CI 11.8-15.5). Our study shows that Brazilian infectious diseases specialists are predominantly young and female doctors. Most have concluded a medical residency training program. The absolute majority practice in the Southeastern region. However, some states from the Northern, Northeastern and Southeastern regions exhibit specialist rates above the national average. In these areas, nonetheless, there is a strong concentration of infectious diseases specialists in state capitals and in

  12. Value, Challenges, and Satisfaction of Certification for Multiple Sclerosis Specialists


    Gulick, Elsie E.; Halper, June


    Background: Specialist certification among interdisciplinary multiple sclerosis (MS) team members provides formal recognition of a specialized body of knowledge felt to be necessary to provide optimal care to individuals and families living with MS. Multiple sclerosis specialist certification (MS Certified Specialist, or MSCS) first became available in 2004 for MS interdisciplinary team members, but prior to the present study had not been evaluated for its perceived value, challenges, and sat...

  13. Educational programme on radiation protection for veterinary medicine specialists

    Energy Technology Data Exchange (ETDEWEB)

    Djuric, G.; Popovic, D. [School of Veterinary Medicine, Dept. of Radiology and Radiation Hygiene and Dept. of Physics, Belgrade (Yugoslavia)


    The education of radiation protection for veterinary medicine specialists on the University of Belgrade is integrated both in regular graduate studies and in postgraduate studies. Within the graduate studies, students attend courses in physics and biophysics and in radiation hygiene. During postgraduate or specialistic veterinary medicine studies, veterinary medicine specialists expand their knowledge in radiation protection through a number of courses on radiation biophysics, radioecology, nuclear instrumentation and environmental protection. (author)

  14. 22 CFR 501.6 - Appointment of Overseas Specialists. (United States)


    ...; English Teaching Specialists; Correspondents; Engineers for the Voice of America; Regional Librarian... equivalent), claimed language proficiency and other background or factors which may be related to the work...

  15. Methodological bases of innovative training of specialists in nanotechnology field

    Directory of Open Access Journals (Sweden)

    FIGOVSKY Oleg Lvovich


    Full Text Available The performance of innovative training system aimed at highly intellectual specialists in the area of nanotechnologies for Kazakhstan’s economy demands establishment and development of nanotechnological market in the country, teaching of innovative engineering combined with consistent research, integration of trained specialists with latest technologies and sciences at the international level. Methodological aspects of training competitive specialists for nanotechnological field are specific. The paper presents methodological principles of innovative training of specialists for science-intensive industry that were realized according to grant given by the Ministry of Education and Science of the Republic of Kazakhstan.

  16. Do Industry Specialist Auditors Add Value in Mergers and Acquisitions?

    National Research Council Canada - National Science Library

    Ho-Young Lee; Vivek Mande; Jong Chool Park


    ...) are higher for acquiring firms audited by industry specialists. External auditors are uniquely positioned to provide assurance on the financial statements of their acquiring clients both before and...

  17. Factors affecting food selection in Canadian population. (United States)

    Ree, M; Riediger, N; Moghadasian, M H


    To establish health-related reasons behind Canadian food choices, and how variables such as education, income, gender, ethnicity and age may affect food selection. Approximately 98 733 Canadians responded to the 12 questions regarding food choices in the Canadian Community Health Survey (CCHS) cycle 2.1, conducted by the Canadian Government in 2003. These included 13 727 adolescents (12-19 years), 19 089 young adults (20-34 years), 31 039 middle-aged adults (35-54 years), 25 338 older adults (55-74 years) and 9580 elderly (75+ years). Approximately 70% of Canadian adolescents in the sample indicated that their food choices were independent of health concerns. Body weight management was a major concern for food selection by adolescents and adults, while the elderly stated heart disease as their main concern. Among all participants, females, and individuals with high levels of education and income reported the highest response to choosing or avoiding foods due to health concerns and food content. Our data indicate that several factors significantly affect food choices for health-related reasons in the Canadian population. Among them, age- and gender-related gaps, particularly between adolescents and adults, are profound. This observation may urge authorities to implement effective strategies to educate Canadians, especially adolescents, that selection of appropriate foods may prevent chronic diseases.

  18. Forming of Future Teachers’ ICT-Competence: Canadian Experience

    Directory of Open Access Journals (Sweden)

    Demchenko Iryna


    Full Text Available The article deals with the phenomenon of digital divide in the education in Canada. The domestic and foreign scientific and educational publications have been studied and analyzed. It has been found out that traditional means for training pedagogical specialists are gradually losing their relevance due to lack of educational dialogue between a teacher and a student. Information and communication technologies have entered today’s youth everyday life and become an essential means of communication, receiving and transmitting information. Based on the source study, the essence and reasons of digital divide have been revealed. Canadian researchers consider that it is possible to overcome this problem by revising the approach to teacher training which will focus on the forming of future teachers’ information and communication competence. Various definitions of the terms “information competence”, “ICT competence”, “digital literacy”, “e-literacy” have been described. The model of ICT competence, its structure and the process of its integration into education have been analyzed. The examples of forming future teachers’ ICT competence in universities of Canada have been given. It has been revealed that the problem of effective ICT implementation into educational activities is in the range of many Canadian studies, but in fact the phenomenon of digital divide in education is still topical due to insufficient activity of teachers of pedagogical faculties and students’ ignoring the problem. A number of studies have been examined, the authors of which give practical recommendations aimed at enhancing the role of new technologies in teacher training in Canada.

  19. Nuclear communications : A Canadian perspective

    Energy Technology Data Exchange (ETDEWEB)

    Macpherson, John A. [Atomic Energy of Canada Limited, Ottawa (Canada)


    Times have changed since the early days of nuclear energy when it was a symbol of a brave new world, Public information strategies have evolved to meet increasing public concerns, and have shifted from being a largely unfocused attempt at publicity to being more concerned with managing issues and solving problems. This paper describes some of the salient features of the Canadian experience in nuclear communications and examines four key aspects: opinion and attitude research; media relations; coeducation; and advertising. It also addresses the challenge of responding to the allegations and tactics of those who are actively hostile to nuclear energy, and recommends that the principles of Total Quality Management and of organizational effectiveness be applied more thorough and more consistently to the public affairs function.

  20. Tritium technology. A Canadian overview

    Energy Technology Data Exchange (ETDEWEB)

    Hemmings, R.L. [Canatom NPM (Canada)


    An overview of the various tritium research and operational activities in Canada is presented. These activities encompass tritium processing and recovery, tritium interactions with materials, and tritium health and safety. Many of these on-going activities form a sound basis for the tritium use and handling aspects of the ITER project. Tritium management within the CANDU heavy water reactor, associated detritiation facilities, research and development facilities, and commercial industry and improving the understanding of tritium behaviour in humans and the environment remain the focus of a long-standing Canadian interest in tritium. While there have been changes in the application of this knowledge and experience over time, the operating experience and the supporting research and development continue to provide for improved plant and facility operations, an improved understanding of tritium safety issues, and improved products and tools that facilitate tritium management. (author)

  1. Canadian orthodontist Internet user profile. (United States)

    Palmer, Neal G; Yacyshyn, James R; Northcott, Herbert C; Nebbe, Brian; Flores-Mir, Carlos; Major, Paul W


    An anonymous, self-administered, mail-out survey of Canadian Orthodontists was conducted to evaluate the characteristics of orthodontic Internet use. The response rate was 45.6% (304 of 667). A total of 76.6% of orthodontists reported having Internet access at work, and an additional 12.4% reported having Internet access from a different location. Statistically significant associations between Internet usage and office staff size (P < .001) and years of practice (P = .046) were observed. Offices with larger staffs had greater Internet access. Number of staffs and number of case starts were positively correlated (P < .001, r = 0.498). The odds ratio for having Internet access on the basis of increased case starts from the less than 100 to 300-399 categories was 5.67. Although not statistically significant, there was a trend for greater Internet access by younger practitioners.

  2. Pharmacy specialists' attitudes toward pharmaceutical service quality at community pharmacies. (United States)

    Urbonas, Gvidas; Jakušovaitė, Irayda; Savickas, Arūnas


    The main objective of this study was to analyze pharmacy specialists' attitudes toward the quality of pharmaceutical services at Lithuanian community pharmacies. Between April and June 2009, a total of 471 Lithuanian community pharmacy specialists completed a questionnaire designed to evaluate their attitudes toward the quality of pharmaceutical services at community pharmacies. The main dimensions of pharmaceutical service quality were extracted by principal component analysis. Two main dimensions of pharmaceutical service quality were extracted: pharmacotherapeutic aspects (provision of information about drug therapy, possible side effects, health promotion, the amount of time spent with a patient, and the ascertainment that a patient understood the provided information) and socioeconomic aspects (considering patient's needs and financial capabilities, making a patient confident with the services provided). Pharmacy specialists evaluated the quality of both dimensions positively, but the quality of the first dimension was rated significantly worse than that of the second dimension. The attitudes of pharmacy specialists working at independent pharmacies were more positive toward pharmacotherapeutic aspects as compared to the specialists working at chain or state pharmacies. Pharmacotherapeutic aspects were rated better by pharmacy specialists, aged ≥ 55 years, than those younger than 45 years. Moreover, the attitudes of 45-54-year-old pharmacy specialists toward the socioeconomic aspects were more positive as compared with those of 35-44-year olds. Pharmacists rated the socioeconomic aspects of pharmaceutical service quality worse as compared with pharmacy technicians. The attitudes of pharmacy specialists working at pharmacies with 6-9 specialists were more negative toward pharmacotherapeutic aspects than those of the pharmacies with 1-2 specialists. Pharmacy specialists working at pharmacies with ≥ 10 specialists reported lower scores of socioeconomic

  3. Canadian Civil Society Organizations and Human Rights and Global ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    This project aims to strengthen the capacity of Canadian civil society organizations (CSOs) to inform Canadian policy on human rights and global justice. The Canadian Council for International Co-operation (CCIC) receives core funding from the Canadian International Development Agency (CIDA). This grant will provide ...

  4. A perspective on Canadian shale gas

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Mike; Davidson, Jim; Mortensen, Paul


    In a relatively new development over just the past few years, shale formations are being targeted for natural gas production. Based on initial results, there may be significant potential for shale gas in various regions of Canada, not only in traditional areas of conventional production but also non-traditional areas. However, there is much uncertainty because most Canadian shale gas production is currently in experimental or early developmental stages. Thus, its full potential will not be known for some time. If exploitation proves to be successful, Canadian shale gas may partially offset projected long-term declines in Canadian conventional natural gas production.

  5. Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper. (United States)

    Ducharme, Francine M; Dell, Sharon D; Radhakrishnan, Dhenduka; Grad, Roland M; Watson, Wade T A; Yang, Connie L; Zelman, Mitchell


    Asthma often starts before six years of age. However, there remains uncertainty as to when and how a preschool-age child with symptoms suggestive of asthma can be diagnosed with this condition. This delays treatment and contributes to both short- and long-term morbidity. Members of the Canadian Thoracic Society Asthma Clinical Assembly partnered with the Canadian Paediatric Society to develop a joint working group with the mandate to develop a position paper on the diagnosis and management of asthma in preschoolers. In the absence of lung function tests, the diagnosis of asthma should be considered in children one to five years of age with frequent (≥ 8 days/month) asthma-like symptoms or recurrent (≥ 2) exacerbations (episodes with asthma-like signs). The diagnosis requires the objective document of signs or convincing parent-reported symptoms of airflow obstruction (improvement in these signs or symptoms with asthma therapy), and no clinical suspicion of an alternative diagnosis. The characteristic feature of airflow obstruction is wheezing, commonly accompanied by difficulty breathing and cough. Reversibility with asthma medications is defined as direct observation of improvement with short-acting ß2-agonists (SABA) (with or without oral corticosteroids) by a trained health care practitioner during an acute exacerbation (preferred method). However, in children with no wheezing (or other signs of airflow obstruction) on presentation, reversibility may be determined by convincing parental report of a symptomatic response to a three-month therapeutic trial of a medium dose of inhaled corticosteroids with as-needed SABA (alternative method), or as-needed SABA alone (weaker alternative method). The authors provide key messages regarding in whom to consider the diagnosis, terms to be abandoned, when to refer to an asthma specialist and the initial management strategy. Finally, dissemination plans and priority areas for research are identified.

  6. The Role of Canadian Public Librarians in Promoting Health Literacy: Potential Programs and Partnerships

    Directory of Open Access Journals (Sweden)

    Alicia Arding


    Full Text Available This paper seeks to explore health literacies with a focus on public libraries and their patrons. The authors’ aim is to extract major themes, challenges, and recommendations for further research and collaboration between health professionals and information professionals in promoting health literacy skills to the public. Major issues will be discussed on the subjects of public service, education, and collaboration between health specialists and information specialists. A major focus of the paper is Canadian health literacy issues, as well as Canadian health information dissemination. Time constraints and budget cuts in the health care system have caused a major strain on health professionals. Within the system, there is a shortage of doctors, nurses, and time devoted to health literacy. As a result, patients often seek answers to their health concerns on their own and supplement their understanding of individual health issues by searching for information via the Internet. While consumers often seek answers to their health questions online, the lack of quality control on the Internet is problematic. Public librarians should therefore turn their attention to promoting and providing reliable online information. Meeting the needs of any group can be a challenge for information professionals in public libraries, especially when it comes to health literacy. Public libraries tend to be one of the first places of contact for general public inquiries on infectious diseases and emerging illnesses. Public librarians play an important role in their communities in all aspects of information research and therefore should be advocates for promoting proper health information.

  7. The clinical nurse specialist and psychiatrist in joint practice. (United States)

    Shires, B W; Spector, P M


    The authors describe a joint practice model between a clinical nurse specialist and psychiatrist. The authors address factors to consider in establishing a joint practice--negotiation of roles and benefits as well as clinical supervision. In addition, specific clinical responsibilities for the nurse specialist, as well as potential expanded duties, are outlined.

  8. Training School Library Media Specialists For Nigerian Schools in ...

    African Journals Online (AJOL)

    The importance of training school library media specialists for the attainment of quality education in the school system cannot be overemphasized. The role of the school library media specialist has changed with developments in information communication and integration into library and information service which has ...

  9. Pattern of facial palsy in a typical Nigerian specialist hospital ...

    African Journals Online (AJOL)

    Pattern of facial palsy in a typical Nigerian specialist hospital. S Lamina, S Hanif. Abstract. Background: Data on incidence of facial palsy is generally lacking in Nigeria. Objective: To assess six years' incidence of facial palsy in Murtala Muhammed Specialist Hospital (MMSH), Kano, Nigeria. Method: The records of patients ...

  10. Documentation of Extension Specialists' Involvement in Graduate Education. (United States)

    Murdock, Edward C.; York, Alan C.


    Describes the changes in the roles of the Cooperative Extension Service and extension specialists affiliated with universities. Reports the results of survey research and concludes that extension specialists should actively pursue the opportunity to direct graduate students. Contains 16 references. (DDR)

  11. attitude of cleft care specialists in africa towards presurgical ...

    African Journals Online (AJOL)


    Dec 12, 2012 ... A. T. Adeyemi, BDS, FWACS Senior Lecturer, O. O. Bankole, Department of Child Oral Health, College of Medicine, ... Younger specialists have a more favorable attitude towards pre-surgical orthopaedics than older specialists. INTRODUCTION. Management of cleft lip and ... compromising aesthetics (7).

  12. Stress, satisfaction and burnout among Dutch medical specialists

    NARCIS (Netherlands)

    Visser, Mechteld R. M.; Smets, Ellen M. A.; Oort, Frans J.; de Haes, Hanneke C. J. M.


    Background: Stress and stress-related illnesses are increasing among medical specialists. This threatens the quality of patient care. in this study we investigated (a) levels of job stress and job satisfaction among medical specialists, (b) factors contributing to stress and satisfaction and (c) the

  13. Value, challenges, and satisfaction of certification for multiple sclerosis specialists. (United States)

    Gulick, Elsie E; Halper, June


    Specialist certification among interdisciplinary multiple sclerosis (MS) team members provides formal recognition of a specialized body of knowledge felt to be necessary to provide optimal care to individuals and families living with MS. Multiple sclerosis specialist certification (MS Certified Specialist, or MSCS) first became available in 2004 for MS interdisciplinary team members, but prior to the present study had not been evaluated for its perceived value, challenges, and satisfaction. A sample consisting of 67 currently certified MS specialists and 20 lapsed-certification MS specialists completed the following instruments: Perceived Value of Certification Tool (PVCT), Perceived Challenges and Barriers to Certification Scale (PCBCS), Overall Satisfaction with Certification Scale, and a demographic data form. Satisfactory reliability was shown for the total scale and four factored subscales of the PVCT and for two of the three factored PCBCS subscales. Currently certified MS specialists perceived significantly greater value and satisfaction than lapsed-certification MS specialists in terms of employer and peer recognition, validation of MS knowledge, and empowering MS patients. Lapsed-certification MS specialists reported increased confidence and caring for MS patients using evidence-based practice. Both currently certified and lapsed-certification groups reported dissatisfaction with MSCS recognition and pay/salary rewards. The results of this study can be used in efforts to encourage initial certification and recertification of interdisciplinary MS team members.

  14. School Library Media Specialists as Effective School Leaders (United States)

    Everhart, Nancy


    According to the National Board for Professional Teaching Standards (2006), "Accomplished library media specialists are instructional leaders who forge greater opportunities for learners" (55). As one of the few school personnel responsible for all students, the media specialist can serve as a coordinator and an advocate. They can ensure equitable…

  15. Need for Specialist Teachers in Early Childhood Education (ECE ...

    African Journals Online (AJOL)


    Key words: Specialist Teachers, Early childhood, Sustainable. Development. Introduction. Early childhood is one of the major stages .... The relationship at this stage between the teacher and children tends to be closer that the teacher becomes a surrogate parent. Need for Specialist Teachers in Early Childhood Education ...

  16. Local adaptation in oviposition choice of a specialist herbivore

    NARCIS (Netherlands)

    Wei, Xianqin; Vrieling, Klaas; Mulder, Patrick P.J.; Klinkhamer, Peter G.L.


    Specialist herbivores feed on a restricted number of related plant species and may suffer food shortage if overexploitation leads to periodic defoliation of their food plants. The density, size and quality of food plants are important factors that determine the host plant choice of specialist

  17. Perinatal asphyxia in a specialist hospital in Port Harcourt, Nigeria ...

    African Journals Online (AJOL)

    Perinatal asphyxia in a specialist hospital in Port Harcourt, Nigeria. BA West, PI Opara. Abstract. Objectives: To find the prevalence, and identify risk factors and outcome in neonates who were admitted into the Braithewaite Memorial Specialist Hospital (BMSH) for perinatal asphyxia. Method: This was a descriptive cross ...

  18. Skin-Color Preferences and Body Satisfaction among South Asian-Canadian and European-Canadian Female University Students. (United States)

    Sahay, Sarita; Piran, Niva


    Examines skin-color preferences and body satisfaction among South Asian-Canadian and European-Canadian female university students. Hypothesizes that South Asian-Canadians would display a greater wish to be lighter in skin color than would European-Canadians and that the discrepancy would be greater the darker their skin color. Reports that the…

  19. Dysplastic Nevus: Management by Canadian Dermatologists. (United States)

    Sapra, Priya; Rosen, Cheryl; Siddha, Sanjay; Lynde, Charles W


    The management of dysplastic nevi is controversial. No studies have collected data regarding management of the lesion amongst Canadian dermatologists. To provide a comprehensive review of what the prevailing opinions are, regarding treatment and terminology of dysplastic nevi, amongst Canadian dermatologists. An online survey of 25 questions was e-mailed to 613 members of the Canadian Dermatology Association, in French and English. A total of 179 responses were received. Varying numbers of participants completed each question. The majority of participants think that the term dysplastic nevus should not be abandoned, and they indicated that they never reexcise lesions with mild to moderate atypia even when the margins are positive. The majority of Canadian dermatologists retain the use of the term dysplastic nevus and do not reexcise lesions with mild to moderate atypia even when the margins are positive. © The Author(s) 2015.

  20. Freezing at sea: a Canadian opportunity

    National Research Council Canada - National Science Library

    Bollivar, D.R; Cadegan, E; Demone, E.H; Matthew, P; Nicholson, P.J; Shannon, C.P; Stirling, R.C

    This report was prepared for the Nova Scotia Fish Packers Association in an effort to set out as clearly as possible the issues relating to introduction of freezing at sea technology to the Canadian...

  1. The Canadian Forces Recruitment/Attrition Model

    National Research Council Canada - National Science Library

    Wait, Tracey


    ...), as part of its mandate to provide analysis of potential impacts of trends and change on defense and defense related issues, has designed a prototype model of recruitment and attrition of the Canadian Forces (C F...

  2. Canadian shellfish sanitation program: manual of operations

    National Research Council Canada - National Science Library


    This manual outlines the authorities (acts and regulations), policies and procedures which apply to the Canadian program and which will be used to evaluate regional activities associated with the shellfish Sanitation Program...

  3. Canadian Business Schools: Going out of Business? (United States)

    Dobni, Dawn; Dobni, Brooke


    Using Porter's five-forces model (potential entrants, suppliers, buyers, rivalry, substitutes) to analyze competition in Canadian university business schools, the authors conclude that schools are becoming increasingly vulnerable to competitive pressures and that strategic reorientation is necessary. (SK)

  4. Conjunction of Multizone Infiltration Specialists (COMIS) fundamentals

    Energy Technology Data Exchange (ETDEWEB)

    Feustel, H.E.; Rayner-Hooson, A. (eds.)


    The COMIS workshop (Conjunction of Multizone Infiltration Specialists) was a joint research effort to develop a multizone infiltration mode. This workshop (October 1988--September 1989) was hosted by the Energy Performance of Buildings Group at Lawrence Berkeley Laboratory's Applied Science Division. The task of the workshop was to develop a detailed multizone infiltration program taking crack flow, HVAC-systems, single-sided ventilation and transport mechanism through large openings into account. This work was accomplished not by investigating into numerical description of physical phenomena but by reviewing the literature for the best suitable algorithm. The numerical description of physical phenomena is clearly a task of IEA-Annex XX Air Flow Patterns in Buildings,'' which will be finished in September 1991. Multigas tracer measurements and wind tunnel data will be used to check the model. The agenda integrated all participants' contributions into a single model containing a large library of modules. The user-friendly program is aimed at researchers and building professionals. From its announcement in December 1986, COMIS was well received by the research community. Due to the internationality of the group, several national and international research programmes were co-ordinated with the COMIS workshop. Colleagues for France, Italy, Japan, The Netherlands, People's Republic of China, Spain, Sweden, Switzerland, and the United States of America were working together on the development of the model. Even though this kind of co-operation is well known in other fields of research, e.g., high energy physics; for the field of building physics it is a new approach. This document contains an overview about infiltration modelling as well as the physics and the mathematics behind the COMIS model. 91 refs., 38 figs., 9 tabs.

  5. Portfolios for assessment of paediatric specialist registrars. (United States)

    Melville, C; Rees, M; Brookfield, D; Anderson, J


    In 1997 the Royal College of Paediatrics and Child Health introduced portfolios to guide and monitor the learning of specialist registrars. We studied their value for assessment. Using Bigg's SOLO criteria we devised a marking scheme based on 6 domains of competence: clinical, communication, teaching and learning, ethics and attitudes, management and evaluation, and creation of evidence. We rated portfolios according to quality of evidence presented and expectations by year of training. We similarly assessed trainee performance in the annual record of in-training assessment (RITA) interview. Specific advice based on the results of the first portfolio assessments was circulated to all trainees, instructing them to increase the structure and decrease the bulk of portfolios. A second sample of portfolios was reviewed a year later, using similar evaluations, to determine the effects. A total of 76 portfolios were assessed in year 1 by a single rater; 30 portfolios were assessed in year 2 by 2 independent raters. The quality of documentation improved from year 1 to year 2 but there was no significant increase in portfolio scores. The inter-rater correlation coefficient of the portfolio assessment method was 0.52 (Cohen's kappa 0.35). The inter-rater correlation coefficient of the RITA interview was 0.71 (Cohen's kappa 0.38). There was moderate inter-assessment correlation between portfolios and RITA interviews (kappa 0.26 in year 1 and 0.29 in year 2). Generalisability analysis suggested that 5 successive ratings by a single observer or independent ratings by 4 observers on the same occasion would be needed to yield a generalisability coefficient > 0.8 for overall portfolio rating. This method of portfolio assessment is insufficiently reliable as a sole method for high stakes, single-instance assessment, but has a place as part of a triangulation process. Repeated portfolio assessment by paired observers would increase reliability. Longer term studies are required to

  6. [Smoking among patients of selected specialist clinics of Miedzylesie Specialist Hospital in Warsaw]. (United States)

    Pytka, Dorota; Doboszyńska, Anna


    The purpose of the study is to examine the issue of smoking among patients of selected clinics of the Miedzylesie Specialist Hospital in Warsaw, assessment of nicotine addiction of smokers and motivation to give up smoking. The survey was carried out in June and July 2009 after obtaining the consent of the Director of Miedzylesie Specialist Hospital in Warsaw. The survey was participated in by 100 patients of selected specialist clinics. The survey was carried out on the basis of a questionnaire consisting of 7 questions. Furthermore, the "Test of motivation to give up smoking" (Schneider's test) and the "Assessment of nicotine addiction level" (Fagerström's test), published in the "Consensus regarding recognition and treatment of nicotine addiction", were used. When processing data, the descriptive statistics were applied. Those surveyed included 53 former cigarette smokers 47 active smokers and. In the group of former smokers, 19 people still were exposed to passive smoking. In the past, the problem regarded 41 people. Thirty former smokers smoked cigarettes among non-smokers, including young children (18 people) and when pregnant and breastfeeding (2 people). Also 30 respondents smoked despite medical contraindications and bad conscience. For 27 people, expenditures on cigarettes constituted a considerable burden of their respective household budgets, and 20 said that it was a significant item in their expenditures. Smokers have been smoking cigarettes for 30 years, on average 20 cigarettes a day. Those patients began to smoke at the age of 20. Thirty one active smokers exposed other people to passive smoking and 38 respondents smoked cigarettes despite medical contraindications and with bad conscience. For 22 people, expenditures related to smoking are a considerable burden of the household budget and for 21 people, it is a significant expenditure. Almost one half of the patients smoke cigarettes although they should brake off smoking for medical reasons. Most

  7. Types of Canadian dentists who are more likely to provide dental implant treatment. (United States)

    Esfandiari, Shahrokh; Majdzadeh, Reza; Feine, Jocelyne


    We designed to determine the variables that influence the adoption rate of implant technology amongst Canadian dentists. In this cross-sectional study, an anonymous survey questionnaire was sent to all licensed Canadian dentists, both general practitioners and specialists. A 3-part questionnaire accompanied by a postage prepaid envelope was sent to all licensed Canadian dentists. No second mailing was performed. The plan was to measure the effects of age, gender, language, type of specialties, ownership, association with other dentists, and the location of practice on the adoption of dental implant technology. The multivariate regression analyses indicate that the dentists' gender, province of practice, specialty, and whether they practice alone or in association with other practitioners are significant factors associated with the adoption of implant technology in providing both surgical and prosthetic aspects of implant therapy. Female dentists provided significantly less implant prostheses than their male counterparts (OR: 1.75, P dentists in Atlantic regions were significantly less likely than those in other provinces to surgically place an implant or restore implant prostheses (OR: 0.34, OR: 0.30). In addition, those dentists who owned their practices were 2.35 (P dentists depends mainly on practitioners' age, practice ownership, and their specialties.

  8. Canadian Art Partnership Program in Finland


    Ketovuori, Mikko Mr.


    This article is about a multidisciplinary R&D project in which a Canadian Learning Through The Arts (LTTA) program was imported to Finland in 2003–2004. Cultural differences in arts education in Finland and Canada are discussed. While Finland has a national school curriculum with all the arts included. Canada relies more on partnerships to ensure arts education for children in the schools. Despite the fact that Canadian learning methods appeared to be quite similar to the ones Finnish teacher...

  9. Canadian Multiculturalism, Same as it ever Was?


    Kathleen Hoyos


    After the Second World War ended, Canada was no longer mainly composed of its two dominant ethnocultural groups, French and English, but rather constituted by polyethnicity; meaning, Canadian culture was made up of many different ethnic groups. Since then, Canada has actively embraced multiculturalism and on 12 July 1988, the House of Commons passed Bill C-93, ‘An Act for the preservation and enhancement of multiculturalism in Canada’. The Canadian multicultural experience has been much portr...

  10. Geriatric oncology in the Netherlands: a survey of medical oncology specialists and oncology nursing specialists. (United States)

    Jonker, J M; Smorenburg, C H; Schiphorst, A H; van Rixtel, B; Portielje, J E A; Hamaker, M E


    To identify ways to improve cancer care for older patients, we set out to examine how older patients in the Netherlands are currently being evaluated prior to oncological treatment and to explore the potential obstacles in the incorporation of a geriatric evaluation, using a web-based survey sent to Dutch medical oncology specialists and oncology nursing specialists. The response rate was 34% (183 out of 544). Two-thirds of respondents reported that a geriatric evaluation was being used, although primarily on an ad hoc basis only. Most respondents expressed a desire for a routine evaluation or more intensive collaboration with the geriatrician and 86% of respondents who were not using a geriatric evaluation expressed their interest to do so. The most important obstacles were a lack of time or personnel and insufficient availability of a geriatrician to perform the assessment. Thus, over 30% of oncology professionals in the Netherlands express an interest in geriatric oncology. Important obstacles to a routine implementation of a geriatric evaluation are a lack of time, or insufficient availability of geriatricians; this could be overcome with policies that acknowledge that quality cancer care for older patients requires the investment of time and personnel. © 2014 John Wiley & Sons Ltd.

  11. Violence on canadian television networks. (United States)

    Paquette, Guy


    Over the past twenty years, the question of the effects of violence on television has figured prominently in public opinion and hundreds of studies have been devoted to this subject. Many researchers have determined that violence has a negative impact on behavior. The public, broadcasters and political figures all support the idea of reducing the total amount of violence on television - in particular in shows for children. A thousand programs aired between 1993 and 2001 on major non-specialty television networks in Canada were analyzed: TVA, TQS, as well as CTV and Global, private French and English networks, as well as the English CBC Radio and French Radio-Canada for the public networks. The methodology consists of a classic analysis of content where an act of violence constitutes a unit of analysis. The data collected revealed that the amount of violence has increased regularly since 1993 despite the stated willingness on the part of broadcasters to produce programs with less violence. The total number of violent acts, as well as the number of violent acts per hour, is increasing. Private networks deliver three times more violence than public networks. Researchers have also noted that a high proportion of violence occurs in programs airing before 21:00 hours, thereby exposing a large number of children to this violence. Psychological violence is taking on a more significant role in Canadian Television.

  12. The Canadian mobile satellite program (United States)

    Boudreau, P. M.; Breithaupt, R. W.; McNally, J. L.

    The progressions and selection of design features for the Canadian segment of a mobile satellite (MSAT) communications system are traced. The feasibility study for a satellite-based public and government mobile communications service to underserved areas was carried out between 1980-82. The results covered the market demand, commercial viability, user cost-benefit, and spacecraft concepts. A subsequent 2 yr study was initiated to proceed with project definition. A market of 1.1 million users was identified in all of Canada, with MSAT replacing other systems for 50 percent of the market. Operations would be in the 806-890 MHz range. Traffic will be routed through gateway links functioning in the 8/7 GHz SHF band while the mobile units will be connected through an 821-825 MHz up link and an 866-870 MH downlink. New technologies will be needed for a central control station, the gateway stations, and the base stations for the mobile radio service, the mobile user terminals, and data collection platforms.

  13. Medical cannabis - the Canadian perspective. (United States)

    Ko, Gordon D; Bober, Sara L; Mindra, Sean; Moreau, Jason M


    Cannabis has been widely used as a medicinal agent in Eastern medicine with earliest evidence in ancient Chinese practice dating back to 2700 BC. Over time, the use of medical cannabis has been increasingly adopted by Western medicine and is thus a rapidly emerging field that all pain physicians need to be aware of. Several randomized controlled trials have shown a significant and dose-dependent relationship between neuropathic pain relief and tetrahydrocannabinol - the principal psychoactive component of cannabis. Despite this, barriers exist to use from both the patient perspective (cost, addiction, social stigma, lack of understanding regarding safe administration) and the physician perspective (credibility, criminality, clinical evidence, patient addiction, and policy from the governing medical colleges). This review addresses these barriers and draws attention to key concerns in the Canadian medical system, providing updated treatment approaches to help clinicians work with their patients in achieving adequate pain control, reduced narcotic medication use, and enhanced quality of life. This review also includes case studies demonstrating the use of medical marijuana by patients with neuropathic low-back pain, neuropathic pain in fibromyalgia, and neuropathic pain in multiple sclerosis. While significant preclinical data have demonstrated the potential therapeutic benefits of cannabis for treating pain in osteoarthritis, rheumatoid arthritis, fibromyalgia, and cancer, further studies are needed with randomized controlled trials and larger study populations to identify the specific strains and concentrations that will work best with selected cohorts.

  14. Deciding about fertility preservation after specialist counselling. (United States)

    Bastings, L; Baysal, Ö; Beerendonk, C C M; IntHout, J; Traas, M A F; Verhaak, C M; Braat, D D M; Nelen, W L D M


    How do female patients experience fertility preservation (FP) consultation (FPC) with a specialist in reproductive medicine and subsequent decision-making on FP? Most patients had positive experiences with FPC, but negative experiences were found to be associated with decisional conflict and decision regret. When confronted with a need for gonadotoxic treatment, girls and young women will have to make an irreversible decision with regard to FP. Patients may experience decisional conflict and develop regret about their decision during follow-up. Patients' opportunities to ask questions during FPC and their knowledge about FP have been inversely related to decisional conflict. A questionnaire on experiences with FPC, designed after qualitative research, was retrospectively distributed to 108 patients to whom FP was offered after FPC between July 2008 and July 2013. Aiming to minimize recall bias, we defined a subgroup of patients counselled since 2011 who had not yet tried to conceive after FPC. Patients were aged ≥16 years and had either cancer or a benign disease that required gonadotoxic therapy. They received FPC in a single university hospital in the Netherlands. Apart from patients' experiences, patients' characteristics, decisional conflict and decision regret were assessed. A total of 64 patients (59.3%) responded to the questionnaire. Patients generally had positive experiences with FPC, but indicated room for improvement. Negative experiences were associated with decisional conflict regarding the FP decision (not enough time for counselling: P conflict was correlated to decision regret (P conflict. Given our retrospective design, we were not informed about the causality of the associations observed. We studied Dutch patients who were counselled in a single centre and were at least 16 years old when filling in the questionnaire. This may limit the generalizability of our data to other settings and populations. More attention should be paid to improving FPC

  15. Theorizing Gender in Contemporary Canadian Citizenship: Lessons Learned from the CBC's "Greatest Canadian" Contest (United States)

    Jubas, Kaela


    In this article, I have used the 2004 Greatest Canadian contest as an example of media's educational function. Contrary to mainstream discourse of gender-neutral citizenship, this contest reiterates a notion of Canadian citizenship as masculinized, classed, and raced. Gramsci's concepts of "hegemony," "ideology", and…

  16. Defensive medicine in neurosurgery: the Canadian experience. (United States)

    Smith, Timothy R; Hulou, M Maher; Yan, Sandra C; Cote, David J; Nahed, Brian V; Babu, Maya A; Das, Sunit; Gormley, William B; Rutka, James T; Laws, Edward R; Heary, Robert F


    OBJECT Recent studies have examined the impact of perceived medicolegal risk and compared how this perception impacts defensive practices within the US. To date, there have been no published data on the practice of defensive medicine among neurosurgeons in Canada. METHODS An online survey containing 44 questions was sent to 170 Canadian neurosurgeons and used to measure Canadian neurosurgeons' perception of liability risk and their practice of defensive medicine. The survey included questions on the following domains: surgeon demographics, patient characteristics, type of physician practice, surgeon liability profile, policy coverage, defensive behaviors, and perception of the liability environment. Survey responses were analyzed and summarized using counts and percentages. RESULTS A total of 75 neurosurgeons completed the survey, achieving an overall response rate of 44.1%. Over one-third (36.5%) of Canadian neurosurgeons paid less than $5000 for insurance annually. The majority (87%) of Canadian neurosurgeons felt confident with their insurance coverage, and 60% reported that they rarely felt the need to practice defensive medicine. The majority of the respondents reported that the perceived medicolegal risk environment has no bearing on their preferred practice location. Only 1 in 5 respondent Canadian neurosurgeons (21.8%) reported viewing patients as a potential lawsuit. Only 4.9% of respondents would have selected a different career based on current medicolegal risk factors, and only 4.1% view the cost of annual malpractice insurance as a major burden. CONCLUSIONS Canadian neurosurgeons perceive their medicolegal risk environment as more favorable and their patients as less likely to sue than their counterparts in the US do. Overall, Canadian neurosurgeons engage in fewer defensive medical behaviors than previously reported in the US.

  17. Ethics Guide Recommendations for Organ-Donation-Focused Physicians: Endorsed by the Canadian Medical Association. (United States)

    Shemie, Sam D; Simpson, Christy; Blackmer, Jeff; MacDonald, Shavaun; Dhanani, Sonny; Torrance, Sylvia; Byrne, Paul


    Donation physicians are specialists with expertise in organ and tissue donation and have been recognized internationally as a key contributor to improving organ and tissue donation services. Subsequent to a 2011 Canadian Critical Care Society-Canadian Blood Services consultation, the donation physician role has been gradually implemented in Canada. These professionals are generally intensive care unit physicians with an enhanced focus and expertise in organ/tissue donation. They must manage the dual obligation of caring for dying patients and their families while providing and/or improving organ donation services. In anticipation of actual, potential or perceived ethical challenges with the role, Canadian Blood Services in partnership with the Canadian Medical Association organized the development of an evidence-informed consensus process of donation experts and bioethicists to produce an ethics guide. This guide includes overarching principles and benefits of the DP role, and recommendations in regard to communication with families, role disclosure, consent discussions, interprofessional conflicts, conscientious objection, death determination, donation specific clinical practices in neurological determination of death and donation after circulatory death, end-of-life care, performance metrics, resources and remuneration. Although this report is intended to inform donation physician practices, it is recognized that the recommendations may have applicability to other professionals (eg, physicians in intensive care, emergency medicine, neurology, neurosurgery, pulmonology) who may also participate in the end-of-life care of potential donors in various clinical settings. It is hoped that this guidance will assist practitioners and their sponsoring organizations in preserving their duty of care, protecting the interests of dying patients, and fulfilling best practices for organ and tissue donation.

  18. Issues And Challenges Of Instructional Technology Specialists In Alberta Colleges

    Directory of Open Access Journals (Sweden)

    Margaret Spence


    Full Text Available Under pressure to become more cost effective and competitive in the delivery of educational courses and programs, Alberta colleges have identified the integration of communication and information technologies as an appropriate response to these fiscal demands. This requires highly skilled computer and communication technologists who are both technology specialists and pedagogical experts. Twenty-eight Instructional Technology Specialists at fourteen Alberta colleges responded to a written survey. Follow-up interviews were held with seven respondents. Respondents perceived the college’s administration as lacking understanding of the implications of integrating technology into teaching and uncertain about ongoing funding for projects. As Instructional Technology Specialists they brought a variety of backgrounds and experiences to their work. They provided a broad range of services and maintained currency through ongoing formal and informal professional development. For these IT Specialists, their concerns are about growth and a better balance between the technical and pedagogical aspects of technology.

  19. Mission Specialist Donald A. Thomas prepares to enter Columbia (United States)


    KENNEDY SPACE CENTER, FLA. -- STS-83 Mission Specialist Donald A. Thomas prepares to enter the Space Shuttle Columbia at Launch Pad 39A with assistance from white room closeout crew members (from left) Rick Welty, Bob Saulnier, and Rene Arriens.

  20. STS-88 Mission Specialist Krikalev arrives for launch (United States)


    Mission Specialist Sergei Konstantinovich Krikalev, a Russian cosmonaut, smiles on his arrival at the Shuttle Landing Facility aboard a T-38 jet aircraft. He joins other crew members Mission Commander Robert D. Cabana, Pilot Frederick W. 'Rick' Sturckow, Mission Specialist Nancy J. Currie, Mission Specialist Jerry L. Ross, and Mission Specialist James H. Newman for pre-launch preparations for mission STS-88 aboard Space Shuttle Endeavour. The scheduled time of launch is 3:56 a.m. EST on Dec. 3 from Launch Pad 39A. The mission is the first U.S. launch for the International Space Station. Endeavour carries the Unity connecting module which the crew will be mating with the Russian- built Zarya control module already in orbit. In addition to Unity, two small replacement electronics boxes are on board for possible repairs to Zarya batteries. Endeavour is expected to land at KSC at 10:17 p.m. on Monday, Dec. 14.

  1. Reducing COPD admissions with a specialist chronic disease management team. (United States)

    Annandale, Joseph; Hurlin, Claire; Lewis, Keir

    This article describes the implementation of a specialist community team working with acute care services to manage patients with COPD. It resulted in a sustained reduction in hospital admissions over one year.

  2. A report and sequelae of a specialist volunteer physician

    African Journals Online (AJOL)

    there would have been no time for training although this can be carried ... registrar), registered nurses and specialists to ensure that there is a ... Part time Juba Medical Complex. 2010 ... to include provision of clean water, sewage and waste.

  3. Residents' Perceptions of Plastic Surgeons as Craniofacial Surgery Specialists. (United States)

    Denadai, Rafael; Muraro, Carlos Alberto Salomão; Raposo-Amaral, Cassio Eduardo


    To assess residents' perceptions of plastic surgeons as craniofacial surgery specialists in Brazil. Brazilian residents were asked to choose 1 or 2 specialists that they perceived to be an expert for 14 craniofacial surgery-related scenarios. Both an overall analysis (all 14 scenarios) and subanalysis (each scenario separately) were performed. Response patterns were distributed as "plastic surgeons alone," "plastic surgeons combined with other specialists," or "without plastic surgeons." Overall, plastic surgeons were chosen more (all P plastic surgeons were chosen more (all P surgery-related scenarios and also demonstrated that "plastic surgeons alone" and "without plastic surgeons" were selected more (all P surgery residents and male residents chose more (all P plastic surgeons as experts than their peers. Residents' perceptions of plastic surgeons as craniofacial surgery specialists are limited in Brazil.

  4. Aplication of artificial neural network model in aviation specialist training

    Directory of Open Access Journals (Sweden)

    Висиль Миколайович Казак


    Full Text Available This paper reviews the application of artificial neural network (ANN model in aviation specialist training. The ANN model is based on the dependence of residual knowledge of subjects of study on their individual abilities. The residual knowledge is the skills acquired by the subject before he is going for an occupation.  The presented ANN model gives the possibility to predict the level of professional training of the specialists with high accuracy

  5. Specialist surgery in the developing world: luxury or necessity? (United States)

    Wright, I G; Walker, I A; Yacoub, M H


    Patients suffering from conditions requiring specialist intervention cannot obtain treatment when facilities do not exist locally. Specialist visiting teams in a number of surgical disciplines have attempted to address these issues in collaboration with local clinicians. These interventions require careful planning and communication to achieve optimum results. Several teams have been successful in building long-term relationships that have lead to important clinical developments in the local country.

  6. Translational health research: perspectives from health education specialists


    Mata, Holly J.; Davis, Sharon


    The phrase ?from bench to bedside to curbside? is a common definition of translational research among health disparities researchers. Health Education Specialists can make important contributions to the field of clinical translational medicine, particularly in light of U.S. health care reform and a renewed emphasis on medical home or health care home models. Health Education Specialists have the training and experience to engage in and facilitate translational research, as well as the opportu...

  7. Disaster Information Specialist Pilot Project: NLM/DIMRC. (United States)

    Reynolds, Patricia; Tamanaha, Inez


    Medical librarians have often been overlooked as important contributors to hospital disaster preparedness. Recognizing the importance of medical libraries and their potential in disaster planning and management, the National Library of Medicine (NLM), Disaster Information Management Research Center (DIMRC), formed a pilot Disaster Information Specialist Project. This paper describes the preliminary activities of Bishopric Medical Library's Director, Patricia Reynolds, at Sarasota Memorial Health Care System, as a disaster information specialist in the hospital's disaster planning and preparedness.


    Directory of Open Access Journals (Sweden)

    Natalia Evgenievna Vodopyanova


    Full Text Available The article contains the results of the empirical research internallysubject factors that facilitate and impede professional burnout of young specialists socionomic professions from positions of subject-resource approach.The results of empirical research found that the resistance to professional burnout of young specialists associated with high rates of resource value-semantic sphere and positive attitude on self-efficacy. Development of professional burnout contributes to the experience of the loss of vital values.

  9. STS-46 Payload Specialist Malerba uses extinguisher during JSC firefighting (United States)


    STS-46 Atlantis, Orbiter Vehicle (OV) 104, Italian Payload Specialist Franco Malerba shoots fire extinguisher spray at the base of a blazing fire during fire fighting and fire training exercises at JSC's Fire Training Pit located across from the Gilruth Center Bldg 207. Behind Malerba are the fire fighting training instructor, firemen, and European Space Agency (ESA) Mission Specialist (MS) Claude Nicollier, holding a camcorder.

  10. Portrayal of youth suicide in canadian news. (United States)

    Easson, Amanda; Agarwal, Arnav; Duda, Stephanie; Bennett, Kathryn


    Responsible media reporting of youth suicide may reduce the risk of contagion and increase help-seeking behaviour. Accordingly, we conducted a content analysis of Canadian youth suicide newspaper articles to assess quality and summarize content (themes, age groups, populations and use of scientific evidence). The Canadian Periodical Index Quarterly (CPI.Q) was searched (2008-2012) for full-text Canadian newspaper articles using the keywords "youth" and "suicide." The top five most relevant articles as judged by CPI.Q were selected sequentially for each year (n=25). Quality was assessed using World Health Organization (WHO) guidelines for responsible media reporting. Content analysis was completed in duplicate by two reviewers. All articles addressed youth suicide generally rather than reporting exclusively on a specific death by suicide. Alignment of articles with individual WHO guideline items ranged from 16 to 60%. The most common content theme was prevention (80%). No article was judged to glamorize suicide. Help seeking was addressed in 52% of articles, but only 20% provided information on where to obtain help. Statistics were referenced more frequently than scientific research (76% vs. 28%). Our review suggests that Canadian media presents youth suicide as an issue for which hope and help exist. While the majority of reports aim to educate the public about suicide, increased use of scientific evidence about risk factors and prevention is recommended to facilitate the translation of rigorous scientific knowledge into improved mental health and reduced suicide risk among Canadian youth.

  11. Cognitive aspects of sexual functioning: differences between East Asian-Canadian and Euro-Canadian women. (United States)

    Morton, Heather; Gorzalka, Boris B


    The purpose of this study was to investigate the sexual beliefs of female undergraduates, as well as the thoughts they experience during sexual experiences. The study aimed to determine potential differences in these variables between East Asian-Canadians and Euro-Canadians, as well as the influence of acculturation on these variables. In addition, the relationships between sexual beliefs, automatic thoughts, and specific aspects of sexual functioning were examined. Euro-Canadian (n = 77) and East Asian-Canadian (n = 123) undergraduate women completed the Sexual Dysfunctional Beliefs Questionnaire, the Sexual Modes Questionnaire, the Female Sexual Function Index, and the Vancouver Index of Acculturation. East Asian women endorsed almost all sexual beliefs assessed in this study more than did Euro-Canadian women, and endorsement of these beliefs was associated with acculturation. In addition, East Asian-Canadian and Euro-Canadian women differed in the frequency of experiencing negative automatic thoughts. Results also revealed associations between difficulties in sexual functioning, and both sexual beliefs and automatic thoughts. Together, these results provide preliminary support for the hypothesis that differences in cognitive aspects of sexuality may underlie the differences in sexual functioning previously observed between these two groups.

  12. The importance of nature to Canadians: survey highlights

    National Research Council Canada - National Science Library

    DuWors, E


    .... The 1996 Survey on the Importance of Nature to Canadians (the Nature Survey) also tells us that Canadians commit large amounts of their leisure time to activities that depend on natural areas and wildlife...

  13. Statistics in action a Canadian outlook

    CERN Document Server

    Lawless, Jerald F


    Commissioned by the Statistical Society of Canada (SSC), Statistics in Action: A Canadian Outlook helps both general readers and users of statistics better appreciate the scope and importance of statistics. It presents the ways in which statistics is used while highlighting key contributions that Canadian statisticians are making to science, technology, business, government, and other areas. The book emphasizes the role and impact of computing in statistical modeling and analysis, including the issues involved with the huge amounts of data being generated by automated processes.The first two c

  14. Canadian Petroleum Products Institute: Annual report 1991

    Energy Technology Data Exchange (ETDEWEB)


    Annual report of the Institute, which represents the refining and marketing sectors of the petroleum industry on environmental, health, safety, and business issues affecting the industry and Canadian society. The report describes the Institute; gives highlights for the year; describes the recipient of the first CPPI Chairman's Award, Dr. Linton Kulak; provides a general policy and guiding principles for environment, health, and safety; describes the environmental achievements and challenges of the Canadian petroleum industry; and describes industry economics and operations. A list of 1991 publications is also included.

  15. [Canadian Petroleum Products Institute]: Annual review, 1998

    Energy Technology Data Exchange (ETDEWEB)


    The CPPI was created as a non-profit association of Canadian refiners and marketers of petroleum products. The Institute represents a membership of Canadian companies involved in refining, transporting and marketing of petroleum products. These companies supply domestic and industrial consumers with products ranging from gasoline and diesel fuel to asphalt. The Institute conducts research to develop industry policy on environmental, health, safety and business issues. This report covers industry operations, industry economics and financial performance, environmental protection and safety, awards, and publications.

  16. Canadian Petroleum Products Institute: Annual report 1992

    Energy Technology Data Exchange (ETDEWEB)


    The CPPI was created as a non-profit association of Canadian refiners and marketers of petroleum products. The Institute represents a membership of Canadian companies involved in refining, transporting and marketing of petroleum products. These companies supply domestic and industrial consumers with products ranging from gasoline and diesel fuel to asphalt. The Institute conducts research to develop industry policy on environmental, health, safety and business issues. This report covers industry operations, industry economics and financial performance, environmental protection and safety, awards, and publications.

  17. Trends in Canadian Respiratory Clinical Trials from 2001 to 2011


    Claire Elizabeth Tacon; Hina Abbas; Shiyuan Zhang; Barbara Nicholls; Glenn Crater; Zhen Su


    Clinical research bridges patients’ unmet medical need with innovative medicines, increases knowledge acquisition by clinicians, and creates solutions to improve the sustainability and quality of the Canadian health care system and economy. The Canadian Institutes of Health Research and the Canadian Lung Association have recently raised concerns over declining research activities within the Canadian respiratory community. While there are currently >3000 ongoing clinical trials in Canada, the ...

  18. Understanding practice patterns of glaucoma sub-specialists in India (United States)

    Choudhari, Nikhil S.; Pathak-Ray, Vanita; Kaushik, Sushmita; Vyas, Prateep; George, Ronnie


    AIM To obtain information on the prevailing practice patterns of glaucoma specialists in India. METHODS Glaucoma specialists attending the Annual Conference of the Glaucoma Society of India (GSI) were surveyed. This survey, conducted in 2013, was based on an interactive audience response system. RESULTS The information was obtained from 146 glaucoma specialists. Approximately half (n=83; 57%) had ≥10y of experience in managing glaucoma and were in institutional practice (n=74, 51%). Goldmann applanation tonometry was preferred by 103 (72%) specialists whilst n=25 (17.4%) used non-contact tonometer. Indentation gonioscopy was favoured by two-thirds (n=90, 66%) whereas stereoscopic optic disc examination and visual fields using Humphrey perimeter was performed by a majority of the specialists surveyed (n=115, 86% and n=114; 83% respectively). Nearly three quarter specialists (n=96; 72%) preferred optical coherence tomography for imaging. The primary choice for treatment of angle closure disease and primary open angle glaucoma was laser (iridotomy, n=117; 93%) and medical management (prostaglandin analogue, n=104; 78%), respectively. Approximately only a third of the specialists surveyed (n=37; 28%) were performing both trabeculectomy and implantation of a glaucoma drainage device and about half (n=64; 47%) were not operating on congenital glaucoma at all. CONCLUSION This survey has found conformance with preferred practice patterns in several areas of diagnosis and management of glaucoma, but there was diversity in a few areas. The information is a significant step towards improvement of glaucoma care in India, including planning for future strategies. PMID:29062779

  19. The Lived Experiences of Canadian-Born and Foreign-Born Chinese Canadian Post-Secondary Students in Northern Ontario

    National Research Council Canada - National Science Library

    Fei Wang


    ... and (d) the effect of Canadian education on career options. The study revealed that Canadian-born Chinese students differed from their foreign-born counterparts in their viewpoints on ethnic identity...

  20. Transnational Education -- An Opportunity and a Canadian Role (United States)

    Dennis, Roger


    Transnational education is a huge growth industry and a potential source of considerable income for Canadian educational institutions. Canadian educational establishments seem to be missing out on this, and this seems short sighted. Canada has a very good reputation globally; this could be utilized when selling Canadian educational institutions in…

  1. Next-generation models for Canadian collaboration in international ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Through this project, the Canadian Council for International Cooperation (CCIC), in partnership with the Canadian Association for the Study of International Development, will identify and promote new ways for Canadian practitioners, academics, and public policymakers to work together in international development.

  2. The Canadian Association for the Study of International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The Canadian Association for the Study of International Development (CASID) was founded in 1989 to provide a forum for Canadian scholars, policymakers, and civil society to meet and exchange views. It is the only Canadian learned society devoted to the study of international development. The Association's journal, the ...

  3. Labour Relations and Occupational Health and Safety Specialist ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Keep abreast of Canadian psychological health standards and determine how best to implement within IDRC. • Chair the EAP committee and advise HRD management on this matter. • Develop and manage the contract for the Employee Assistance Program (EAP), liaise with the service provider, ensure quality of services ...

  4. Education and training module for a specialist registrar: a move forward in specialist registrar education. (United States)

    White, A; Tuckey, J; Crane, S


    A new post was created in Portsmouth. This produced the opportunity, for a new and innovative approach to the education and training module for the specialist registrar (SpR) training programme. The GP tutor with supervision from the university, designed, implemented and evaluated the module. It took place during the first five months of the SpR contract. The method used was a case study in which the SpR was encouraged to reflect on practice. The learning outcomes were documented initially by the GP tutor and,finally, by the SpR using a logbook based on the dental professional development log. Reflecting on practice enabled the SpR to produce the evidence of her own learning and plan her future learning needs. The project highlights the advantages and problems of reflecting on practice. These issues must be addressed if the conflict between the need to produce the competent doctor and the demands of an educationally sound programme are to be resolved, to create critical thinking and autonomous lifelong, self-directed learners.

  5. Canadian Association of Gastroenterology and the Canadian Digestive Health Foundation: Guidelines on Colon Cancer Screening

    Directory of Open Access Journals (Sweden)

    Desmond Leddin


    Full Text Available Colorectal cancer is the third most prevalent cancer affecting both men and women in Canada. Many of these cancers are preventable, and the Canadian Association of Gastroenterology (CAG and the Canadian Digestive Health Foundation (CDHF strongly support the establishment of screening programs for colorectal cancer. These guidelines discuss a number of screening options, listing the advantages and disadvantages of each. Ultimately, the test that is used for screening should be determined by patient preference, current evidence and local resources.

  6. Canadian contributions to high temperature superconductivity research

    Energy Technology Data Exchange (ETDEWEB)

    Berlinsky, A.J.

    This paper presents a review of contributions from Canadian researchers to the field of investigating superconductivity in the range of 35/sup 0/K and up. Research projects since January 1987 are described or mentioned, including investigation of superconducting materials, theories of superconducting behavior, measurements of local magnetic fields in superconductors, and the production and modification of new oxide superconductors.

  7. Highlight: Canadian and Caribbean parliamentarians discuss open ...

    International Development Research Centre (IDRC) Digital Library (Canada)


    Apr 14, 2016 ... Toward open parliaments. Open parliaments were also on the agenda in a session moderated by Senator David Smith, in the Centre Block of the Canadian Parliament Buildings. Increased information about legislative activities and greater opportunities for dialogue between citizens and their parliaments ...

  8. Canadian Adult Education: Still a Movement (United States)

    Nesbit, Tom


    Writing recently in this journal, two of Canada's veteran adult educators contemplated the "death" of the Canadian adult education movement. I disagree and argue that adult education in Canada is as vital an activity as ever and one that still fully justifies being called a movement. Specifically, Selman and Selman (2009) list five…

  9. Computer Language Settings and Canadian Spellings (United States)

    Shuttleworth, Roger


    The language settings used on personal computers interact with the spell-checker in Microsoft Word, which directly affects the flagging of spellings that are deemed incorrect. This study examined the language settings of personal computers owned by a group of Canadian university students. Of 21 computers examined, only eight had their Windows…

  10. Family Business Training: A Canadian Perspective (United States)

    Ibrahim, A. B.; Soufani, K.; Lam, Jose


    Family firms play an important role in the working of the Canadian economy; despite their importance to the economic activities and job creation it is observed that family businesses have lower survival rates than non-family firms, some argue that this can possibly be attributed (amongst other factors) to the lack of training. Most of the training…

  11. Opportunity potential matrix for Atlantic Canadians (United States)

    Greg Danchuk; Ed Thomson


    Opportunity for provision of Parks Service benefit to Atlantic Canadians was investigated by mapping travel behaviour into a matrix in terms of origin, season, purpose, distance, time, and destination. Findings identified potential for benefit in several activity areas, particularly within residents' own province.

  12. Theoretical Analysis of Canadian Lifelong Education Development (United States)

    Mukan, Natalia; Barabash, Olena; Busko, Maria


    In the article, the problem of Canadian lifelong education development has been studied. The main objectives of the article are defined as theoretical analysis of scientific and pedagogical literature which highlights different aspects of the research problem; periods of lifelong education development; and determination of lifelong learning role…

  13. Update on Canadian Government Documents in Microform. (United States)

    Luebbe, Mary


    Reviews recent developments in Canadian government documents available in microform, including: (1) Statistics Canada titles, including the 1986 census; (2) publications of the federal Atomic Energy Control Board and other federal technical reports; (3) provincial government publications; and (4) commercial publications of Micromedia. (seven…

  14. Recent Canadian Government Publications in Microform. (United States)

    Luebbe, Mary


    This biennial survey of microformatted Canadian government publications highlights the diverse publications of Micromedia Ltd., the National Library of Canada, Public Archives of Canada, and Statistics Canada. Technical reports of a federal government department--Fisheries and Oceans--patent literature, and archival materials are noted. Eight…

  15. The Handbook of Canadian Film. Second Edition. (United States)

    Beattie, Eleanor

    The core of this book consists of 131 short entries on individual Canadian filmmakers, arranged in alphabetical order, with filmographies and suggestions for further reading. The majority of the filmmakers who are described are directors; other members of the film community--producers, sound engineers, camera operators, and so on--are discussed in…

  16. Experiencing Online Pedagogy: A Canadian Case Study (United States)

    Duncan, Heather E.; Barnett, John


    This case study explored the educational experiences of Canadian preservice teachers in a course designed to teach about online teaching. Students gained experience in course design and delivery, and safe and ethical behavior related to technology. Findings indicated that projects in which students actively applied their knowledge were more…

  17. Research Awards: Canadian Partnerships Program Deadline: 12 ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Jean-Claude Dumais


    Sep 12, 2012 ... This award provides young and upcoming professionals with a unique opportunity to strengthen their research skills and gain a fresh perspective on the Canadian community – both in universities and civil society organizations (CSOs) – that is actively engaged in creating, sharing, and using knowledge to ...

  18. Adult Literacy Education on the Canadian Frontier. (United States)

    Walter, Pierre


    Canada's Frontier College began in 1899 to bring literacy and citizenship education to immigrant men; in the 1920s it offered university education. However, its early history embodied a legacy of nativism, anticommunism, racism, and sexism as it attempted to assimilate adult literacy learners into Anglo-Canadian sociocultural norms. (Contains 19…

  19. Reducing dietary sodium intake: the Canadian context. (United States)

    Barr, Susan I


    Sodium is a required nutrient; Adequate Intakes for adults range from 1200 to 1500 mg*day(-1), depending on age. The Tolerable Upper Intake Level (UL) for sodium is 2300 mg*day(-1) for adults, based on the relationship between sodium intake and increased blood pressure. Elevated blood pressure, which is prevalent among Canadians, is, in turn, a major risk factor for stroke, cardiovascular disease, and renal disease. Sodium intake is not the only determinant of blood pressure; other modifiable risk factors include relative mass, physical activity, overall dietary quality, and alcohol consumption. However, because >90% of adult Canadian men and two thirds of Canadian women have sodium intakes above the UL, Health Canada's Working Group on Dietary Sodium Reduction has been charged with developing, implementing, and overseeing a strategy to reduce Canadians' sodium intakes. It is estimated that approximately 75% of dietary sodium is added during food processing; in addition to taste and palatability, sodium also has functional roles in food manufacturing and preservation, although the amounts used often exceed those required. Because of the central role of processed foods in sodium intake, the strategy proposed by Health Canada's Working Group includes voluntary reduction of sodium in processed foods and foods sold in food service establishments. It will also include an education and awareness campaign, and research and surveillance. Initiatives to reduce sodium in other parts of the world have demonstrated that it will be challenging to reduce sodium intake to the recommended range and will likely require many years to accomplish.

  20. Indigenous populations health protection: A Canadian perspective

    Directory of Open Access Journals (Sweden)

    Richardson Katya L


    Full Text Available Abstract The disproportionate effects of the 2009 H1N1 pandemic on many Canadian Aboriginal communities have drawn attention to the vulnerability of these communities in terms of health outcomes in the face of emerging and reemerging infectious diseases. Exploring the particular challenges facing these communities is essential to improving public health planning. In alignment with the objectives of the Pandemic Influenza Outbreak Research Modelling (Pan-InfORM team, a Canadian public health workshop was held at the Centre for Disease Modelling (CDM to: (i evaluate post-pandemic research findings; (ii identify existing gaps in knowledge that have yet to be addressed through ongoing research and collaborative activities; and (iii build upon existing partnerships within the research community to forge new collaborative links with Aboriginal health organizations. The workshop achieved its objectives in identifying main research findings and emerging information post pandemic, and highlighting key challenges that pose significant impediments to the health protection and promotion of Canadian Aboriginal populations. The health challenges faced by Canadian indigenous populations are unique and complex, and can only be addressed through active engagement with affected communities. The academic research community will need to develop a new interdisciplinary framework, building upon concepts from ‘Communities of Practice’, to ensure that the research priorities are identified and targeted, and the outcomes are translated into the context of community health to improve policy and practice.

  1. Labour Law in Canadian Higher Education (United States)

    Barnetson, Bob


    The legislative framework for academic and nonacademic unionization and collective bargaining in Canadian public colleges, universities and technical institutes is set out and compared with mainstream labour law. Significant deviations affecting academic staff in the province of Alberta are explored to understand their effect and the factors which…

  2. An analysis of specialist surgeons and their practices

    Directory of Open Access Journals (Sweden)

    Steve Koch


    Full Text Available A purposive sample of South African specialist doctors provided data for an empirical analysis of revenues, costs and earnings associated with specialist surgical medicine. The empirical analysis includes both parametric and nonparametric regression. Parametric estimates of revenues per new patient range between R689 to R818, while cost per new patient estimates range between R694 and R749; average surgeon income per new patient falls within a similar range.  Furthermore, costs per surgery follow a cubic specification, implying increasing marginal costs at the practice level. Returns to experience are estimated to be quadratic, although imprecisely so, given limited observations. Due to the low response rate in the survey, there is a need to conduct further research into this topic, to provide better information to both specialists and the South African Department of Health, which sets pay packages for public sector health workers.

  3. Integrating HCI Specialists into Open Source Software Development Projects (United States)

    Hedberg, Henrik; Iivari, Netta

    Typical open source software (OSS) development projects are organized around technically talented developers, whose communication is based on technical aspects and source code. Decision-making power is gained through proven competence and activity in the project, and non-technical end-user opinions are too many times neglected. In addition, also human-computer interaction (HCI) specialists have encountered difficulties in trying to participate in OSS projects, because there seems to be no clear authority and responsibility for them. In this paper, based on HCI and OSS literature, we introduce an extended OSS development project organization model that adds a new level of communication and roles for attending human aspects of software. The proposed model makes the existence of HCI specialists visible in the projects, and promotes interaction between developers and the HCI specialists in the course of a project.

  4. Evaluation of Leadership Practice of Vilnius Public Health Specialists


    Rašimaitė, Brigita


    Darbo tikslas – įvertinti Vilniaus miesto visuomenės sveikatos specialistų lyderystės raišką. Uždaviniai: 1. Įvertinti Vilniaus mieste dirbančių visuomenės sveikatos specialistų nuomonę apie lyderystę. 2. Nustatyti kokiais lyderiams būdingais elgsenos bruožais labiausiai pasižymi Vilniaus mieste dirbantys visuomenės sveikatos specialistai. 3. Nustatyti Vilniaus mieste dirbančių visuomenės sveikatos specialistų asmeninės lyderystės įvaldymo lygį. 4. Įvertinti Vilniaus mieste dir...

  5. Canadian Guidelines for the Management of Acute Exacerbations of Chronic Bronchitis

    Directory of Open Access Journals (Sweden)

    Meyer S Balter


    Full Text Available Acute exacerbations of chronic bronchitis (AECB account for over 1.5 million physician visits annually in Canada and are a cause of significant morbidity and mortality. This document represents a joint effort between respirologists, microbiologists, infectious disease specialists and family physicians to update the Canadian AECB guidelines published in 1994. Treatment recommendations are graded on the strength of evidence in the published literature where possible. The role for oral corticosteroid therapy in preventing treatment failures, speeding up recovery and delaying the time to next exacerbation is discussed. Risk factors for treatment failure were used to stratify patients into risk groups to help guide antibiotic treatment recommendations. The importance of emerging antimicrobial resistance to current antibiotics is reviewed and strategies to prevent future AECB episodes are suggested.

  6. Individual prey choices of octopuses: Are they generalist or specialist?

    Directory of Open Access Journals (Sweden)

    Jennifer A. MATHER, Tatiana S. LEITE, Allan T. BATISTA


    Full Text Available Prey choice is often evaluated at the species or population level. Here, we analyzed the diet of octopuses of different populations with the aim to assess the importance of individual feeding habits as a factor affecting prey choice. Two methods were used, an assessment of the extent to which an individual octopus made choices of species representative of those population (PSi and IS and 25% cutoff values for number of choices and percentage intake of individual on their prey. In one population of Octopus cf vulgaris in Bermuda individuals were generalist by IS=0.77, but most chose many prey of the same species, and were specialists on it by >75% intake. Another population had a wider prey selection, still generalist with PSi=0.66, but two individuals specialized by choices. In Bonaire, there was a wide range of prey species chosen, and the population was specialists by IS= 0.42. Individual choices revealed seven specialists and four generalists. A population of Octopus cyanea in Hawaii all had similar choices of crustaceans, so the population was generalist by IS with 0.74. But by individual choices, three were considered a specialist. A population of Enteroctopus dofleini from Puget Sound had a wide range of preferences, in which seven were also specialists, IS=0.53. By individual choices, thirteen were also specialists. Given the octopus specialty of learning during foraging, we hypothesize that both localized prey availability and individual personality differences could influence the exploration for prey and this translates into different prey choices across individuals and populations showed in this study [Current Zoology 58 (4: 597-603, 2012].

  7. A novel statistical method for classifying habitat generalists and specialists. (United States)

    Chazdon, Robin L; Chao, Anne; Colwell, Robert K; Lin, Shang-Yi; Norden, Natalia; Letcher, Susan G; Clark, David B; Finegan, Bryan; Arroyo, J Pablo


    We develop a novel statistical approach for classifying generalists and specialists in two distinct habitats. Using a multinomial model based on estimated species relative abundance in two habitats, our method minimizes bias due to differences in sampling intensities between two habitat types as well as bias due to insufficient sampling within each habitat. The method permits a robust statistical classification of habitat specialists and generalists, without excluding rare species a priori. Based on a user-defined specialization threshold, the model classifies species into one of four groups: (1) generalist; (2) habitat A specialist; (3) habitat B specialist; and (4) too rare to classify with confidence. We illustrate our multinomial classification method using two contrasting data sets: (1) bird abundance in woodland and heath habitats in southeastern Australia and (2) tree abundance in second-growth (SG) and old-growth (OG) rain forests in the Caribbean lowlands of northeastern Costa Rica. We evaluate the multinomial model in detail for the tree data set. Our results for birds were highly concordant with a previous nonstatistical classification, but our method classified a higher fraction (57.7%) of bird species with statistical confidence. Based on a conservative specialization threshold and adjustment for multiple comparisons, 64.4% of tree species in the full sample were too rare to classify with confidence. Among the species classified, OG specialists constituted the largest class (40.6%), followed by generalist tree species (36.7%) and SG specialists (22.7%). The multinomial model was more sensitive than indicator value analysis or abundance-based phi coefficient indices in detecting habitat specialists and also detects generalists statistically. Classification of specialists and generalists based on rarefied subsamples was highly consistent with classification based on the full sample, even for sampling percentages as low as 20%. Major advantages of the new

  8. Evolution of the perioperative clinical nurse specialist role. (United States)

    Morrison, J D


    Perioperative nursing roles continue to rapidly change as we enter the twenty-first century. The need for strong leadership skills, expert clinical skills, creative management, ongoing continuing education, and research continues to grow in every department of surgical services. The clinical nurse specialist plays an important role in addressing each of these needs. Great opportunities exist within the field of nursing for perioperative nurses to expand their practice using their creativity, ideas, and skills. Using the clinical nurse specialist in the perioperative setting can foster creativity, stimulate development of new methods based on research, and maximize the delivery of high quality care by the entire OR staff.

  9. Management of anaphylaxis in primary care: Canadian expert consensus recommendations. (United States)

    Waserman, S; Chad, Z; Francoeur, M J; Small, P; Stark, D; Vander Leek, T K; Kaplan, A; Kastner, M


    Anaphylaxis is often managed inadequately. We used findings from a systematic review of gaps in anaphylaxis management to develop evidence-based recommendations for gaps rated as clinically important by a panel of Canadian allergy experts. The nominal group technique (NGT) consensus methodology was used to develop evidence-based recommendations for the management of anaphylaxis in primary care. Physician-specific gaps from our systematic review were prioritized by consensus meeting participants in two rounds, which involved the rating, discussion, and re-rating of gaps. Using current anaphylaxis guidelines, recommendations were then developed for each category of gaps that were identified by the panel as clinically important. Thirty unique physician gaps from the systematic review were categorized according to gaps of knowledge and anaphylaxis practice behaviors. The panel rated diagnosis of anaphylaxis, and when and how to use epinephrine auto-injectors as clinically important knowledge gaps; and rated infrequent or delayed epinephrine administration, low rate of auto-injector prescription, and infrequent or no referrals to allergy specialists after a reaction as important practice behavior gaps. Evidence from four guidelines was used to support the consensus recommendation statements for three resulting categories of gap themes: anaphylaxis management, epinephrine use, and follow-up care. We used an NGT consensus methodology to develop an educational resource for primary care physicians and allergists to better understand how to manage patients with anaphylaxis. Next steps include testing our findings against observed data in primary care settings and to develop other strategies or tools to overcome gaps in anaphylaxis management.

  10. Coal industry needs more specialists with higher education levels and a better distribution of specialists within state-owned enterprises

    Energy Technology Data Exchange (ETDEWEB)

    Kolev, K.; Pavlov, D. (Asotsiatsiya Energetika (Bulgaria))


    Discusses availability of highly qualified manpower in Bulgarian coal mines in March 1988, when there were 1,231 employees with higher education - 1,146 as managers or supervisors, 85 as executives. Of the first group, 364 worked in management, 540 in basic production and 242 in auxiliary departments of combines. Analysis shows that their professional experience, academic background, knowledge and post-graduate education do not correspond to the requirements of coal mines. Only the VMGI and VMEI institutes train highly qualified coal mining specialists. In 1987 and 1988, they produced 273 mining and 253 electrical engineers, of whom only 43 started work in coal mines in 1987 as this branch may only employ 2.4 specialists per 100 workers. Bulgaria suffers from a lack of technicians and highly qualified specialists, particularly in electro-technical and electronic fields. For this reason, utilization and maintenance of mining equipment is unsatisfactory.

  11. Solving certain dental records problems with technology--the Canadian solution in the Thailand tsunami response. (United States)

    Sweet, David


    Each natural or man-made disaster presents a different set of circumstances and, as a consequence, each event results in new challenges for response teams. The very large number of deceased victims in recent tragic events is certainly one of the enormous challenges that can tax many different resources for identification specialists. But there are other significant challenges. And during the response, some of these seem insurmountable. They can be solved if we embrace technologies outside the customary disciplines. The Canadian identification effort following the December 2004 tsunami involved responders from several disciplines. Each discipline faced challenges in many different and special areas that were difficult and in some cases previously unseen. This paper presents examples of the ways the Canadian identification team used Internet technology to solve problems that were encountered when it became necessary to duplicate victims' dental, medical and personal records, and transport these records halfway around the world. Digital images of the records were saved at high resolution in multi-page PDF files. These images were made available to on-site personnel using an encrypted, password-secured website.

  12. Career development of McMaster University medical graduates and its implications for Canadian medical manpower. (United States)

    Woodward, C A; Ferrier, B M


    A study was undertaken of the career paths and decisions, and the factors influencing the decisions, of the first six graduating classes of McMaster University's medical school. Climate and geography, preference for urban or rural living and influence of spouse were the factors that most influenced the location of practice, although the graduates who moved to the United States considered economic factors important too. Nearly one third of the specialists were practising in the United States. Personal challenge and positive clinical experience in the field were the major influences on choice of medical field. Graduates entering a specialty were more likely than those entering primary care to consider encouragement of others, a positive example set by medical school faculty members, working hours and research experience in the field as important influences on their choice of medical field. Data are needed on the career decisions, and the factors affecting them, of the graduates of all Canadian medical schools if Canadian medical manpower planning is to be realistic.

  13. The role of the Diabetes Specialist Nurse | Cable | South Sudan ...

    African Journals Online (AJOL)

    There are two main types of diabetes: type 1 and type 2. Global statistics often do not differentiate between the two, therefore in this article the author refers to both types under the general term of 'diabetes'. There is, however, a greater emphasis placed upon type 2. Keywords: Role, Diabetes, Specialist, Nurse, DSN ...

  14. Evaluation of specialist referrals at a rural health care clinic. (United States)

    Biggerstaff, Mary Ellen; Short, Nancy


    Transition to a value-based care system involves reducing costs improving population health and enhancing the patient experience. Many rural hospitals must rely on specialist referrals because of a lack of an internal system of specialists on staff. This evaluation of the existing specialist referrals from primary care was conducted to better understand and improve the referral process and address costs, population health, and the patient experience. A 6-month retrospective chart review was conducted to evaluate quality and outcomes of specialty referrals submitted by 10 primary care providers. During a 6-month period in 2015, there was a total of 13,601 primary care patient visits and 3814 referrals, a referral rate of approximately 27%. The most striking result of this review was that nearly 50% of referred patients were not making the prescribed specialist appointment. Rather than finding a large number of unnecessary referrals, we found overall referral rates higher than expected, and a large percentage of our patients were not completing their referrals. The data and patterns emerging from this investigation would guide the development of referral protocols for a newly formed accountable care organization and lead to further quality improvement projects: a LEAN effort, dissemination of results to clinical and executive staff, protocols for orthopedic and neurosurgical referrals, and recommendations for future process improvements. ©2017 American Association of Nurse Practitioners.

  15. 22 CFR 61.6 - Consultation with subject matter specialists. (United States)


    ... FREE FLOW OF AUDIO-VISUAL MATERIALS § 61.6 Consultation with subject matter specialists. (a) The... assisting the Department in its determination of whether materials for which export certification or import... determine eligibility of material for certification or authentication based in part on the opinions obtained...

  16. Refrigeration and Cryogenics Specialist. J3ABR54530 (United States)

    Air Force Training Command, Sheppard AFB, TX.

    This document package contains an Air Force course used to train refrigeration and cryogenics specialists. The course is organized in six blocks designed for group instruction. The blocks cover the following topics: electrical principles; fundamentals of tubing and piping; metering devices, motor controls, domestic and commercial refrigeration;…

  17. Computer Cache: ERIC and the Library Media Specialist. (United States)

    Lodish, Erica K.


    Description of how library media specialists can assist teachers and administrators in retrieving useful information by using ERIC highlights its organization, the types of materials available that are especially useful to classroom teachers, and ways that it can be accessed online. A list of ERIC Clearinghouses with addresses is included. (EM)

  18. Treatment policies among Israeli specialists in paediatric dentistry. (United States)

    Gordon, M; Gorfil, C; Segal, S; Mass, E


    This was to evaluate some suggested diagnostic procedures, treatment policies and professional attitudes of specialists in paediatric dentistry, in light of the periodically published guidelines by The American Academy of Pediatric Dentistry, The European Academy of Paediatric Dentistry and The British Society of Paediatric Dentistry. Using a structured questionnaire, 67% of the Israeli specialists in paediatric dentistry, who agreed to participate in this study, were personally interviewed. Only 7.5% of the participants reported that they carry out pulp capping of primary teeth in cases of pulp exposure. Over 50% reported restoring teeth after pulpotomy with preformed crowns. Most indicated sealing pit and fissures after considering depth and morphology of the fissures and correlation with the patient's risk to caries. Cleaning teeth after eruption of the first tooth was suggested by 75.5% of the participants. A striking majority (96%) claimed that they restored permanent anterior teeth with composite resins and most used these materials for occlusal restoration in both primary and permanent posterior teeth. Most specialists advocated the use of amalgam in proximal posterior restorations. The presence of a parent in the operatory/surgery was preferred by 85% of the dentists. Israeli specialists in paediatric dentistry mostly comply with the mentioned guidelines. Further studies of this nature should also be encouraged in other countries to emphasize the importance of monitoring compliance with established and evidence based guidelines.

  19. Specialist paediatric dentistry in Sweden 2008 - a 25-year perspective. (United States)

    Klingberg, Gunilla; Andersson-Wenckert, Ingrid; Grindefjord, Margaret; Lundin, Sven-Ake; Ridell, Karin; Tsilingaridis, Georgios; Ullbro, Christer


    International Journal of Paediatric Dentistry 2010; 20: 313-321 Background. Paediatric dentistry in Sweden has been surveyed four times over the past 25 years. During this period postgraduate training, dental health, and the organization of child dental care have changed considerably. Aim. To investigate services provided by specialists in paediatric dentistry in Sweden in 2008, and to compare with data from previous surveys. Design. The same questionnaire was sent to all 30 specialist paediatric dental clinics in Sweden that had been used in previous surveys. Comparisons were made with data from 1983, 1989, 1996 and 2003. Results. Despite an unchanged number of specialists (N = 81 in 2008), the number of referrals had increased by 16% since 2003 and by almost 50% since 1983. There was greater variation in reasons for referrals. The main reason was still dental anxiety/behaviour management problems in combination with dental treatment needs (27%), followed by medical conditions/disability (18%), and high caries activity (15%). The use of different techniques for conscious sedation as well as general anaesthesia had also increased. Conclusions. The referrals to paediatric dentistry continue to increase, leading to a heavy work load for the same number of specialists. Thus, the need for more paediatric dentists remains.

  20. School Library Media Specialists' Perceptions of Collaboration, Leadership and Technology (United States)

    Powell, Jozan M.


    School impact media studies indicate that a well-staffed and funded school library media program with a certified school library media specialist (SLMS) positively correlates with increased student achievement. SLMS must have a shared understanding of their roles and responsibilities to positively impact student success. In an effort to determine…

  1. Construction of Professional Identity in Novice Library Media Specialists (United States)

    Sandford, Deborah W.


    The roles of the person who works in a school library, as well as their title--librarian, teacher-librarian, library teacher, library media specialist, school librarian, library media teacher--have undergone countless revisions since the first official school libraries opened their doors in the early 1900s. Although school library media…

  2. Mentoring a New Library Media Specialist: A Model Relationship (United States)

    Creighton, Peggy Milam


    In this article, the author discusses her experiences mentoring new library media specialists for each of the past three years. She discusses the following topics: (1) What is a mentor?; (2) What exactly is the purpose of a mentor?; (3) Why mentor?; (4) What are the professional practices of a good mentor; (5) Building a professional toolbox; (6)…

  3. The Perception of Teachers and School Library Media Specialist on ...

    African Journals Online (AJOL)

    On the basis of the above, the teachers need to be trained so as to be fully aware of the role of school library media specialists in the school. Also, governments need to support the school administration in the area of funding particularly the funding of the school library media centre so as to meet the need of the students.

  4. Bursting with Potential: Mixing a Media Specialist's Palette (United States)

    Lamb, Annette


    School media specialists must be teachers, leaders, and advocates for reading, inquiry, and learning. Partnering with classroom teachers, they must design and implement curriculum and instruction that prepare young citizens for a life that requires thinking, inquiry, problem-solving and ethical behavior. These experiences provide the foundation…

  5. Sports in elementary school : Physical education specialists vs. group teachers

    NARCIS (Netherlands)

    dr. Remo Mombarg; Ben Moolenaar; Eralt Boers; Wouter de Groot


    The aim of the project is stimulating sport participation among elementary school children in the province of Friesland. The ultimate aim is to provide three hours of physical education, provided by an physical education specialist, plus two extra hours of sport activities. Part one is about

  6. Perioperative Clinical Nurse Specialist Role Delineation: A Systematic Review (United States)


    Nurs, 18(2), 138-143. Berger, A. M., Eilers, J. G., Heermann, J. A., Warren, J. J., Franco, T., & Triolo, P. K. State-of-the- art patient care: the...Nurse Spec, 5(1 ), 25-30. Cukr, P. L. Viva la difference! The nation needs both types of advanced practice nurses: clinical nurse specialists and nurse

  7. attitude of cleft care specialists in africa towards presurgical ...

    African Journals Online (AJOL)


    Dec 12, 2012 ... and Dentistry. In general, treatment protocol for patients with cleft lip and palate are pre-surgical orthopaedics, surgical repair of the lip , palate and specialist management of associated complications such as speech ,otology and dental anomalies. Pre- surgical ... facial aesthetics with minimal scar tissue .

  8. Use of professional profiles in applications for specialist training positions

    DEFF Research Database (Denmark)

    Lundh, Andreas; Skjelsager, Karen; Wildgaard, Kim


    The seven roles of the CanMEDS system have been implemented in Danish postgraduate medical training. For each medical specialty, a professional profile describes which elements of the seven roles the specialty deems important for applicants for a specialist training position. We investigated use...

  9. Professional Training of Specialists in International Marketing in Poland (United States)

    Zukowski, Wojciech


    Polish experience in training specialists in international marketing in the context of globalization and integration processes has been studied. A range of theoretical resources, namely Market Entry Strategy for Poland; the articles dedicated to international marketing and economy development (W. Grzegorczyk, M. Viachevskyi, M. Urbanetst); program…

  10. Payload specialist Al-Saud siting in middeck area (United States)


    Payload specialist Sultan Salman Abdelazize Al-Saud seated in a posture common to weightlessness as he logs notes in Discovery's middeck area. He has headphones on connected to a portable tape recorder. Behind him on the middeck lockers is a sign which reads 'Welcome to Riyadh'. On the other wall, a sleep restraint is attached to the lockers.

  11. Counselling Challenges and Strategies for Cochlear Implant Specialists (United States)

    English, Kris


    Cochlear implant specialists daily observe patients and families grapple with a wide range of emotions. As nonprofessional counsellors, we can help patients address those emotions by providing more opportunities to talk about their thoughts and feelings. This paper will review some familiar counselling challenges, such as the disappointment that…

  12. A report and sequelae of a specialist volunteer physician

    African Journals Online (AJOL)

    did ward rounds in the First Class and Professor Woodruff amenity wards .... care. • Lack of interdepartmental coordination: This particularly applied to the relationship between the public health programmes and hospital based clinical services. • Lack of ... registrar), registered nurses and specialists to ensure that there is a ...

  13. Training Peer Specialists in Cognitive Therapy Strategies for Recovery

    National Research Council Canada - National Science Library

    Cournos, Francine; Goldfinger, Stephen M; Perry, Yael; Murakami-Brundage, Jessica; Grant, Paul M; Beck, Aaron T


    ...-oriented cognitive therapy treatment milieu, we conducted a pilot program with certified peer specialists (CPSs) to provide them skills for working with individuals who have schizophrenia (consumers). Recovery-oriented cognitive therapy emphasizes individualized goal attainment: long-term goals are broken down into intermediate and short-term goals, and...

  14. Telemarketing. Curriculum Guides & Content Outlines for Telemarketing: Telemarketing Specialist. (United States)

    Shepard, Del

    This curriculum guide and content outline for the telemarketing specialist contains seven sections: (1) specialized telemarketing tasks; (2) telemarketing selling skills; (3) marketing tasks; (4) business-related tasks; (5) business-specific tasks; (6) personnel/human resources related; and (7) communications and minimum skill tasks. Each section…

  15. A Demographic Study of Certified Orientation and Mobility Specialists. (United States)

    Wiener, William R.; Siffermann, Eileen


    A survey of 217 AER-certified orientation and mobility specialists (COMSs) found the median annual income for full-time employed COMSs was $39,000. Of the respondents, 63.7 were women, 91.5 percent were white, and the median age was 43 years. The majority entering into the field had master's degrees. (Contains references.) (CR)

  16. Maternal Mortality At The State Specialist Hospital Bauchi, Northern ...

    African Journals Online (AJOL)

    Maternal Mortality At The State Specialist Hospital Bauchi, Northern Nigeria. ... The highest maternal death was in the adolescent mothers. The primigravidas had the ... communities providing important messages for a healthy pregnancy, and safe birth remain the bedrock of containing maternal mortality in our environment.

  17. Use of professional profiles in applications for specialist training positions

    DEFF Research Database (Denmark)

    Lundh, Andreas; Skjelsager, Karen; Wildgaard, Kim


    INTRODUCTION: The seven roles of the CanMEDS system have been implemented in Danish postgraduate medical training. For each medical specialty, a professional profile describes which elements of the seven roles the specialty deems important for applicants for a specialist training position. We inv...

  18. Specialisation and specialist education in prosthetic dentistry in Europe

    NARCIS (Netherlands)

    Owall, B.; Welfare, R.; Garefis, P.; Hedzelek, W.; Hobkirk, J.; Isidor, F.; Jerolimov, V.; Jokstad, A.; Kalk, W.; Kronstrom, M.; van der Kuij, P.; Mericske-Stern, R.; Naert, I.; Narhi, T.; Nilner, K.; Polyzois, G.; Setz, J.; User, A.; Zonnenberg, A.


    This presentation reports on the results of a meeting of prosthodontists from selected European countries. The aim of the meeting was to analyse and promote specialisation and specialist education in Prosthetic Dentistry in Europe. Representatives for Europe were selected from the European

  19. EDITORIAL Specialist Physicians (Family Medicine) in private practice

    African Journals Online (AJOL)

    fees with medical schemes. 3. The Academy should inform all its members of this development by communiqué, website and SAFP Journal article. The committee is to be tasked to formulate frameworks for the private practice of specialist physicians in family medicine. This to address: • Remuneration and engagement with ...

  20. Medical cost of Lassa fever treatment in Irrua Specialist Teaching ...

    African Journals Online (AJOL)

    This cross-sectional study sought to estimate the direct medical cost of Lassa fever treatment on patients in South-South Nigeria. All the 73 confirmed Lassa fever cases admitted in the isolation ward of the Institute Of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital (ISTH) Irrua, in Edo State, Nigeria, ...

  1. Science Specialists or Classroom Teachers: Who Should Teach Elementary Science? (United States)

    Levy, Abigail Jurist; Jia, Yueming; Marco-Bujosa, Lisa; Gess-Newsome, Julie; Pasquale, Marian


    This study examined science programs, instruction, and student outcomes at 30 elementary schools in a large, urban district in the northeast United States in an effort to understand whether there were meaningful differences in the quality, quantity and cost of science education when provided by a science specialist or a classroom teacher. Student…

  2. DOC questionnaire : measuring how GPs and medical specialists rate collaboration

    NARCIS (Netherlands)

    Berendsen, A.J.; Benneker, W.H.; Groenier, K.H.; Schuling, J.; Grol, R.P.; Meyboom-de Jong, B.


    PURPOSE: This paper aims to assess the validity of a questionnaire aimed at assessing how general practitioners (GPs) and specialists rate collaboration. DESIGN/METHODOLOGY/APPROACH: Primary data were collected in The Netherlands during March to September 2006. A cross-sectional study was conducted

  3. DOC questionnaire: measuring how GPs and medical specialists rate collaboration.

    NARCIS (Netherlands)

    Berendsen, A.J.; Benneker, W.H.; Groenier, K.H.; Schuling, J.; Grol, R.P.T.M.; Meyboom-de Jong, B.


    PURPOSE: This paper aims to assess the validity of a questionnaire aimed at assessing how general practitioners (GPs) and specialists rate collaboration. DESIGN/METHODOLOGY/APPROACH: Primary data were collected in The Netherlands during March to September 2006. A cross-sectional study was conducted

  4. Foursquare: A Health Education Specialist Checks-In--A Commentary (United States)

    Haithcox-Dennis, Melissa


    More and more, health education specialists are integrating technology into their work. Whereas most are familiar with social media sites like Facebook, Twitter and LinkedIn, one relatively new form of social media, location based services (LBS), may be less familiar. Developed in 2000, LBS are software applications that are accessible from a…

  5. A Phenomenological Study of Adult Non-Art Specialists

    African Journals Online (AJOL)

    This paper is based on a study of museum visitors' experience of paintings: in particular, the experience of adult non-art specialists. Phenomenology, a form of inquiry that seeks to articulate lived experience, provided the philosophical and methodological framework for the study. Descriptions and themes relating to the ...

  6. The Burden of Specialist Urologic Care in Abuja, Federal Capital ...

    African Journals Online (AJOL)

    The Burden of Specialist Urologic Care in Abuja, Federal Capital City, Nigeria: A Single Surgeons 4-Year Case Load. ... West African Journal of Medicine ... The mean ages for male children less than 1 year old was 6.9months and 3.1years for those older while the mean age the only 2 female children seen was 11years.

  7. Study Guide for Teacher Certification Test for Media Specialists. (United States)

    Smith, Jane Bandy

    This study guide is designed for individuals preparing to take the Georgia Teacher Certification Test (TCT) for media specialists. It provides two kinds of information--narratives and bibliographic references. Content objectives are covered for the areas of: (1) management and organization; (2) personnel administration; (3) instruction and…

  8. Flower visitation by generalists and specialists : Analysis of pollinator quality

    NARCIS (Netherlands)

    Kwak, MM; Velterop, O; Sommeijer, MJ; Francke, PJ


    Flowers of Scabiosa columbaria (Dipsacaceae) are visited by a large number of insect species, generalists and one specialist. Per population one insect species or group was dominant. Syrphids, bumblebee males and the day-active night moth Autographa gamma were the most numerous visitors in Dutch

  9. Music without a Music Specialist: A Primary School Story (United States)

    de Vries, Peter A.


    This case study focuses on generalist primary (elementary) school teachers teaching music in an Australian school. With the onus for teaching music moving away from the specialist music teacher to the generalist classroom teacher, this case study adds to a growing body of literature focusing on generalist primary school teachers and music…

  10. How much does the specialist know about cardiogastroenterology? (United States)

    Aguilar-Nájera, O; Valdovinos-García, L R; Tepox-Padrón, A; Valdovinos-Díaz, M A


    Cardiovascular disease is a growing public health problem. Forty percent of the general population will suffer from the disease by 2030, consequently requiring antithrombotic therapy. Cardiogastroenterology is a new area of knowledge that evaluates the gastrointestinal effects and complications of antithrombotic therapy. Our aim was to evaluate, through a validated questionnaire, the knowledge held by a group of specialists and residents in the areas of gastroenterology and internal medicine, about pharmacology and drug prescription, as well as gastrointestinal risks and complications, in relation to antithrombotic therapy. A validated questionnaire composed of 30 items was applied to a group of specialists and residents in the areas of gastroenterology and internal medicine. The questions were on indications, pharmacology, evaluation of risks for gastrointestinal bleeding and thromboembolic events, and use of antithrombotic therapy during endoscopic procedures. Sufficient knowledge was defined as 18 or more (≥ 60%) correct answers. The questionnaire was answered by 194 physicians: 82 (42%) internal medicine residents and gastroenterology residents and 112 (58%) specialists. Only 40 (20.6%) of the participants had sufficient knowledge of cardiogastroenterology. Residents had a higher number of correct answers than specialists (53 vs. 36%, P<.0001). The gastroenterology residents had more correct answers than the internal medicine residents, gastroenterologists, and internists (70 vs. 53, 40, and 46%, respectively, P<.001). Only residents had sufficient knowledge regarding pharmacology and the use of antithrombotic therapy in endoscopy (P<.0001). All groups had insufficient knowledge in evaluating the risk for gastrointestinal bleeding and thrombosis. Knowledge of cardiogastroenterology was insufficient in the group of residents and specialists surveyed. There is a need for medical education programs on the appropriate use of antithrombotic therapy. Copyright

  11. Webpages on copyright in Canadian academic libraries

    Directory of Open Access Journals (Sweden)

    Tony G Horava


    Full Text Available Academic libraries value the web as being a vital channel for communicating information and policies to their user community. Designing a webpage on copyright is a challenging task that requires a consideration of the medium and the message. This article proposes a conceptual model and proactive approach for integrating policy objective and goals into the development of a copyright webpage, based on key elements of the library’s involvement in academia. To complement this theoretical approach, an analysis of Canadian academic library websites was conducted in order to gage the effectiveness of copyright webpages, in the Canadian legal context, according to the model as well as related design issues of visibility and access.

  12. Asbestos in drinking water: a Canadian view

    Energy Technology Data Exchange (ETDEWEB)

    Toft, P.; Meek, M.E.


    Because of the widespread occurrence of chrysotile asbestos in drinking water supplies in Canada, public health professionals have been faced with evaluating the potential hazards associated with the ingestion of asbestos in food and drinking water. The results of available Canadian monitoring and epidemiologic studies of asbestos in drinking water are reviewed and discussed in light of other published work. The Canadian studies provide no consistent, convincing evidence of increased cancer risks attributable to the ingestion of drinking water contaminated by asbestos, even though the observed asbestos concentrations were relatively high in several communities. Only one study, conducted in the San Francisco Bay Area, has shown evidence of increased cancer incidence associated with the ingestion of asbestos in drinking water. 6 references.

  13. Canadian petroleum history bibliography. Release update

    Energy Technology Data Exchange (ETDEWEB)

    Cass, D.


    The petroleum history bibliography was created over several years as a record dedicated to preserving the history of the Canadian petroleum industry. It comprises a list of more than 5000 publications, including books, theses, films, audio tapes, published articles and stories of the many companies that have come and gone. It aims to include all publications and audio visual products from the Social Sciences and Humanities on company histories, biographies, autobiographies, fiction, poetry and humour. An author index is included. Most government documents are excluded as they are accessible through Library and Archives Canada. This bibliography is an ongoing piece of work, and welcomes any additions relating to the study and preservation of Canadian petroleum industry history.

  14. Youth De-Radicalization: A Canadian Framework

    Directory of Open Access Journals (Sweden)

    Hafal (Haval Ahmad


    Full Text Available Youth radicalization leading to violence has become a growing fear among Canadians, as terrorist attacks are carried out in Western states. Although Canada has suffered relatively fewer acts of violence, this fear has intensified and a de-radicalization strategy is needed in the Canadian context. In a qualitative case study methodology, interviews were conducted with school counsellors, religious leaders, and academics to explore solutions to youth radicalization. Youth de-radicalization approaches from the United Kingdom were analyzed and found that community-based initiatives were missing from programming. Social identity theory is used to explain that youth join radicalized groups to feel a sense of belonging and have to be provided an alternative and moderate group identity to de-radicalize. This study found youth de-radicalization in Canada is best served through a community collaboration approach.

  15. Committing Canadian sociology: developing a Canadian sociology and a sociology of Canada. (United States)

    Matthews, Ralph


    This paper is a slightly revised version of the author's "Outstanding Career Award Lecture" presented at the Annual Meeting of the Canadian Sociological Association in Victoria, British Columbia on June 6, 2013. The paper distinguishes between Canadian Sociology and the Sociology of Canada. The former involves the explanatory stance that one takes to understanding Canada. The latter addresses the significant social dimensions that underlie Canadian social organization, culture, and behavior. I make a case for a Canadian Sociology that focuses on the unique features of Canadian society rather than adopting a comparative perspective. I also argue that there is a continuing need within the Sociology of Canada to address the issues of staples development. However, I argue that "new" staples analysis must have a directional change from that of the past, in that social processes now largely determine the pattern of staples development. Moreover, new staples analysis must include issues that were never part of earlier staples analysis, such as issues of environmental impacts and of staples depletion under conditions, such as climate change. The paper concludes by analyzing four factors that provide the dominant social contexts for analyzing modern staples development: (1) the rise of neoliberal government, (2) the implementation of globalization and its social consequences, (3) the assumption of aboriginal rights and entitlement, and (4) the rise of environmentalism. These factors were generally not considered in earlier staples approaches. They are critical to understanding the role of staples development and its impact on Canada in the present time.

  16. Integrated environmental impact assessment: a Canadian example.


    Kwiatkowski, Roy E.; Ooi, Maria


    The Canadian federal process for environmental impact assessment (EIA) integrates health, social, and environmental aspects into either a screening, comprehensive study, or a review by a public panel, depending on the expected severity of potential adverse environmental effects. In this example, a Public Review Panel considered a proposed diamond mining project in Canada's northern territories, where 50% of the population are Aboriginals. The Panel specifically instructed the project proposer...

  17. 2003 Canadian Asthma Consensus Guidelines Executive Summary

    Directory of Open Access Journals (Sweden)

    Becker Allan


    Full Text Available Abstract Background Guidelines for the diagnosis and management of asthma have been published over the last 15 years; however, there has been little focus on issues relating to asthma in childhood. Since the last revision of the 1999 Canadian Asthma Consensus Report, important new studies, particularly in children, have highlighted the need to incorporate new information into the asthma guidelines. The objectives of this article are to review the literature on asthma published between January 2000 and June 2003 and to evaluate the influence of new evidence on the recommendations made in the 1999 Canadian Asthma Consensus Report and its 2001 update, with a major focus on pediatric issues. Methods The diagnosis of asthma in young children and prevention strategies, pharmacotherapy, inhalation devices, immunotherapy, and asthma education were selected for review by small expert resource groups. The reviews were discussed in June 2003 at a meeting under the auspices of the Canadian Network For Asthma Care and the Canadian Thoracic Society. Data published through December 2004 were subsequently reviewed by the individual expert resource groups. Results This report evaluates early-life prevention strategies and focuses on treatment of asthma in children, emphasizing the importance of early diagnosis and preventive therapy, the benefits of additional therapy, and the essential role of asthma education. Conclusion We generally support previous recommendations and focus on new issues, particularly those relevant to children and their families. This document is a guide for asthma management based on the best available published data and the opinion of health care professionals, including asthma experts and educators.

  18. Asbestos in drinking water: a Canadian view.


    Toft, P; Meek, M E


    For several years now, public health professionals have been faced with evaluating the potential hazards associated with the ingestion of asbestos in food and drinking water. In Canada, this is a subject of particular concern, because of the widespread occurrence of chrysotile asbestos in drinking water supplies. The results of available Canadian monitoring and epidemiologic studies of asbestos in drinking water are reviewed and discussed in light of other published work. It is concluded that...

  19. Guide to Canadian Aerospace-Related Industries (United States)


    ATR42 , Saab 340, Fokker HISTORY. Calian Communications Systems (CCS) is a wholly Canadian- F-28, Fokker F-50, Fokker F- 100, CL-600, and Citation 500...rough field usage, advanced material applications, and crash - systems and black boxes. This is typified by the microprocessor- worthiness features for...Avionics; Beacons; Build- To-Print Cockpit Displays; Communications; Crash Position Indicator; CONTACT- John Wandell, Senior Vice President of Sales- Digital

  20. Canadian Multiculturalism, Same as it ever Was?

    Directory of Open Access Journals (Sweden)

    Kathleen Hoyos


    Full Text Available After the Second World War ended, Canada was no longer mainly composed of its two dominant ethnocultural groups, French and English, but rather constituted by polyethnicity; meaning, Canadian culture was made up of many different ethnic groups. Since then, Canada has actively embraced multiculturalism and on 12 July 1988, the House of Commons passed Bill C-93, ‘An Act for the preservation and enhancement of multiculturalism in Canada’. The Canadian multicultural experience has been much portrayed as a celebration of ethnicity where different cultural groups share their customs and learn from each other. However, it is recently being rumoured that the multiculturalism hype is not all it is cut out to be and segregates communities rather than integrate. According to Canadian authors Keith Banting and Will Kymlicka, “in much of the world and particularly in Europe, there is a widespread perception that multiculturalism has failed” (44. In this paper, I examine some recent common issues of concern, especially, racism and discrimination, through the literary expression of Canadian playwrights and writers such as George F. Walker, Cecil Foster, and Mordecai Richler. These writers are not meant to represent any ethnic group as a whole, but rather try to project a general feeling about the nation in individual ways. I will finally explore the idea of how perhaps multiculturalism in Canada is evolving into another state since migratory patterns and the social circumstances that Canada is facing in the 21st century have changed. Today, the idea of celebrating different ethnicities and customs is no longer as important as celebrating the transcultural or “transnational” aspects of relations between individuals and groups of immigrants.

  1. Guide to Canadian Aerospace Related Industries, (United States)


    color-coded to alert the pilot to dangerous ions and to provide easy readability, thus improving safety and reducing pilot workload. Digital readouts...Biogradiometer - a biomagnetic sensor/dewar combination designed to detect the third spatial gradient with a high sensitivity only to very near...34 Research on preconcentration for ion mobility spectrometer relating to detection of explosive vapors in air at trace levels (Canadian Department of

  2. The Canadian Assessment of Physical literacy

    DEFF Research Database (Denmark)

    Francis, Claire E; Longmuir, Patricia E; Boyer, Charles


    Background: The Canadian Assessment of Physical Literacy (CAPL) was conceptualized as a tool to monitor children's physical literacy. The original model (fitness, activity behavior, knowledge, motor skill) required revision and relative weights for calculating/interpreting scores were required...... opinions remained regarding the inclusion of sleep time, assessment/scoring of the obstacle course assessment of motor skill, and the need for an overall physical literacy classification. Conclusions: The revised CAPL model (overlapping domains of physical competence, motivation, and knowledge, encompassed...

  3. Canadian Petroleum Products Inst. annual report, 1990

    Energy Technology Data Exchange (ETDEWEB)


    The Canadian Petroleum Products Institute (CPPI) was created in 1989 as a nonprofit association of Canadian refiners and marketers of petroleum products. In 1991, the Atlantic Petroleum Association, the Quebec Petroleum Association, the Ontario Petroleum Association, the Canada West Petroleum Association, and the Petroleum Association for Conservation of the Canadian Environment (PACE) were integrated into the CPPI. The objective of the CPPI is to serve and represent the refining and marketing sectors of the petroleum industry with respect to environment, health and safety, and business issues. A report is presented of the year's activities arranged by regional division. Major developments include a used oil management plan, creation of two new oil spill response centers in Nova Scotia and Quebec, CPPI's intervention in the Public Review Panel on Tanker Safety and Marine Spill Response, participation in the federal government's Green Plan, and member reviews of a number of operational issues such as lowering benzene emission levels, reducing sulfur content of diesel fuel, and minimizing pollutant levels at fuel transfer sites. Lists of CPPI publications, standing committees, and officers are also included.

  4. Establishing a Research Agenda for Understanding the Role and Impact of Mental Health Peer Specialists. (United States)

    Chinman, Matthew; McInnes, D Keith; Eisen, Susan; Ellison, Marsha; Farkas, Marianne; Armstrong, Moe; Resnick, Sandra G


    Mental health peer specialists are individuals with serious mental illnesses who receive training to use their lived experiences to help others with serious mental illnesses in clinical settings. This Open Forum discusses the state of the research for mental health peer specialists and suggests a research agenda to advance the field. Studies have suggested that peer specialists vary widely in their roles, settings, and theoretical orientations. Theories of action have been proposed, but none have been tested. Outcome studies have shown benefits of peer specialists; however, many studies have methodological shortcomings. Qualitative descriptions of peer specialists are plentiful but lack grounding in implementation science frameworks. A research agenda advancing the field could include empirically testing theoretical mechanisms of peer specialists, developing a measure of peer specialist fidelity, conducting more rigorous outcomes studies, involving peer specialists in executing the research, and assessing various factors that influence implementing peer specialist services and testing strategies that could address those factors.

  5. Canadian Petroleum Products Inst. annual report, 1991. Canadian Petroleum Products Inst. , rapport annuel 1991

    Energy Technology Data Exchange (ETDEWEB)


    The Canadian Petroleum Products Institute (CPPI) was created in 1989 as a nonprofit association of Canadian refiners and marketers of petroleum products. In 1991, the Atlantic Petroleum Association, the Quebec Petroleum Association, the Ontario Petroleum Association, the Canada West Petroleum Association, and the Petroleum Association for Conservation of the Canadian Environment (PACE) were integrated into the CPPI. The objective of the CPPI is to serve and represent the refining and marketing sectors of the petroleum industry with respect to environment, health and safety, and business issues. An industry overview is provided, as well as highlights of environmental achievements and challenges, and economics and operations for the year. Lists of CPPI publications, standing committees, and officers are also included. 9 figs.

  6. The Canadian elder standard - pricing the cost of basic needs for the Canadian elderly. (United States)

    MacDonald, Bonnie-Jeanne; Andrews, Doug; Brown, Robert L


    We determined the after-tax income required to finance basic needs for Canadian elders living with different circumstances in terms of age, gender, city of residence, household size, homeowner or renter status, means of transportation, and health status. Using 2001 as our base year, we priced the typical expenses for food, shelter, medical, transportation, miscellaneous basic living items and home-based long-term care for elders living in five Canadian cities. This is the first Canadian study of basic living expenses tailored to elders instead of adults in general, prepared on an absolute rather than a relative basis. We also accounted for an individual's unique life circumstances and established the varying effect that they have on the cost of basic expenses, particularly for home care. We found that the maximum Guaranteed Income Supplement and Old Age Security benefit did not meet the cost of basic needs for an elder living in poor circumstances.

  7. [Collaboration between occupational physicians and other specialists including insurance physicians]. (United States)

    Rijkenberg, A M; van Sprundel, M; Stassijns, G


    Collaboration between various stakeholders is essential for a well-operating vocational rehabilitation process. Researchers have mentioned, among other players, insurance physicians, the curative sector and employers. In 2011 the WHO organised the congress "Connecting Health and Labour: What role for occupational health in primary care". The congress was also attended by representatives of the WONCA (World Organisations of Family Medicine). In general, everyone agreed that occupational health aspects should continue to be seen as an integral part of primary health care. However, it is not easy to find literature on this subject. For this reason we conducted a review. We searched for literature relating to collaboration with occupational physicians in Dutch, English and German between 2001 and autumn 2011. Our attention focused on cooperation with specialists and insurance physicians. Therefore, we searched PUBMED using MeSH terms and made use of the database from the "Tijdschrift voor bedrijfs- en verzekeringsgeneeskunde (TBV) [Dutch Journal for Occupational - and Insurance Medicine]". We also checked the database from the "Deutsches Arzteblatt [German Medical Journal]" and made use of the online catalogue from THIEME - eJOURNALS. Last but not least, I used the online catalogue from the German paper "Arbeits -, Sozial -, Umweltmedizin [Occupational -, Social -, Milieu Medicine]". Additionally, we made use of the "snowball - method" to find relevant literature. We found many references to this subject. The Netherlands in particular has done a lot of research in this field. However, there is little research on the cooperation between occupational physicians and specialists; in particular insurance physicians. This is interesting, because several authors have mentioned its importance. However, cooperation with other specialists seems not to be the norm. Therefore, cooperation between curative physicians (specialists but also family doctors), insurance physicians and

  8. Stars For Citizens With Urban Star Parks and Lighting Specialists (United States)

    Grigore, Valentin


    General contextOne hundred years ago, almost nobody imagine a life without stars every night even in the urban areas. Now, to see a starry sky is a special event for urban citizens.It is possible to see the stars even inside cities? Yes, but for that we need star parks and lighting specialists as partners.Educational aspectThe citizens must be able to identify the planets, constellations and other celestial objects in their urban residence. This is part of a basic education. The number of the people living in the urban area who never see the main constellations or important stars increase every year. We must do something for our urban community.What is an urban star park?An urban public park where we can see the main constellations can be considered an urban star park. There can be organized a lot of activities as practical lessons of astronomy, star parties, etc.Classification of the urban star parksA proposal for classification of the urban star parks taking in consideration the quality of the sky and the number of the city inhabitants:Two categories:- city star parks for cities with parks for cities with > 100.000 inhabitantsFive levels of quality:- 1* level = can see stars of at least 1 magnitude with the naked eyes- 2* level = at least 2 mag- 3* level = at least 3 mag- 4* level= at least 4 mag- 5* level = at least 5 magThe urban star urban park structure and lighting systemA possible structure of a urban star park and sky-friend lighting including non-electric illumination are descripted.The International Commission on IlluminationA description of this structure which has as members national commissions from all over the world.Dark-sky activists - lighting specialistsNational Commissions on Illumination organize courses of lighting specialist. Dark-sky activists can become lighting specialists. The author shows his experience in this aspect as a recent lighting specialist and his cooperation with the Romanian National Commission on Illumination working for a

  9. Nation, Genre and Female Performance in Canadian Cinema

    Directory of Open Access Journals (Sweden)

    Murat Akser


    Full Text Available This paper outlines a theory of sytle and performance in Canadian film based on geography, gender and genre. It is possible to form a theory of Canadian cinema based on theme-genre (strong women, nature as oppressor in dysfunctional family melodramas in which female characters, as well as their personas, interact with both a physical geography and a social space to define a Canadian identity.

  10. Obstructive Sleep Apnea and Driving: A Canadian Thoracic Society and Canadian Sleep Society Position Paper

    Directory of Open Access Journals (Sweden)

    Najib Ayas


    Full Text Available Individuals with obstructive sleep apnea (OSA experience sleep fragmentation and poor sleep quality that results in daytime sleepiness, which impairs performance during driving and leads to an increased risk for collisions. Not surprisingly, observational studies have shown that patients with OSA experience a two- to 10-fold higher risk for collision compared with healthy controls. Although treatment would clearly mitigate these risks, there is no current Canadian position on driving and OSA. This article, the first Canadian position statement addressing the issue, provides an overview of provincial regulations and proposes recommendations with regard to driving in patients with OSA.

  11. Public Opinion on Canadian Arctic Sovereignty and Security

    National Research Council Canada - National Science Library

    Mathieu Landriault


    .... An examination of 18 opinion polls conducted between 2006 and 2015 that questioned respondents directly or indirectly on circumpolar affairs concluded that Canadians do not prioritize the Arctic...

  12. Consensus statement: the development of a national Canadian Migraine Strategy. (United States)

    Becker, W J; Christie, S N; Mackie, G; Cooper, P


    Migraine is a significant cause of suffering and disability in the Canadian population, and imposes a major cost on Canadian Society. Based on current medical science, much more could be done to provide better comprehensive medical care to the millions of individuals with migraine in Canada. To propose and design a national Canadian Migraine Strategy which could be implemented to reduce migraine related disability in Canada. A multidisciplinary task force of the Canadian Headache Society met for a Canadian Migraine Summit Meeting in Halifax, Nova Scotia in June, 2009. Pertinent literature was reviewed and a consensus document was produced based upon the round table discussion at the meeting. The outline of a national Canadian Migraine Strategy was created. This strategy is based on the chronic disease management model, and would include: an outline of what constitutes appropriate migraine care for Canadians, educational programs (for health care professionals, individuals with migraine, and the general public), research programs, and the development of the necessary organizations and partnerships to develop further and implement the Canadian Migraine Strategy. Based upon the medical literature and expert discussion at the meeting, a national Canadian Migraine Strategy with a patient self-management focus has the potential to improve patient care and reduce headache related disability in Canada.

  13. Contesting Family in Finnish and Canadian Immigration and Refugee Policy

    National Research Council Canada - National Science Library

    Lippert, Randy K; Pyykkönen, Miikka


    Adopting a governmentality perspective, this article explores the multi-conceptuality of family in Finnish and Canadian immigration and refugee policy domains by analyzing official and political discourse...

  14. Women's health promotion in the rural church: a Canadian perspective. (United States)

    Plunkett, Robyn; Leipert, Beverly D


    The rural church may be an effective health resource for rural Canadian women who have compromised access to health resources. The purpose of this paper is to explore the relevance of the Christian church and faith community nurses in promoting the health of rural Canadian women in the evolving rural context. The findings from an extensive literature search reveal that religion and spirituality often influence the health beliefs, behaviors, and decisions of rural Canadian women. The church and faith community nurses may therefore be a significant health resource for rural Canadian women, although this phenomenon has been significantly understudied.

  15. Struggling doctors in specialist training: a case control study

    DEFF Research Database (Denmark)

    O'Neill, Lotte; Norberg, Karen; Thomsen, Maria

    , James D. Risk factors at medical school for subsequent professional misconduct: multicenter retrospective case-control study. BMJ 2010;340:c2040. Evans DE, Alstead EM, Brown J. Applying your clinical skills to students and trainees in academic difficulty. Clin Teach 2010;7(4):230-235. Yao DC, Wright SM....... The challenge of problem residents. J Gen Intern Med 2001;16:486-492. Papadakis MA, Hodgson CS, Theherani A, Kohatsu ND. Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board. Acad Med 2004;79:244-249. Ringsted C, Hodges B, Scherpbier A. ‘The...... seemed to predict struggling in postgraduate education if any. The study design is rooted in epidemiological methodology. Struggling doctors in specialist training: a case-control study. It has been reported in the international literature, that around 3-10% of doctors in post-garduate specialist...

  16. Translational health research: perspectives from health education specialists. (United States)

    Mata, Holly J; Davis, Sharon


    The phrase "from bench to bedside to curbside" is a common definition of translational research among health disparities researchers. Health Education Specialists can make important contributions to the field of clinical translational medicine, particularly in light of U.S. health care reform and a renewed emphasis on medical home or health care home models.Health Education Specialists have the training and experience to engage in and facilitate translational research, as well as the opportunity to learn from the translational efforts of other professions and enhance our research, practice, and community partnerships through translational efforts. In this paper, a Translational Health Education Research framework for health education researchers is suggested to foster increased translational efforts within our profession as well as to promote interdisciplinary collaborations to translate a variety of health-related research. A conceptual framework adapted from translational health disparities research that highlights the level and scope of translational research necessary for changes in practice and policy is also provided.

  17. STS-93 Mission Specialist Cady Coleman suits up for launch (United States)


    For the third time, during final launch preparations in the Operations and Checkout Building, STS-93 Mission Specialist Catherine G. Coleman (Ph.D.) dons her launch and entry suit. After Space Shuttle Columbia's July 20 and 22 launch attempts were scrubbed, the launch was again rescheduled for Friday, July 23, at 12:24 a.m. EDT. STS-93 is a five-day mission primarily to release the Chandra X-ray Observatory, which will allow scientists from around the world to study some of the most distant, powerful and dynamic objects in the universe. The STS-93 crew numbers five: Commander Eileen M. Collins, Pilot Jeffrey S. Ashby, and Mission Specialists Stephen A. Hawley (Ph.D.), Coleman, and Michel Tognini of France, with the Centre National d'Etudes Spatiales (CNES). Collins is the first woman to serve as commander of a shuttle mission.

  18. Some milestones: specialist education, training and assessment in Singapore. (United States)

    Chew, Chin Hin


    Singapore had its most significant milestone in 1905 when the Singapore Medical School was founded. The Academy of Medicine, founded in 1957, celebrates its Golden Anniversary in 2007. Thus, the events that influenced the development of postgraduate medicine, specialist education, training and examinations commenced rightly from 1957. These are presented chronologically. The significant roles played by the Academy, the University's Medical School and the Ministry of Health are highlighted, bearing in mind the ongoing developments in Singapore and globally over the years. To keep pace with the further developments and advances, the high gold standards in specialist training and assessment need to be refined with time. This can only be to the benefit of our patients and the community in Singapore and beyond.

  19. Physical perfection of future specialists to the management.

    Directory of Open Access Journals (Sweden)

    Dolinnyj U.A.


    Full Text Available The process of leadthrough of practical employments is considered on physical education on an experimental model, which are directed on the increase of reserve possibilities of organism of future specialists of management. In an experiment took part 30 students of 2 and 3 courses. It is set that management specialists for high-quality implementation of work need a high mental capacity, enhanceable psychoemotional firmness, general endurance. Directions of prophylaxis of emotional and physical overstrain are recommended, increases of level of positive motivation to systematic employments by physical exercises. It is marked that an experimental model in combination with the fixed form of leadthrough of employments on a body-conditioning and employments on specialization of the chosen type of sport is one the stages of alteration organizationally of methodical aspects of physical culture.

  20. Not whale-fall specialists, Osedax worms also consume fishbones. (United States)

    Rouse, Greg W; Goffredi, Shana K; Johnson, Shannon B; Vrijenhoek, Robert C


    Marine annelid worms of the genus Osedax exploit sunken vertebrate bones for food. To date, the named species occur on whale or other mammalian bones, and it is argued that Osedax is a whale-fall specialist. To assess whether extant Osedax species could obtain nutrition from non-mammalian resources, we deployed teleost bones and calcified shark cartilage at approximately 1000 m depth for five months. Although the evidence from shark cartilage was inconclusive, the teleost bones hosted three species of Osedax, each of which also lives off whalebones. This suggests that rather than being a whale-fall specialist, Osedax has exploited and continues to exploit a variety of food sources. The ability of Osedax to colonize and to grow on fishbone lends credibility to a hypothesis that it might have split from its siboglinid relatives to assume the bone-eating lifestyle during the Cretaceous, well before the origin of marine mammals.

  1. STS-86 Mission Specialist Jean-Loup Chretien at TCDT (United States)


    STS-86 Mission Specialist Jean-Loup J.M. Chretien of the French Space Agency, CNES, participates in Terminal Countdown Demonstration Test (TCDT) activities at Launch Pad 39A. This will be his third spaceflight, but first on the Space Shuttle. He flew twice as a research-cosmonaut on Russian missions. STS-86 will be the seventh docking of the Space Shuttle with the Russian Space Station Mir. During the docking, STS-86 Mission Specialist David A. Wolf will transfer to the orbiting Russian station and become a member of the Mir 24 crew, replacing U.S. astronaut C. Michael Foale, who has been on the Mir since the last docking mission, STS-84, in May. Launch of Mission STS-86 aboard the Space Shuttle Atlantis is targeted for Sept. 25.

  2. Surveying air traffic control specialist perception of scheduling regulations (United States)

    Thompson, Darrius E.

    While there have been several studies conducted on air traffic controller fatigue, there is a lack of research on the subject since the scheduling policy changes that took place in 2012. The effectiveness of these changes has yet to be measured. The goal of this study was to investigate air traffic control specialist views towards the number of hours scheduled between shifts, changes in perception since 2012 regulation changes, and external factors that impact fatigue. A total of 54 FAA air traffic control specialist completed an online questionnaire. The results from the survey showed that the majority of respondents felt the 2012 regulation changes were not sufficient to address fatigue issues, and work with some amount sleep deprivation. The factors that appeared to have the most significant effect on fatigue included facility level, age group, availability of recuperative breaks, and children under 18 in the home.

  3. The opinions of Finnish specialist physicians on social security system

    Directory of Open Access Journals (Sweden)

    Arttu O Saarinen


    Full Text Available

    Background: We can argue that opinions are considered to be part of the physician’s professional identity. Professional identity has been considered a result of learning. After graduation physicians usually continue to study to gain a specialisation, and we can assume that this process affects their opinions because every specialty has its own “cultural climate”. Also, specialists have different views towards the welfare state because, for example, of the fact that they work with different types of population groups.

    Aim of the study: In this article we will describe how specialists feel about the current level of social security in Finland.

    Methods: The empirical analysis in our study is based on postal survey. The 2000 working age physicians’ random survey sample was picked from the register of the Finnish Medical Association (n=1092, response rate 54,6 %. The whole questionnaire included questions dealing with social security, health policy and health care system. The data was analysed using means and multinomial logistic regression analysis.

    Results: This study shows that surgeons and radiologists are the most critical of social security. These groups often think that social security is excessive. In contrast, psychiatrists show a stronger tendency to support social security. All in all, Finnish specialists are more critical of the social security system than are nonspecialised physicians.

    Conclusions: There are many similarities between Nordic countries when we look at the historical role of medical profession. We can also assume that specialist physicians' opinions on social security are quite similar compared to those of other Nordic countries.

  4. Contemporary challenges for specialist nursing in interstitial lung disease

    Directory of Open Access Journals (Sweden)

    Anne Marie Russell


    To explain the similarities and differences between clinical nurse specialists (CNSs and advanced nurse practitioners (ANPs in the context of ILD specialism To review contemporary nursing specialism in the UK’s government subsidised healthcare system To stimulate discussion and debate across the European/international respiratory community regarding the clinical and academic development of the ILD CNS To identify key priorities that will support collaboration across the ILD interdisciplinary workforce in clinical practice and research

  5. Commissioning of specialist palliative care services in England. (United States)

    Lancaster, Harriet; Finlay, Ilora; Downman, Maxwell; Dumas, James


    Some failures in end-of-life care have been attributed to inconsistent provision of palliative care across England. We aimed to explore the variation in commissioning of services by Clinical Commissioning Groups (CCGs) using a data collection exercise. We sent a Freedom of Information request in the form of an open questionnaire to all 209 CCGs in England to assess their commissioning of palliative and end-of-life care services, mainly focused on the provision of specialist palliative care services. 29 CCGs provided information about the number of patients with some form of palliative care needs in their population. For specialist palliative care services, CCGs allocated budgets ranging from £51.83 to £2329.19 per patient per annum. 163 CCGs (77.90%) currently commission 7-day admission to their specialist palliative care beds. 82.84% of CCGs commission 7-day specialist palliative care services in patients' own homes and out-of-hours services rely heavily on hospice provision. 64 CCGs (31.37%) commission pain control teams, the majority of whom only operate in regular working hours. 68.14% of CCGs reported commissioning palliative care education of any sort for healthcare professionals and 44.85% of CCGs had no plans to update or review their palliative care services. The most important finding from this exercise is that the information CCGs hold about their population and services is not standardised. However, information based on data that are more objective, for example, population and total budget for palliative care, demonstrate wide variations in commissioning. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  6. STS-88 Mission Specialist Krikalev prepares to enter Endeavour (United States)


    STS-88 Mission Specialist Sergei Konstantinovich Krikalev, a Russian cosmonaut, is assisted with his ascent and re-entry flight suit in the white room at Launch Pad 39A before entering Space Shuttle Endeavour for launch. During the nearly 12-day mission, the six-member crew will mate the first two elements of the International Space Station -- the already-orbiting Zarya control module with the Unity connecting module carried by Endeavour. He is making his fourth spaceflight.

  7. Caring for cancer patients on non-specialist wards.

    LENUS (Irish Health Repository)

    Gill, Finola


    As cancer is the leading cause of death worldwide, every nurse will be required to care for patients with the condition at some point in his\\/her career. However, non-specialized oncology nurses are often ill-prepared to nurse patients suffering from cancer. This literature review aims to provide an overview of current trends and developments in cancer care nursing in an attempt to identify the range of previous research pertaining to caring for patients with cancer on non-specialist wards. The review finds that non-specialized cancer nurses report a lack of education and training with regard to cancer care and cancer treatments, which acts as a barrier to providing quality nursing care. Emotional and communication issues with patients and their families can also cause non-specialist nurses significant distress. International research has shown that specialist oncology nurses make a considerable difference to physical and psychosocial patient care. It is therefore paramount that non-speciality nurses\\' educational needs are met to develop clinical competence and to provide supportive holistic care for both patients and their families.

  8. Applying research to practice: generalist and specialist (visual ergonomics) consultancy. (United States)

    Long, Jennifer; Long, Airdrie


    Ergonomics is a holistic discipline encompassing a wide range of special interest groups. The role of an ergonomics consultant is to provide integrated solutions to improve comfort, safety and productivity. In Australia, there are two types of consultants--generalists and specialists. Both have training in ergonomics but specialist knowledge may be the result of previous education or work experience. This paper presents three projects illustrating generalist and specialist (visual ergonomics) consultancy: development of a vision screening protocol, solving visual discomfort in an office environment and solving postural discomfort in heavy industry. These case studies demonstrate how multiple ergonomics consultants may work together to solve ergonomics problems. It also describes some of the challenges for consultants, for those engaging their services and for the ergonomics profession, e.g. recognizing the boundaries of expertise, sharing information with business competitors, the costs-benefits of engaging multiple consultants and the risk of fragmentation of ergonomics knowledge and solutions. Since ergonomics problems are often multifaceted, ergonomics consultants should have a solid grounding in all domains of ergonomics, even if they ultimately only practice in one specialty or domain. This will benefit the profession and ensure that ergonomics remains a holistic discipline.

  9. Neurofibromatosis and the role of the specialist adviser. (United States)

    Redman, Carolyn


    Neurofibromatosis (NF) is a genetic condition that mainly involves the nervous system. There are two types: NF1 affects about one in 2,500 of the population worldwide and NF2 affects one in 35,000. Both types result in complex health problems for patients and can pose significant challenges for all those involved in their management. Established in 1981, The Neuro Foundation is a patient-focused charity that funds a network of specialist advisers who work in partnership with the NHS to offer support and advice for families affected by NF and the professionals who care for them. With a significant level of autonomy, the specialist adviser role is flexible in matching the needs of those affected while working cooperatively alongside the national specialist services for NF1 and NF2. ©2012 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

  10. From Humanizing the Educational Process to Professionally Mobile Specialists Training

    Directory of Open Access Journals (Sweden)

    T. A. Fugelova


    Full Text Available Training professional mobile specialists capable of responding flexibly to dynamic changes in society is considered to be the most important issue of the modern educational system. The paper justifies the idea that technical universities should take responsibility for solving this problem by means of humanization of technical education, which implies reconsidering its values and general notions. For overcoming the technocratic trends, the author recommends to cultivate the value of professionalism in the humanization context.Professionalism is defined by using the «professional service» idea as a «purpose acknowledgment, supertask, even a mission». The main components of the above attitude lie in finding the harmony with the world and its basic values. Therefore, technical universities face the challenge of training people of intelligence with a high moral and business responsibility. The basic value of such a person is regarded as «dedication to the cause» - the constant desire to improve the world and leave behind them- selves something of value to society. For training such specialists, the educational process should provide teachers dialogue and collaboration with students to facilitate the process of self-determination and self-development of the prospective specialists

  11. Acculturation in the Professional Activities of Specialists in International Relations

    Directory of Open Access Journals (Sweden)

    Nadezhda Romanenko


    Full Text Available The article discusses the phenomenon of acculturation in the professional activities of international profile in terms of intercultural communication. The author emphasizes that acculturation problems related to intercultural communication have not only domestic but also international dimension. The article presents the theory and methodology of acculturation problems at different stages ofdevelopment of foreign and domestic scholars (specialists in cultural studies, ethnographers, ethnosociologists and specifies the defference between the concepts of acculturation and assimilation of national and regional cultures. It further describes the strategy of acculturation (separation, marginalization, integration, emphasizes the role of integration strategy that makes it possible to preserve the cultural identity of a specialist in international relations along with an awareness of the regional culture of the host country. Special attention is given to the task of the university in preventing possible assimilation of future specialists in international relations and building "immunity" to the cultural (regional adaptation and sustainable cultural identity as a representative the Russia. The article marks the mission of Russian culture as a medium of traditions, moral and spiritual values that built the Russian nation as a single community and state. The author writes that ethno-cultural component brings together many cultures, ethnic groups and nationalities of Russia, forms a common multicultural ground and brings about the need for cross-cultural awareness in international relations. That is confirmed by the State Federal Standard of Higher Education which describes specific competences that students of international relations are supposed to possess.

  12. Clinical nurse specialist education: actualizing the systems leadership competency. (United States)

    Thompson, Cathy J; Nelson-Marten, Paula


    The purpose of this article was to show how sequenced educational strategies aid in the acquisition of systems leadership and change agent skills, as well as other essential skills for professional clinical nurse specialist (CNS) practice. Clinical nurse specialist education offers the graduate student both didactic and clinical experiences to help the student transition into the CNS role. Clinical nurse specialist faculty have a responsibility to prepare students for the realities of advanced practice. Systems leadership is an integral competency of CNS practice. The contemporary CNS is to be a leader in the translation of evidence into practice. To assist students to acquire this competency, all CNS students are expected to use research and other sources of evidence to identify, design, implement, and evaluate a specific practice change. Anecdotal comments from students completing the projects are offered. Student projects have been focused in acute and critical care, palliative care, and adult/gerontologic health clinical settings; community outreach has been the focus of a few change projects. Examples of student projects related to the systems leadership competency and correlated to the spheres of influence impacted are presented.

  13. Is a pan-Canadian early child development system possible? Yes, when we redress what ails Canadian culture


    Kershaw, Paul; Anderson, Lynell


    Canada lags behind other countries when it comes to investing in families with children. Canada, therefore, fails to promote health by not optimizing early development. The authors diagnose the Canadian failure. The problem is not research or fiscal capacity, but rather a sickness in Canadian culture. Four ailments are identified: Canadians are convinced they cannot afford new social investments, tend to treat illness rather than promote health, ignore that good family policy requires gender ...

  14. Education of specialists-cartographers in Lviv Polytechnic National University

    Directory of Open Access Journals (Sweden)

    Наталія Ярема


    Full Text Available This paper describes the system of future specialists-cartographers education in Lviv polytechnic national university. Main targets of the department of cartography and geospatial modelling are listed. Key research areas of the department, the educational specifics of students at «Bachelor» and «Master‘s» levels are described. At present, the main task of the department is to train specialists with good knowledge of cartographic investigation method, GIS technologies, because digital cartography, web-mapping, web-portal are things of the future. Cartography specialists must know how to create traditional maps (topographic, thematic, tourist using computer technologies and electronic maps that can be used in the creation of GIS systems, informational resources in navigation, military affairs and so on. The main scientific direction of the department is general geographic and thematic mapping, GIS mapping and development of GIS, history of the cartography, mathematic modelling in geodesy, astronomy and geophysics. The department trains bachelors on specialty 103 «Earth sciences», specialization 103.02 «Cartography». The feature of master’s education is maximum approach to education content for future employment. Master degree students are improving their professional knowledge and skills received during their study for the bachelor’s degree. They are deeply studying modern methods of cartographic digital terrain models with GIS technologies, combining their work with development of cartographic databases. They get acquainted with the principles of base sets of geospatial data, conduct thematic evaluation and forecast maps, using GIS. The students also study methods and order of design, edition, and maps development in detail. Modern mapping needs to be more efficient in the use of both natural and human resources, reflect a complex system man - society - environment. Such problem can be solved using various modeling techniques with

  15. Canadian Pediatric Weight Management Registry (CANPWR): baseline descriptive statistics and comparison to Canadian norms. (United States)

    Tremblay, Mark S; Feng, Min; Garriguet, Didier; Ball, Geoff D C; Buchholz, Annick; Chanoine, Jean-Pierre; Lambert, Marie; Morrison, Katherine M


    A pilot study was conducted to assess the feasibility of establishing a multi-site CANadian Pediatric Weight management Registry (CANPWR) containing individual, family and weight management program information. Standardized baseline data were collected to characterize CANPWR participants (n = 310) in comparison to a sample of age-matched Canadian children measured in the nationally representative Canadian Health Measures Survey (CHMS; n = 3,788). This study compared demographic, anthropometric, cardiometabolic and lifestyle characteristics of participants (aged 6-17 years) in the CANPWR pilot study with those from the CHMS. Compared to CHMS respondents, CANPWR participants had higher BMI z-score, waist circumference, blood pressure, total cholesterol, LDL cholesterol, triglycerides and fasting glucose, and lower HDL cholesterol. They reported lower sugared drink consumption, were more likely to be non-white and had parents with lower education. The CANPWR cohort represents a group that has biological and behavioral profiles that place them at increased health risk and who differ significantly from typical Canadians of the same age.

  16. The Canadian Niagara Power Company story

    Energy Technology Data Exchange (ETDEWEB)

    Ball, N.R. [Waterloo Univ., ON (Canada). Dept. of Electrical and Computer Engineering


    This book chronicles the history and contributions of the Canadian Niagara Power Company and its employees toward the establishment of electricity generation and distribution in Niagara Falls and Fort Erie, Ontario, dating back to its founding in 1892. Through historical photographs, maps and drawings, the book demonstrates the impact of electricity on the Niagara region. It emphasizes the many skills and jobs required to run the company that generated electricity and maintained a complete system to deliver power, metering, and billing services through the depression, wars, and postwar booms, even during lightning, snow and ice storms. The company began producing power in 1905 with what had been the world's largest-capacity turbines and generators that supplied power to both sides of the Niagara River. Initially, most of the electricity was exported to New York State. The company eventually expanded its Canadian customer service area from Niagara Falls, Ontario, to Fort Erie, Bridgeburg, Amigari, Ridgeway, Stevensville, Crystal Beach and Point Abino. Throughout its history, the Canadian Niagara Power Company provided power at a lower cost than its neighbouring competitors. The William Birch Rankine Generating Station became an important tourist attraction, showcasing the latest electrical appliances of the time in an effort to promote the use of electricity in homes and offices. Today, the station remains a tribute to the fact that natural beauty can coincide with industry. The book also chronicles the difficult business challenges caused by restructuring in the electric power industry in the 1990s, repairing aging equipment and applying the latest in automation and remote sensing technology. Today, the company as FortisOntario is expanding to other communities around Ontario. refs., tabs., figs.

  17. Operative training in otolaryngology in the United Kingdom: a specialist registrar survey

    NARCIS (Netherlands)

    Georgalas, Christos; Hadjihannas, Edward; Ghufoor, Khalid; Pracy, Paul; Papesch, Michael


    OBJECTIVE: To assess the current status of operative training for otolaryngology specialist registrars in the United Kingdom. DESIGN: Web-based questionnaire survey. PARTICIPANTS: All otolaryngology specialist registrars in the United Kingdom. MAIN OUTCOME MEASURES: The overall satisfaction with

  18. 78 FR 14359 - Verizon Business Networks Services, Inc., Specialist-Tech Customer Service, Philadelphia, PA... (United States)


    ... Employment and Training Administration Verizon Business Networks Services, Inc., Specialist-Tech Customer Service, Philadelphia, PA; Verizon Business Networks Services, Inc., Specialist-Tech Customer Service...-Tech Customer Service, Philadelphia, Pennsylvania and Verizon Business Networks Services, Inc...

  19. 2007: A Canadian Corporate Ownership Survey

    Directory of Open Access Journals (Sweden)

    Valsan, Calin


    Full Text Available This study documents a decline in the levels of corporate ownership concentration between 1996 and 2007. When compared to previous studies, the incidence of ownership stakes of 20% or larger has decreased form 60% to 41% of the total population of publicly listed Canadian firms. Regional disparities among provinces remain important. Ontario, Alberta, and British Columbia have the most widely-held firms, while Quebec and Atlantic Canada show the most concentrated corporate ownership patterns. The interpretation of these results requires a complex understanding of historical, demographic, cultural, political and institutional factors.

  20. The Changing Health of Canadian Grandparents

    Directory of Open Access Journals (Sweden)

    Rachel Margolis


    Full Text Available Fertility postponement and mortality decline are shifting the demography of the grandparent population in Canada. The ways in which the aging of the grandparent population affects families depends in large part on the health of grandparents. In this article, we document the aging of Canadian grandparents between 1985 and 2011. However, despite being older, grandparents are healthier, signaling that the compression of morbidity is outpacing the postponement of grandparenthood. This shift is partly due to the higher educational attainment of this population and partly due to secular improvements in health over time. The improved health of grandparents in Canada has important implications for intergenerational transfers and relationships.

  1. Refugees and education in Canadian schools (United States)

    Kaprielian-Churchill, Isabel


    This article summarizes some of the findings and recommendations of a research project focusing on the nature and needs of refugee students in Canadian schools. The school performance of refugee students is examined under the following headings: immigration regulations; initial identification, assessment, placement and monitoring; unaccompanied youngsters; "at risk" students; academic needs; the conflict of cultures. In particular, the article discusses the changing role of the school in the light of recent immigration trends. Many of the findings are applicable to other national settings.

  2. How do general practitioners and specialists value their mutual communication? A survey

    Directory of Open Access Journals (Sweden)

    Voorn Theo B


    Full Text Available Abstract Background Communication between general practitioners (GPs and specialists is important, if we want patients to receive the right type of care at the right moment. Most communication takes place through telephone contact, letters concerning information on patients more recently also by email, and joint postgraduate training. As much research has been aimed at the content of communication between GPs and specialists, we wished to address the procedural aspects of this communication. We addressed the following research question. How do GPs and specialists assess their mutual communication through telephone, letters and postgraduate courses? Methods A cross-sectional study was conducted among a random sample of 550 GPs and 533 specialists selected from the Netherlands Medical Address Book. The response rate was 47% GPs (n = 259 and 44% specialists (n = 232. Results Specialists qualify the GPs' telephone accessibility as poor; while GPs themselves do not. Specialists think poorly of the GPs' referral letter. Merely half of GPs feels their questions are addressed appropriately by the specialist, whereas specialists think this number is considerably higher. According to specialists, GPs often do not follow the advice given by them. GPs rate their compliance much higher. Less than a quarter of GPs feel the specialist's letter arrives on time. Specialists have a different perception of this. Both parties wish to receive feedback from one and other, while in practice they do so very little. Conclusion GPs and specialists disagree on several aspects of their communication. This impedes improvements. Both GP's accessibility by phone and time span to the specialist's report could be earmarked as performance indicators. GPs and specialists should discuss amongst themselves how best to compose a format for the referral letter and the specialist's report and how to go about exchanging mutual feedback.

  3. Current Practices in Ocular Toxoplasmosis: A Survey of Brazilian Uveitis Specialists. (United States)

    Morais, Fábio Barreto; Arantes, Tiago Eugênio Faria E; Muccioli, Cristina


    To describe treatment practices for ocular toxoplasmosis among members of the Brazilian Uveitis Society. An online questionnaire sent to specialists, between October 2014 and March 2015. Most respondents (67.9%) treat all active cases. Most specialists consider visual acuity toxoplasmosis are not uniform among Brazilian specialists. Most specialists treat all cases of active retinochoroiditis. Typical cases are more frequently treated with trimethoprim/sulfamethoxazole. However, classical therapy is the regimen of choice when lesions are considered more severe.

  4. The national question: political economy and the Canadian working class: Marxism or nationalist reformism?

    National Research Council Canada - National Science Library

    Smith, Murray E


    Despite its occasionally Marxist verbiage, the New Canadian Political Economy has always been more indebted to the Canadian political economy tradition associated with Harold Innis and to "dependency...

  5. The use of Hall technique preformed metal crowns by specialist paediatric dentists in the UK


    Roberts, A; McKay, A; Albadri, S


    Examines treatment planning involving Hall technique preformed metal crowns by specialists in paediatric dentistry. Explores clinical situations in which specialists in paediatric dentistry feel it is appropriate or not to fit Hall technique preformed metal crowns. Investigates which types of carious lesions are being treated with Hall technique preformed metal crowns by specialists in paediatric dentistry.

  6. Nurse specialists in adult congenital heart disease: The current status in Europe

    NARCIS (Netherlands)

    Moons, P.; Scholte op Reimer, W.; De Geest, S.; Fridlund, B.; Heikkila, J.; Jaarsma, Trijntje (Tiny); Martensson, J.; Smith, K; Stewart, S.; Stromberg, A; Thompson, D.R.


    Aim: Recommendations for the management of adults with congenital heart disease indicate that specialist referral centres should employ nurse specialists who are trained and educated in the care for these patients. We surveyed the involvement, education and activities of nurse specialists in the

  7. Perceptions of Information Technology Specialists Regarding Securing Re-Employment after Offshoring Displacement (United States)

    Gallaway, Ricky A.


    The purpose of this qualitative exploratory case study was to explore why some IT specialists, after experiencing unemployment because of corporate offshoring, acquired gainful re-employment, whereas other similarly unemployed IT specialists had not. To effectively address this case study, two cases were studied: (a) displaced IT specialists who…

  8. Legal Translator Training: Partnership between Teachers of English for Legal Purposes and Legal Specialists (United States)

    Northcott, Jill; Brown, Gillian


    Training legal English specialists is one area in which cooperation between discipline and language specialists is particularly valuable. Seven short excerpts from a short training course run jointly by teachers of English for legal purposes and legal specialists are presented and analysed to illustrate the contribution an ESP oriented approach,…

  9. Attitudes Toward Oral Contraception Among Canadian University Students. (United States)

    Bardis, Panos D.

    The author conducted a cross-cultural survey of attitudes toward the pill among university students, part of this international sample being a group of young Canadians. The subjects were students from a southwestern Canadian university and were stratified as to sex and amount of education. The author employed his Pill Scale, a 25-item Likert type…

  10. From Republicans to Hacktivists: Recent Inclusion Initiatives in Canadian Theatre (United States)

    Johnston, Kirsty


    Could targeted inclusion initiatives press Canada's professional theatre community to tap the vast reserve of disabled people disenfranchised by its current practices? In 2015/2016, several long-standing professional institutions dedicated to fostering Canadian theatre joined with Canadian disability theatre artists in order to mark and understand…

  11. Sexual Harassment and Sexual Assault in Canadian Sports and Courts. (United States)

    Holman, Margery; Moriarty, Richard

    Sexual harassment is deemed a violation of the Canadian Charter of Rights and Freedoms which provides protection from discrimination based on sex. Provincial jurisdictions may offer legislation more stringent than that reflected in the Canadian code. Recourse for acts of sexual harassment through the courts is sought by alleging discrimination.…

  12. African-Canadian Educators' Perspectives: Critical Factors for Success (United States)

    Finlayson, Maureen


    This study investigates the perspectives of African-Canadian educators on critical factors for success in their educational careers. Interviews were conducted and life histories were constructed to analyze the complex and multifaceted nature of the experiences of ten African-Canadian educators. These data indicate that family and community…

  13. Bridging Grant : Building Canadian Support for Global Health ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The Canadian Coalition for Global Health Research (CCGHR) is a not-for-profit organization dedicated to supporting research for global health equity. The CCGHR provides a networking and action platform for the Canadian global health research community and partners in low- and middle-income countries. This grant will ...

  14. On the Autonomy and Homogeneity of Canadian English (United States)

    Dollinger, Stefan; Clarke, Sandra


    This introduction to the symposium approaches the themes of autonomy and homogeneity in Canadian English from a historical perspective. We trace the debates on these topics back to the late 19th century and relate them to changing public attitudes toward Canadian linguistic autonomy over time. We review the scholarly evidence on autonomy and…

  15. Indigenous knowledge in Canadian science curricula: cases from Western Canada (United States)

    Kim, Mijung


    To enhance Aboriginal students' educational opportunities in sciences, culturally relevant science curriculum has been examined and practiced in Western Canadian science classrooms. This article shares some examples of inclusion of indigenous knowledge in science curricula and discusses the improvement and challenges of culturally relevant science curricula in Canadian contexts.

  16. School Autonomy and 21st Century Learning: The Canadian Context (United States)

    Newton, Paul; da Costa, Jose


    Purpose: The purpose of this paper is to report on the policy and practice contexts for school autonomy and twenty-first century learning in Canadian provinces. Design/methodology/approach: This paper reports on an analysis of policies in Canadian provinces (particularly the provinces of Alberta and Saskatchewan). The authors review policies…

  17. Aspects sociolinguistiques du bilinguisme canadien (Aspects of Canadian Bilingualism). (United States)

    Saint Jacques, Bernard

    The Canadian government opted for a politics of bilingualism according to the "personal solution" whereby the Canadian citizen, whether English or French, can demand the protection of his language regardless of the section of the country in which he lives. In a "territorial solution," an individual can claim official status for…

  18. Planning and Evaluation by Canadian Civil Society Organizations ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Planning and Evaluation by Canadian Civil Society Organizations : Bridging Gaps between Methodologies. In the current global context, Canadian civil society organizations (CSOs) are finding it increasingly difficult to assess their efficiency and effectiveness, and report to external stakeholders, both donor agencies and ...

  19. How Canadian Universities Use Social Media to Brand Themselves (United States)

    Bélanger, Charles H.; Bali, Suchita; Longden, Bernard


    This paper explores social media marketing strategies applied by Canadian universities as a tool for institutional branding, recruitment and engagement of home and international students. The target sample involves the total population of Canadian university-status institutions ("N" = 106). Qualitative data were collected from two major…

  20. "In Canada Even History Divides": Unique Features of Canadian Citizenship. (United States)

    Sears, Alan


    Explores the unique features of Canadian history and society that influence the conception of Canadian citizenship. These include the historical development of Canada as a frontier crown territory, the search for an elusive national identity, the decentralized political structure, and the proximity to the United States. (MJP)

  1. Denials of Racism in Canadian English Language Textbooks (United States)

    Gulliver, Trevor; Thurrell, Kristy


    This critical discourse analysis examines denials of racism in descriptions of Canada and Canadians from English language textbooks. Denials of racism often accompany racist and nationalist discourse, preempting observations of racism. The study finds that in representations of Canada or Canadians, English language texts minimize and downplay…

  2. Inter-tester Reliability in Classifying Acute and Subacute Low Back Pain Patients into Clinical Subgroups: A Comparison of Specialists and Non-Specialists. A Pilot Study. (United States)

    Paatelma, Markku; Karvqnen, Eira; Heinqnen, Ari


    Many systems have been suggested for classifying low back pain (LBP); the most commonly used among physiotherapists involves a pathoanatomical/pathophysiological tissue classification system. Few studies have examined whether this form of classification of LBP disorders can be performed in a reliable manner between specialists with advanced training, or between specialists with advanced training and non-specialists who lack advanced training. The purpose of this paper was to examine the inter-tester reliability of two specialists, and the ability of a specialist and non-specialist to independently classify patients with LBP, utilizing clinical tests and history-based classification methods after a short educational course on the classification system. Subjects were acute or sub-acute patients with LBP who visited their occupational healthcare or municipal healthcare center. Inter-tester reliability between the specialist and non-specialists was at almost the same level: overall Kappa 0.60 (95%CI; 0.40 to 0.85), overall agreement 70%, as between the two specialists: overall Kappa 0.65 (95%CI; 0.33-0.86), overall agreement 77%. The findings suggest that a short educational course can provide rather reliable examination tools to allow non-specialized physiotherapists to classify patients according to tissue origination.

  3. Canadian Autonomous Landing and Lunar Exploration Technologies (United States)

    Richards, R.; Tripp, J.; Mukherji, R.; Ghafoor, N.; Sallaberger, C.

    In coming decades planetary exploration will change its focus from remote observation to robotic in situ exploration sample-return missions and eventually human missions Two Canadian companies have combined 30 years of heritage in terrestrial and space technologies to provide new capabilities in space including autonomous landing and exploration technologies for lunar exploration MDA is the world leader in space robotics a key element of the Canadian Space Program for the last two decades with over 2-billion CDN of total investment Robotic arms designed and built by MDA are used on virtually all flights of the Space Shuttle and the three robotic systems comprising the Mobile Servicing System - SSRMS MBS and SPDM - have been designed and built for the International Space Station Optech is the world leader in terrestrial lidar systems with 30 years of technology heritage A strategic partnership of MDA and Optech was formed in 2002 to provide unique space lidar solutions for space operations and planetary exploration Now as robotic exploration moves in earnest beyond Earth orbit strategic technologies are being developed by Optech and MDA that will allow Canada to expand its world leading position in space sensors and robotics to become a dominant provider of robotic exploration systems and missions targeted at the Moon Mars asteroids and beyond The key requirements for successful planetary exploration in topographically diverse areas include a spacecraft capable of precision landing and hazard avoidance Since 2001 Optech and MDA

  4. Canadian tourist and Dominican Republic sex workers. (United States)

    Herold, E S


    The Dominican Republic is a popular tourist destination for Canadians. The country's sex industry for tourists developed markedly in the 1980s. The Puerto Plata/Sosua area is currently one of the most popular tourist sites and claimed the highest incidence of AIDS in 1989 at 23.2 cases/100,000 people. Two pilot phases of the Dominican Sex Workers and Canadian Tourists Study have been conducted to obtain methodological and empirical data to use in developing a major study of sex and tourism. First phase interviews were held only with beachboys who make money by having relations with female tourists, while phase two interviews were held with beachboys, female sex workers, and female and male tourists. Results indicate that female tourists consider their relations with male sex workers to be primarily social, while male tourists see their relations with female sex workers as more casual, sexual, and monetarily based. Further, women are more likely than men to continue their relationships with sex workers after returning to Canada; many help their men to immigrate and some get married. To learn more about the dynamics of tourism, sex, and AIDS prevention, the author proposes individual studies exploring the characteristics of each of the following four populations: male and female sex workers and male and female tourists.

  5. Diet composition and obesity among Canadian adults. (United States)

    Langlois, Kellie; Garriguet, Didier; Findlay, Leanne


    The contribution of specific nutrients to obesity has not been definitively established. The objective of this study was to determine if an association exists between obesity and the relative percentages of fats, carbohydrates, protein and fibre in the diets of Canadians. The data are from the 2004 Canadian Community Health Survey--Nutrition. The analysis pertains to 6454 respondents aged 18 or older who provided valid 24-hour dietary recall information and measured height and weight, and whose reported energy intake was considered plausible based on their predicted energy expenditure. Logistic regression models with obesity status as the main outcome were conducted, controlling for potential confounders. All analyses were based on weighted estimates. When the effect of the control variables was taken into account, total kilocalories consumed increased the odds of obesity in men, and fibre intake decreased the odds. Among women, only total kilocalories consumed was significantly associated with increased odds of obesity. Higher consumption of kilocalories increased the odds of obesity, but the relative amounts of fats, carbohydrates and protein were generally not significant. The sole exception was an association between higher fibre intake and lower rates of obesity among men.

  6. Exploring Canadian Echinoderm Diversity through DNA Barcodes (United States)


    DNA barcoding has proven an effective tool for species identification in varied groups of marine invertebrates including crustaceans, molluscs, polychaetes and echinoderms. In this study, we further validate its utility by analyzing almost half of the 300 species of Echinodermata known from Canadian waters. COI sequences from 999 specimens were assigned to 145 BINs. In most cases, species discrimination was straightforward due to the large difference (25-fold) between mean intra- (0.48%) and inter- (12.0%) specific divergence. Six species were flagged for further taxonomic investigation because specimens assigned to them fell into two or three discrete sequence clusters. The potential influence of larval dispersal capacity and glacial events on patterns of genetic diversity is discussed for 19 trans-oceanic species. Although additional research is needed to clarify biogeographic patterns and resolve taxonomic questions, this study represents an important step in the assembly of a DNA barcode library for all Canadian echinoderms, a valuable resource for future biosurveillance programs. PMID:27870868

  7. Exploring Canadian Echinoderm Diversity through DNA Barcodes.

    Directory of Open Access Journals (Sweden)

    Kara K S Layton

    Full Text Available DNA barcoding has proven an effective tool for species identification in varied groups of marine invertebrates including crustaceans, molluscs, polychaetes and echinoderms. In this study, we further validate its utility by analyzing almost half of the 300 species of Echinodermata known from Canadian waters. COI sequences from 999 specimens were assigned to 145 BINs. In most cases, species discrimination was straightforward due to the large difference (25-fold between mean intra- (0.48% and inter- (12.0% specific divergence. Six species were flagged for further taxonomic investigation because specimens assigned to them fell into two or three discrete sequence clusters. The potential influence of larval dispersal capacity and glacial events on patterns of genetic diversity is discussed for 19 trans-oceanic species. Although additional research is needed to clarify biogeographic patterns and resolve taxonomic questions, this study represents an important step in the assembly of a DNA barcode library for all Canadian echinoderms, a valuable resource for future biosurveillance programs.

  8. Canadian Petroleum Products Institute 1996 annual review

    Energy Technology Data Exchange (ETDEWEB)



    The Canadian Petroleum Products Institute (CPPI) is an association of Canadian companies involved in the downstream sector of the petroleum industry which includes refining, distributing and marketing of petroleum products. CPPI`s mandate includes: (1) establishing environmental policies, (2) establishing working relationships with governments to develop public policy, (3) developing guidelines for the safe handling of petroleum products, and (4) providing information about the petroleum industry to the public. Canada`s 19 refineries processed an average of 1.5 million barrels of crude oil per day in 1996. Domestic sources of crude made up 61 per cent of crude oil processed in 1996. Total exports during the year amounted to 105 million barrels. Some of the issues that the CPPI focused on during 1996 included the controversy over the future of the octane enhancing fuel additive MMT, fuel quality standards for transportation fuels and reformulated fuels, gasoline pricing, air quality and workplace safety. CPPI members` participation in the Voluntary Challenge and Registry (VCR) program towards reducing greenhouse gas emissions was also discussed. The industry was also actively involved in seeking to improve its refinery wastewater discharges.

  9. Cognitive enhancement in Canadian medical students. (United States)

    Kudlow, Paul A; Naylor, Karline Treurnicht; Xie, Bin; McIntyre, Roger S


    Cognitive enhancing agents are substances that may augment functions such as memory, attention, concentration, wakefulness, and intelligence. An anonymous, online survey containing a series of questions on the actual and hypothetical use of cognitive enhancers was sent via email to 647 medical students across all four years in one Canadian MD program. The response rate was 50% (326/647). Overall, 49 (15%, 95% CI: 11% to 19%) students admitted to non-medical and/or off-label use of one or more pharmaceutical stimulants, of whom 14 (4%, 95% CI: 2% to 6%) had used stimulants within the last year. Senior medical students reported recent use more often than junior students (8% vs. 2%, P = 0.04). Class seniority and male gender were both associated with positive attitudes towards use of these agents; favorable attitudes were associated with recent use of pharmaceutical stimulant and high-caffeine products. A substantial proportion of Canadian medical students have engaged at some point in non-medical and/or off-label use of stimulants for purposes of cognitive enhancement. Male students and those in upper years of the MD program were more likely to have used pharmaceutical stimulants in the last year, and have favorable attitudes concerning use of cognitive-enhancing agents.

  10. Impacting Canadian public health nurses' job satisfaction. (United States)

    Graham, Karen R; Davies, Barbara L; Woodend, A Kirsten; Simpson, Jane; Mantha, Shannon L


    Workforce recruitment and retention challenges are being experienced in public health as in other Canadian health sectors. While there are many nurses working in public health, little research has been done about their job satisfaction. Job satisfaction is linked to recruitment, retention and positive client outcomes. The purpose of this research was to examine the relationships between three modifiable work environment factors (autonomy, control-over-practice, and workload) and Canadian public health nurses' (PHNs) job satisfaction. Data were from the 2005 National Survey of the Work and Health of Nurses (response rate, 79.7%; 18,676 nurses). Bivariate and multivariate logistic regression analyses were used for this secondary analysis. Findings were discussed with practicing PHNs, policy-makers and researchers from across Canada at a knowledge translation (KT) 'Think-Tank'. Among the 271 PHNs, 53.5% reported being 'very satisfied' with their jobs. The interaction between autonomy and workload was a significant predictor of PHNs' job satisfaction, (OR 0.97, 95% CI 0.96-0.99, p multi-generational workforce.

  11. Strengthening the Canadian alcohol advertising regulatory system. (United States)

    Heung, Carly M; Rempel, Benjamin; Krank, Marvin


    Research evidence points to harmful effects from alcohol advertising among children and youth. In particular, exposure to alcohol advertising has been associated with adolescents drinking both earlier and heavier. Although current federal and provincial guidelines have addressed advertising practices to prevent underage drinking, practice has not been supported by existing policy. While protective measures such as social marketing campaigns have the potential for counteracting the effects from alcohol advertising, the effectiveness of such measures can be easily drowned out with increasing advertising activities from the alcohol industry, especially without effective regulation. Research reviewed by the European Focus on Alcohol Safe Environment (FASE) Project has identified a set of key elements that are necessary to make alcohol advertising policy measures effective at protecting children and youth from the harmful effects of alcohol marketing. Using these key elements as an evaluation framework, there are critical components in the Canadian alcohol advertising regulatory system that clearly require strengthening. To protect impressionable children and youth against the harmful effects of alcohol advertising, 13 recommendations to strengthen current alcohol advertising regulations in Canada are provided for Canadian policy-makers, advertising standard agencies, and public health groups.

  12. An inventory of undiscovered Canadian mineral resources (United States)

    Labovitz, M. L.; Griffiths, J. C.


    Unit regional value (URV) and unit regional weight are area standardized measures of the expected value and quantity, respectively, of the mineral resources of a region. Estimation and manipulation of the URV statistic is the basis of an approach to mineral resource evaluation. Estimates of the kind and value of exploitable mineral resources yet to be discovered in the provinces of Canada are used as an illustration of the procedure. The URV statistic is set within a previously developed model wherein geology, as measured by point counting geologic maps, is related to the historical record of mineral resource production of well-developed regions of the world, such as the 50 states of the U.S.A.; these may be considered the training set. The Canadian provinces are related to this training set using geological information obtained in the same way from geologic maps of the provinces. The desired predictions of yet to be discovered mineral resources in the Canadian provinces arise as a consequence. The implicit assumption is that regions of similar geology, if equally well developed, will produce similar weights and values of mineral resources.

  13. Diet and Blood Pressure Control in Chinese Canadians: Cultural Considerations. (United States)

    Zou, Ping


    Hypertension is highly prevalent in Chinese Canadians and diet has been identified as an important modifiable risk factor for hypertension. The current anti-hypertensive dietary recommendations in hypertension care guidelines lack examination of cultural factors, are not culturally sensitive to ethnic populations, and cannot be translated to Chinese Canadian populations without cultural considerations. Guided by Leininger's Sunrise Model of culture care theory, this paper investigates how cultural factors impact Chinese Canadians' dietary practice. It is proposed that English language proficiency, health literacy, traditional Chinese diet, migration and acculturation, and Traditional Chinese Medicine influence Chinese Canadians' dietary practices. A culturally congruent nursing intervention should be established and tailored according to related cultural factors to facilitate Chinese Canadians' blood pressure control. In addition, further study is needed to test the model adapted from Sunrise Model and understand its mechanism.

  14. Increasing the involvement of specialist physicians in chronic disease management. (United States)

    Taylor, Dylan; Lahey, Michele


    The Capital Health (CH) region in Alberta serves the population of the Edmonton area as well as a large referral population in western Canada. CH is responsible for the delivery of the spectrum of patient care, from inpatient to outpatient services. Growth in outpatient care, in particular, has led to the development of several ambulatory care facilities from which the delivery of care to several populations with a chronic disease will be coordinated. The traditional model of care delivery is unsuited to the management of chronic diseases. Physicians must be part of the planning and implementation of new models if they are to be successful and sustainable. The concept of integration into a delivery team is not well understood or practised. This is not conducive to the integration of specialist physicians into multidisciplinary teams in ambulatory care that serves the needs of patients from a large geographic area. Chronic disease management using the Chronic Care Model has proven to be an effective method of delivering care to this wide population. Specialist physicians have not always taken advantage of opportunities to be involved in the planning and development of such new health care projects. In CH, physician integration in the planning, development and implementation of this new model has proven vital to its success. We based our strategy for change on Wagner's Chronic Care Model. This involved eight steps, the first four of which have been completed and the fifth and sixth are underway. Five factors contributed to the successful integration of specialist physicians in chronic disease management: collaboration between disciplines and organizations; creating patient-centred services; organizational commitments; strong clinical leadership; and early involvement of clinicians.

  15. Medical student perceptions of plastic surgeons as hand surgery specialists. (United States)

    Agarwal, Jayant P; Mendenhall, Shaun D; Hopkins, Paul N


    Plastic surgeons are often not perceived as hand surgery specialists. Better educating medical students about the plastic surgeon's role in hand surgery may improve the understanding of the field for future referring physicians. The purposes of this study were to assess medical students' understanding of hand surgery specialists and to analyze the impact of prior plastic, orthopedic, and general surgery clinical exposure on this understanding. An online survey including 8 hand-related clinical scenarios was administered to students at a large academic medical center. After indicating training level and prior clinical exposure to plastic surgery or other surgical subspecialties, students selected one or more appropriate surgical subspecialists for management of surgical hand conditions. A response rate of 56.4% was achieved. Prior clinical exposure to plastic, orthopedic, and general surgery was reported by 29%, 43%, and 90% of fourth year students, respectively. Students generally chose at least 1 acceptable specialty for management of hand conditions with improvement over the course of their training (P = 0.008). Overall, students perceived orthopedic surgeons as hand specialists more so than plastic and general surgeons. Clinical exposure to plastic surgery increased the selection of this specialty for nearly all scenarios (22%-46%, P = 0.025). Exposure to orthopedic and general surgery was associated with a decrease in selection of plastic surgery for treatment of carpal tunnel and hand burns, respectively. Medical students have a poor understanding of the plastic surgeon's role in hand surgery. If plastic surgeons want to continue to be recognized as hand surgeons, they should better educate medical students about their role in hand surgery. This can be achieved by providing a basic overview of plastic surgery to all medical students with emphasis placed on hand and peripheral nerve surgery.

  16. STS-88 Mission Specialist Krikalev suits up for launch (United States)


    STS-88 Mission Specialist Sergei Konstantinovich Krikalev gets assistance from suit technician George Brittingham while donning his orange launch and entry suit in the Operations and Checkout Building. STS-88 will be Krikalev's fourth spaceflight, but only his second on the Space Shuttle. He also twice flew on long- duration missions aboard the Russian Space Station Mir. Krikalev and the five other STS-88 crew members will depart shortly for Launch Pad 39A where the Space Shuttle Endeavour is poised for liftoff on the first U.S. mission dedicated to the assembly of the International Space Station.

  17. STS-88 Mission Specialists Krikalev and Newman inside Endeavour (United States)


    STS-88 Mission Specialists Sergei Konstantinovich Krikalev (left) and James H. Newman (right) sit inside orbiter Endeavour during Terminal Countdown Demonstration Activities (TCDT). The TCDT includes mission familiarization activities, emergency egress training, and the simulated main engine cut-off exercise. Mission STS-88 is targeted for launch on Dec. 3, 1998. It is the first U.S. flight for the assembly of the International Space Station and will carry the Unity connecting module. Unity will be mated with the already orbiting Russian-built Zarya control module. The 12-day mission includes three planned spacewalks to connect power, data and utility lines and install exterior equipment.

  18. Column: The Consortium of Digital Forensics Specialists (CDFS

    Directory of Open Access Journals (Sweden)

    Christopher Kelley


    Full Text Available Digital forensic practitioners are faced with an extraordinary opportunity. In fact, we may never again be faced with such an opportunity, and this opportunity will challenge us in ways we may never again be challenged.At this point in the history of the Digital Forensics profession, digital forensic specialists have the unique opportunity to help this profession emerge from its infancy. But for this profession to mature -- and to flourish -- individuals and organizations integral to the practice must assemble and shape its future. This is our opportunity. In fact, this is our mandate.(see PDF for full column

  19. Regional trends amongst Danish specialist farmland breeding birds

    DEFF Research Database (Denmark)

    Heldbjerg, Henning; Fox, Anthony David


    be related to their respective specializations. Generally, few species showed differences in regional population trends, despite the increasing concentration of mixed (mainly pastoral) agriculture in the West and predominantly arable cultivation in the East. Most grassland and arable specialists were...... the period. Corn Bunting Emberiza calandra showed significant declines in the East of Denmark in contrast to stable trends in the Central and Western regions, but was declining everywhere since 2003. The results underline the need to understand how individual farmland species exploit specific crops and micro...

  20. Clinical molecular testing: subspecialty, entry-level or specialist certification? (United States)

    Lennon, Alan; Hu, Peter


    Some clinical laboratories require workers who have basic knowledge in molecular techniques (such as fluorescent in situ hybridization and polymerase chain reaction). Exclusively molecular diagnostic laboratories need workers to be competent in a variety of cutting edge molecular technologies, such as DNA sequencing, array-based comparative genomic hybridization, quantitative polymerase chain reaction, and many other techniques. Having only one certification for molecular biology at the entry level, as newly prescribed by the Board of Certification, doesn't accurately define the two very differently trained types of people these differing types of laboratories require. Creating a second molecular certification, at the specialist level, would address this issue positively.

  1. Development of a prototype specialist shuttle vehicle for chipped woodfuel

    Energy Technology Data Exchange (ETDEWEB)



    This report gives details of a project to develop and test a specialist chip shuttle vehicle for conveying woodchips out of the forest with the aim of reducing the cost of woodfuel production. The design objectives are described and include the need to allow easy transfer of the chips from the chipper to the shuttle and on into haulage units, good performance and manoeuvrability on and off roads, and high-tip capacity. Estimates of the improved production and reduced woodfuel production costs are discussed along with the anticipated satisfactory operation of the chipper-shuttle combination in a forestry site.

  2. Use of professional profiles in applications for specialist training positions

    DEFF Research Database (Denmark)

    Lundh, Andreas; Skjelsager, Karen; Wildgaard, Kim


    investigated use of professional profiles among the 38 Danish specialty societies in order to ascertain the use of the seven roles. MATERIAL AND METHODS: We used information from the websites of the Postgraduate Medical Training Secretariats in March 2012. For each profile, we extracted information on how......INTRODUCTION: The seven roles of the CanMEDS system have been implemented in Danish postgraduate medical training. For each medical specialty, a professional profile describes which elements of the seven roles the specialty deems important for applicants for a specialist training position. We...

  3. Peculiarities of self-regulation of extreme profile specialists

    Directory of Open Access Journals (Sweden)

    Kabanova T.N.


    Full Text Available Individually-psychological characteristics were studied and profiles of the styles of self-regulation of the employees engaged in hazardous were determined. The mainly group consisted of 30 men aged 21 to 60 years, who are specialists of dangerous professions. The comparison group included 30 men from 22 to 60 years, whose professional activity was not associated with risk. The following methods were used: questionnaire "Style of self-regulation of behavior" by V. I. Morosanova; questionnaire of self-control (H. Grasmik, 1993, adaptation Bulygina V. G., Abdrazakova A. M., 2009; the questionnaire BIS/BAS, used to study the sensitivity to punishment and reward; the questionnaire formal-dynamic properties of individuality by V. M. Rusalov; the aggression questionnaire by A. Buss and M. Perry (adaptation Enikolopov S. N., Cybulski N. P., 2007; the scale of anxiety Charles D. Spielberger (State-Trait Anxiety Inventory – STAI; personal questionnaire of the G. and S. Eysenck – EPQ. It was found that specialists hazardous professions are distinguished by: a higher level of development of the regulatory flexibility and individual system of conscious self-regulation activity; higher levels of extroversion, communication activity, the total adaptability; a lower level of reactive anxiety, trait anxiety and general emotional. Moreover, impulsiveness, egocentrism, lack of restraint and physical activity in the structure of self-monitoring specialists of dangerous professions associated with high levels of affective component of aggression and incoherence of parts of the process of self-regulation. There were allocated a 3 profile of self-regulation in specialists of dangerous professions: a a high level of self-regulation – coupled with a high intellectual and physical development, the highest level of adaptability and general activity; b medium – rapid response to emerging changes in the situation, the successful production alternatives, greater

  4. Daily smoking and lower back pain in adult Canadians: the Canadian Community Health Survey

    Directory of Open Access Journals (Sweden)

    Fahad Alkherayf


    Full Text Available Fahad Alkherayf1,2,3, Eugene K Wai4,5,6, Eve C Tsai1,3,4,6, Charles Agbi1,3,41University of Ottawa, Division of Neurosurgery, Ottawa, Ontario; 2University of Ottawa, Department of Clinical Epidemiology, Ottawa, Ontario; 3The Ottawa Hospital, Civic campus, Division of Neurosurgery, Ottawa, Ontario; 4The Ottawa Hospital, Civic Campus, Spine Unit Ottawa, Ontario; 5The Ottawa Hospital, Civic Campus, Division of Orthopedic Surgery, Ottawa, Ontario; 6The Ottawa Hospital Research Institute, Ottawa, Ontario, CanadaBackground: Lower back pain (LBP is one of the primary causes of disability in the Canadian community. However, only a limited number of studies have addressed the association between daily smoking and LBP in Canada. Of the studies that have explored this association, many had small sample sizes and failed to control for confounders.Objective: The primary objective of the study was to determine if daily smoking is associated with an increased risk of having LBP. The secondary objectives were to assess the risk for LBP among occasional smokers and to determine the prevalence of LBP in relation to different covariates.Data and study design: Using the Canadian Community Health Survey (cycle 3.1 data, 73,507 Canadians between the ages of 20 and 59 years were identified. LBP status, smoking level, sex, age, body mass index (BMI, level of activity and level of education were assessed in these subjects.Methods: Stratified analysis and logistic regression analysis were used to detect effect modifications and to adjust for covariates. Population weight and design were taken into consideration.Results: The prevalence of LBP was 23.3% among daily smokers and 15.7% among non-smokers. Age and sex were found to be effect modifiers. The association between LBP and daily smoking was statistically significant in all ages and genders; this association was stronger for younger age groups. The adjusted odds ratio for male daily smokers aged 20 to 29 was 1.87 (95

  5. What Proportion of Terminally Ill and Dying People Require Specialist Palliative Care Services?

    Directory of Open Access Journals (Sweden)

    Donna M. Wilson


    Full Text Available Currently, around 55 million people die each year worldwide. That number is expected to increase rapidly with accelerating population aging. Despite growth in the number of palliative care specialists and specialist services in most countries, the prospect of an increasing number of terminally ill and dying persons is daunting. This paper attempts to answer the question: what proportion of terminally ill and dying persons require specialist palliative care services? To address this question and highlight which persons require specialist palliative care, the current state of access to specialist palliative care services and specialists in Canada and other countries is highlighted, along with available evidence-based information on specialist services utilization and the care needs of terminally ill and dying persons. Current evidence and information gaps reveal that this question cannot be answered now, but it should be answered in advance of a crisis of unmet end-of-life care needs with the rising death toll.

  6. STS-103 Mission Specialist Clervoy DEPARTs PAFB for Houston (United States)


    STS-103 Mission Specialist Jean-Frangois Clervoy of France exhibits his holiday spirit on the runway at Patrick Air Force Base in Cocoa Beach, Fla. The STS-103 crew and their families are preparing to board an airplane that will return them to their home base at the Johnson Space Center in Houston following the successful completion of their mission. Discovery landed in darkness the previous evening, Dec. 27, on runway 33 at KSC's Shuttle Landing Facility at 7:00:47 p.m. EST. This was the first time that a Shuttle crew spent the Christmas holiday in space. The other STS-103 crew members are Commander Curtis L. Brown Jr.; Pilot Scott J. Kelly; and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), and Claude Nicollier of Switzerland. The STS-103 mission accomplished outfitting the Hubble Space Telescope with six new gyroscopes, six new voltage/temperature improvement kits, a new onboard computer, a new solid state recorder and new data transmitter, a new fine guidance sensor along with new insulation on parts of the orbiting telescope. This was the 96th flight in the Space Shuttle program and the 27th for the orbiter Discovery.

  7. Professional Training Of Specialists In International Marketing In Poland

    Directory of Open Access Journals (Sweden)

    Żukowski Wojciech


    Full Text Available Polish experience in training specialists in international marketing in the context of globalization and integration processes has been studied. A range of theoretical resources, namely Market Entry Strategy for Poland; the articles dedicated to international marketing and economy development (W. Grzegorczyk, M. Viachevskyi, M. Urbanetst; program specifications and structures at Polish universities, namely University of Lodz and Collegium Civitas, have been analyzed. It has been defined that marketing is one of the most important activities in all types of organizations since it is a link between customers and companies in the context of global changes in business environment. The need of leading companies for their staff to be highly qualified, open for new opportunities, ready to take an initiative and comprehend the global needs and values has been justified. It has been clarified that both higher education institutions have the same strategic aims, aimed at highly professional specialists’ training, the cultural-based education of youth, stimulating for critical reflection, lifelong learning, and professional development. Positive aspects in Polish experience of training future specialists in international marketing have been defined. Perspectives for further research have been considered.

  8. Opportunity Costs in Paediatric Training: The Specialist Registrars Experience.

    LENUS (Irish Health Repository)

    O’Neill, MB


    In the training process, there is a tension between the work life and home life of trainees. This study explored both the personal impact and the opportunity costs of training from the Specialist Paediatric Registrar (SPR) perspective. The survey explored 1) career progression2) perceived functional effectiveness at work 3) psychological impact of hospital based training and 4) the personal and social cost of training. Fifty-three (71%) SPRs responded of whom 47 (89%)were married or in long term relationships. Seventy-five percent of trainees had a definite career plan with 86% intending to undertake fellowship training. Seventy percent believed they were efficient time managers but 53% had difficulty in making time for academic pursuits and fifty percent experienced negative feelings, which lingered after work and interfered with their relationships at home. Seventy-four percent stated training was undertaken at significant personal cost with only 21% achieving a very satisfactory work\\/life balance. To address these difficulties trainee wellbeing should be addressed at the Basic Specialist Training (BST) level and the career path clearly explained outlining the challenges that are likely to be encountered.

  9. Activities of Intellectual Disability Clinical Nurse Specialists in Ireland. (United States)

    Doody, Owen; Slevin, Eamonn; Taggart, Laurence

    The aim of this study was to identify the contribution of Irish intellectual disability clinical nurse specialists (ID CNSs) to service delivery. A nonexperimental descriptive design was selected to survey ID CNSs presently working in Ireland. The questionnaire was developed based on focus group interviews, available literature, and expert panel views. Ethical approval and access were granted to all ID CNSs in Ireland. Thirty-two responded (33.68% response rate) from all work areas (voluntary organizations or health service executive) practicing within residential, community, or school services. Respondents were surveyed across a range of areas (demographic details and support to client, staff, family, organization, community, other agencies, and professional development). Findings identify that ID CNSs are active in all aspects of their roles as clinical specialist, educator, communicator, researcher, change agent, and leader, thus supporting person-centered care and improving service delivery. To meet changing healthcare demands, promote person-centered care, and improve service delivery, the CNS role in ID should be developed and supported. The findings merit a further study on ID CNS role activity, possible variables influencing role activity, and team members' views.

  10. Professional standard of specialist of guardianship and custodianship agency

    Directory of Open Access Journals (Sweden)

    G.V. Semya


    Full Text Available We justified the introduction of the professional standard of specialist of guardianship and custodianship agency taking into consideration the psychological characteristics of the target group of customers. We describe the situation in our country with qualification of professionals, the international trends in the field of protection of the rights of minors in the countries – members of the Organization for Economic Cooperation and Development. We analyze the reflection of the theme of labor functions in the Russian legislation. We reveal the need for psychological and pedagogical knowledge for successful professional of guardianship authorities, compile a list of the necessary skills and knowledge. The main focus of the work of specialists is to maintain the child in the biological family at all stages of working with child and family problems. We characterize the trends in professional activities related to the development of the regional legislation in comparison with federal, increased number of international instruments to which Russia joined in the protection of children's rights. It is stressed that a requirement for education is additional retraining for new programs on the basis of higher education in the following professions and fields of study: law, pedagogy and psychology, social pedagogy and social work.

  11. Current nursing practice by hospital-based stoma specialist nurses. (United States)

    Burch, Jennie

    Nurses frequently care for patients who have stomas. A common complication is sore peristomal skin (skin around the stoma). The study aim was to answer the research question: what is the current nursing practice for peristomal skin problems among UK stoma specialist nurses? The question was explored through investigation of descriptions, treatments and opinions of peristomal skin problems. Results were examined to ascertain if practice reflects the literature and if care was evidence-based. A questionnaire was posted in September 2009 to the stoma care nurses in all UK NHS hospitals (n=596). The proportion of completed or partially completed questionnaires was 15% (89 of 596). Most of the responding nurses held a stoma-related qualification (86%), a degree (55%) and had specialised in stoma care for over 5 years (67%). Respondents used erythema to describe sore skin (80%). Stoma powder (98%) and convex appliances (98%) were the most commonly used treatments. The most common cause of sore skin was appliance leakage (61%). The study population was deemed suitably qualified and experienced to answer the research question. Many responses were reflected in the literature (predominantly opinion articles), reflecting a degree of reliability and validity. It could be concluded that stoma specialist nurses can accurately assess and use stoma accessories to treat sore skin, but due to the paucity of research, the care cannot be defined as evidence-based. More research is needed to determine universally accepted definitions and treatments for sore peristomal skin.

  12. [Education of clinical pharmacy specialists in critical care in Japan]. (United States)

    Maeda, Mikihiro


    In Japan, recent initiation of the reimbursement from the government to monitor patients in intensive care unit (ICU) and the foundation of certified emergency medicine and critical care specialist resulted in the increased number of ICU pharmacists. Because most pharmacy schools in Japan have provided few lectures or rotations related to critical care, pharmacy students may think critical care is a difficult field. Pharmacy students in the United States usually have basic didactic courses for critical care such as sepsis or sedation. They can also take critical care rotations as an elective advanced rotation. An organized postgraduate training programs, pharmacy practice residency programs (PGY1; post graduate year 1) and specialized pharmacy practice residency programs (PGY2), develop clinical knowledge and skills as clinical pharmacists. Critical care is one of the most popular areas in PGY2 specialty residency programs. Through three years pharmacy students and residents can develop required knowledge and skills in critical care such as patient monitoring skill. As a part of new pharmacists training, our institution provides a week of critical care rotation. The main objective is the introduction of critical care to be a pharmacy generalist and to develop patient monitoring skills. The critical care rotation is the first step to develop critical care clinical pharmacy specialists in the future.

  13. Professional communications of Russian technical and engineering specialists: empirical analysis

    Directory of Open Access Journals (Sweden)

    R N Abramov


    Full Text Available Sociology of professions focus on the role of interpersonal and intergroup communications in the professional communities as an element of professional culture. The article considers forms and features of professional communications of Russian engineers and technicians in the context of their professional culture defined as the constellation of ideology, values, beliefs, language, and forms of activity typical for the community, which rarely becomes an object of Russian sociologists’ studies. The author shows that interpersonal professional communications on the various aspects of professional activity is an important element of professional culture. The article is based on the results of online survey of Russian engineers and expert interviews with Russian technical specialists - they were questioned on the ways of updating their professional knowledge and on the role of various channels of communication in this process. At the beginning of the article, the author provides an overview of approaches to the study of professional culture in Russia and abroad, and underlines the significant role of the Internet and the declining role of literature as a source of new knowledge for the engineering and technical staff. The results of the study also revealed an important role of informal and direct communications in the transfer of professional knowledge within the engineering community, while organizational environment has a relatively low impact on the updating of professional knowledge, which can be explained by the lack of management attention to the professional development of specialists.

  14. 3rd CEAS Specialist Conference on Guidance, Navigation and Control

    CERN Document Server

    Drouin, Antoine; Roos, Clément


    The two first CEAS (Council of European Aerospace Societies) Specialist Conferences on Guidance, Navigation and Control (CEAS EuroGNC) were held in Munich, Germany in 2011 and in Delft, The Netherlands in 2013. ONERA The French Aerospace Lab, ISAE (Institut Supérieur de l’Aéronautique et de l’Espace) and ENAC (Ecole Nationale de l’Aviation Civile) accepted the challenge of jointly organizing the 3rd edition. The conference aims at promoting new advances in aerospace GNC theory and technologies for enhancing safety, survivability, efficiency, performance, autonomy and intelligence of aerospace systems. It represents a unique forum for communication and information exchange between specialists in the fields of GNC systems design and operation, including air traffic management. This book contains the forty best papers and gives an interesting snapshot of the latest advances over the following topics: l  Control theory, analysis, and design l  Novel navigation, estimation, and tracking methods l  Aircr...

  15. Isolated single umbilical artery: need for specialist fetal echocardiography? (United States)

    DeFigueiredo, D; Dagklis, T; Zidere, V; Allan, L; Nicolaides, K H


    To examine the association between single umbilical artery (SUA) and cardiac defects and to determine whether patients with SUA require specialist fetal echocardiography. Incidence and type of cardiac defects were determined in fetuses with SUA detected at routine second-trimester ultrasound examination. A routine second-trimester scan was performed in 46 272 singleton pregnancies at a median gestation of 22 (range, 18-25) weeks and an SUA was diagnosed in 246 (0.5%). Cardiac defects were diagnosed in 16 (6.5%) of these cases, including 10 (4.3%) in a subgroup of 233 with no other defects and in six (46.2%) of the 13 with multiple defects. In 11 (68.8%) of the 16 cases with cardiac defects the condition was readily diagnosable by evaluating the standard four-chamber view and the views of the great arteries. In the remaining cases there was left persistent superior vena cava or small ventricular septal defect, where prenatal diagnosis may not be important because they are not associated with adverse outcome. Although SUA is associated with an increased incidence of cardiac defects it may not be necessary to refer such patients for specialist fetal echocardiography because the defects are detectable by evaluating standard cardiac views that should be part of the routine second-trimester scan. Copyright © 2010 ISUOG. Published by John Wiley & Sons, Ltd.

  16. Specialist nectar-yeasts decline with urbanization in Berlin (United States)

    Wehner, Jeannine; Mittelbach, Moritz; Rillig, Matthias C.; Verbruggen, Erik


    Nectar yeasts are common inhabitants of insect-pollinated flowers but factors determining their distribution are not well understood. We studied the influence of host identity, environmental factors related to pollution/urbanization, and the distance to a target beehive on local distribution of nectar yeasts within Robinia pseudoacacia L. and Tilia tomentosa Moench in Berlin, Germany. Nectar samples of six individuals per species were collected at seven sites in a 2 km radius from each target beehive and plated on YM-Agar to visualise the different morphotypes, which were then identified by sequencing a section of the 26S rDNA gene. Multivariate linear models were used to analyze the effects of all investigated factors on yeast occurrence per tree. Yeast distribution was mainly driven by host identity. The influence of the environmental factors (NO2, height of construction, soil sealing) strongly depended on the radius around the tree, similar to the distance of the sampled beehive. Incidence of specialist nectar-borne yeast species decreased with increasing pollution/urbanization index. Given that specialist yeast species gave way to generalist yeasts that have a reduced dependency on pollinators for between-flower dispersal, our results indicate that increased urbanization may restrict the movement of nectar-specialized yeasts, via limitations of pollinator foraging behavior.

  17. Smoking among French infertility specialists: habits, opinions and patients' management. (United States)

    Freour, Thomas; Dessolle, Lionel; Jean, Miguel; Barriere, Paul


    The deleterious effects of tobacco on fertility are now largely demonstrated. Little is known, however, about how infertility doctors communicate on smoking and about their own smoking habits. In this study, we examined smoking habits among French infertility specialists and their attitudes towards infertile couples' exposure to tobacco. A postal survey was sent in 2009 to the 803 French certified physicians (gynaecologists, urologists, endocrinologists and embryologists) specializing in infertility. Demographical data, smoking habits and attitude towards patients' smoking were recorded. Statistical analysis and multiple correspondence analysis were performed in order to identify differences among physicians according to age, gender, occupation or smoking status. Response rate was 42.3%. Half of the respondents were male, 41% were under 45 years, 37% were embryologists and 53.3% were gynaecologists. Thirteen percent reported current smoking. More than 80% always asked their patients about smoking status and cannabis consumption. Most physicians specifically informed infertile couples on tobacco, advised them to quit and proposed smoking cessation therapies. Only 24% refused care unless smoking cessation occurred. Statistical analysis showed some differences among subgroups according to gender, occupation or age. Surprisingly, results were comparable according to smoking status. Most infertility specialists are aware of the deleterious effects of tobacco on fertility and ask their patients to quit. The heterogeneity in infertile patients' management, however, underlines the need for better professional and patients' information on smoking. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  18. Antimicrobial use on Canadian dairy farms. (United States)

    Saini, V; McClure, J T; Léger, D; Dufour, S; Sheldon, A G; Scholl, D T; Barkema, H W


    Antimicrobial use (AMU) data are critical for formulating policies for containing antimicrobial resistance. The present study determined AMU on Canadian dairy farms and characterized variation in AMU based on herd-level factors such as milk production, somatic cell count, herd size, geographic region and housing type. Drug use data were collected on 89 dairy herds in 4 regions of Canada, Alberta, Ontario, Québec, and the Maritime provinces (Prince Edward Island, New Brunswick, and Nova Scotia) for an average of 540 d per herd. Dairy producers and farm personnel were asked to deposit empty drug containers into specially provided receptacles. Antimicrobial use was measured as antimicrobial drug use rate (ADUR), with the unit being number of animal defined-daily doses (ADD)/1,000 cow-days. Antimicrobial drug use rates were determined at farm, region, and national level. Combined ADUR of all antimicrobial classes was 14.35 ADD/1,000 cow-days nationally. National level ADUR of the 6 most commonly used antimicrobial drug classes, cephalosporins, penicillins, penicillin combinations, tetracyclines, trimethoprim-sulfonamide combinations, and lincosamides were 3.05, 2.56, 2.20, 1.83, 0.87, and 0.84 ADD/1,000 cow-days, respectively. Dairy herds in Ontario were higher users of third-generation cephalosporins (ceftiofur) than in Québec. Alberta dairy herds were higher users of tetracyclines in comparison to Maritimes. Antimicrobial drug use rate was higher via systemic route as compared with intramammary and other routes of administration (topical, oral, and intrauterine). The ADUR of antimicrobials used intramammarily was higher for clinical mastitis treatment than dry cow therapy. For dry cow therapy, penicillin ADUR was greater than ADUR of first-generation cephalosporins. For clinical mastitis treatment, ADUR of intramammary penicillin combinations was greater than ADUR of cephapirin. Herd-level milk production was positively associated with overall ADUR, ADUR of

  19. Canadian Petroleum Products Inst. annual report, 1992. Canadian Petroleum Products Inst. , rapport annuel 1992

    Energy Technology Data Exchange (ETDEWEB)


    The Canadian Petroleum Products Institute (CPPI) was created in 1989 as a nonprofit association of Canadian refiners and marketers of petroleum products. The objective of the CPPI is to serve and represent the refining and marketing sectors of the petroleum industry with respect to environment, health and safety, and business issues. CPPI conducts research to develop industry policy on a wide variety of environmental, health, safety and business issues. Key activities include: developing guidelines for the safe handling of petroleum products, establishing environmental policies, managing a national environmental protection network of over 100 centers across Canada; providing information on industry activities to the public; and developing working partnerships with government and public interest groups to address issues of common concern. An overview is provided of industry operations, economics and financial performance, and environmental protection and safety. Lists of CPPI publications, awards, standing committees, and officers are also included. 9 figs.

  20. Art Appreciation as a Learned Competence: A Museum-Based Qualitative Study of Adult Art Specialist and Art Non-Specialist Visitors (United States)

    Bracun Sova, Rajka


    Since Bourdieu, it has been argued that art appreciation requires "knowledge". The focus of this qualitative study was to examine art appreciation as a learned competence by exploring two different groups of museum visitors: art specialists and art non-specialists. The research was conducted at Moderna galerija in Ljubljana. Twenty-three…

  1. Redefining "Community" through Collaboration and Co-Teaching: A Case Study of an ESOL Specialist, a Literacy Specialist, and a Fifth-Grade Teacher (United States)

    Ahmed Hersi, Afra; Horan, Deborah A.; Lewis, Mark A.


    This article explores the development of a professional learning community through a case study of three teachers--an ESOL specialist, a literacy specialist, and a fifth-grade teacher--who engaged in co-teaching and collaboration. The emerging community of practice offered these teachers a space to learn and problem-solve by utilizing their…

  2. Canadian Quality Circle pilot project in osteoporosis (United States)

    Ioannidis, George; Papaioannou, Alexandra; Thabane, Lehana; Gafni, Amiram; Hodsman, Anthony; Kvern, Brent; Johnstone, Dan; Plumley, Nathalie; Baldwin, Alanna; Doupe, M.; Katz, Alan; Salach, Lena; Adachi, Jonathan D.


    PROBLEM ADDRESSED Family physicians are not adequately following the 2002 Osteoporosis Canada guidelines for providing optimal care to patients with osteoporosis. OBJECTIVE OF PROGRAM The Canadian Quality Circle (CQC) pilot project was developed to assess the feasibility of the CQC project design and to gather informationfor implementing a national study of quality circles (QCs). The national study would assess whether use ofQCs could improve family physicians’ adherence to the osteoporosis guidelines. PROGRAM DESCRIPTION The pilot project enrolled 52 family physicians and involved 7 QCs. The project had 3 phases: training and baseline data collection, educational intervention and follow-up data collection, and sessions on implementing strategies for care. CONCLUSION Findings from the pilot study showed that the CQC project was well designed and well received. Use of QCs appeared to be feasible for transferring knowledge and giving physicians an opportunity to analyze work-related problems and develop solutions to them. PMID:17934033

  3. Norman Bethune, Canadian surgeon: his Chinese connection. (United States)

    Summers, G V


    Norman Bethune, a Canadian thoracic surgeon who dabbled in painting, poetry, criticism, teaching and invention, was a member of the Communist Party of Canada. He became involved in two civil wars on opposite sides of the world and amassed both criticism and respect from colleagues and national leaders. The author describes Bethune's time in China, during which he developed front line field hospitals for Mao Tse-tung and his guerrillas in their struggle against the Japanese during 1938 and 1939. His efforts in China on behalf of the wounded brought him into contact with the primitive military medicine of the country and the poverty of its people; it earned for him a local reputation as saviour and benefactor and gave him an honoured place in Chinese military history.

  4. British view of Canadian general practice. (United States)

    Marsh, G N


    The Canadian general practitioner is remunerated by an item-of-service system of payment which encourages servicing demands rather than needs, discourages delegation of work to paramedical workers, and involves his staff in a massive amount of paper work. He has an excellent hospital attachment, which unfortunately is overdone. His community facilities are piecemeal and his office organization is rudimentary. There are few incentives for good general practice in the community. He spends an inordinate amount of time examining well people. The university departments of general practice are extremely good and much should be heard from them very quickly. The patient's attitude towards his doctor is quite different from the one prevailing currently in Britain.I returned happily to British general practice.

  5. The Canadian Penning Trap spectrometer at Argonne

    CERN Document Server

    Savard, G; Boudreau, C; Buchinger, F; Caggiano, J; Clark, J; Crawford, J E; Fukutani, H; Gulick, S; Hardy, J C; Heinz, A; Lee, J K P; Moore, R B; Sharma, K S; Schwartz, J; Seweryniak, D; Sprouse, G D; Vaz, J


    The Canadian Penning Trap (CPT) mass spectrometer is a device used for high-precision mass measurements on short-lived isotopes. It is located at the ATLAS superconducting heavy-ion linac facility where a novel injection system, the RF gas cooler, allows fast reaction products to be decelerated, thermalized and bunched for rapid and efficient injection into the CPT. The CPT spectrometer and its injection system will be described in detail and its unique capabilities with respect to its initial physics program, concentrating on isotopes around the N=Z line with particular emphasis on isotopes of interest to low-energy tests of the electroweak interaction and the rp-process, will be highlighted. (6 refs).

  6. Brewer spectrophotometer measurements in the Canadian Arctic (United States)

    Kerr, J. B.; Evans, W. F. J.


    In the winters of 1987 and 1988 measurements were conducted with the Brewer Spectrophotometer at Alert (82.5 N) and Resolute (74.5 N). The measurements were conducted as part of our Canadian Program to search for an Arctic Ozone Hole (CANOZE). Ozone measurements were conducted in the months of December, January and February using the moon as a light source. The total ozone measurements will be compared with ozonesonde profiles, from ECC sondes, flown once per week from Alert and Resolute. A modified Brewer Spectrophotometer was used in a special study to search for chlorine dioxide at Alert in March 1987. Ground based observations at Saskatoon in February and at Alert in March 1987 failed to detect any measureable chlorine dioxide. Interference from another absorbing gas, which we speculate may be nitrous acid, prevented the measurements at the low levels of chlorine dioxide detected in the Southern Hemisphere by Solomon et al.

  7. Battered woman syndrome defense in Canadian courts. (United States)

    Regehr, C; Glancy, G


    As a result of a 1990 Supreme Court of Canada decision, battered woman syndrome defense is now accepted as a legitimate extension of self-defense in Canadian courts. This defense hinges on the expert testimony that a battered woman who is accused of murder or aggravated assault suffers from the psychological sequelae of abuse and that this psychological distress contributes to her apprehension of danger and ultimately her apprehension of death during a particular battering episode. The authors present a brief overview of the history of battered woman syndrome defense, the role of the expert in assessing the applicability of this defense in any particular situation, and the pitfalls of using battered woman syndrome defense.

  8. Canadian Activities in Space Debris Mitigation Technologies (United States)

    Nikanpour, Darius; Jiang, Xin Xiang; Goroshin, Samuel; Haddad, Emile; Kruzelecky, Roman; Hoa, Suong; Merle, Philippe; Kleiman, Jacob; Gendron, Stephane; Higgins, Andrew; Jamroz, Wes

    The space environment, and in particular the Low Earth Orbit (LEO), is becoming increasingly populated with space debris which include fragments of dysfunctional spacecraft parts and materials traveling at speeds up to 15 km per second. These pose an escalating potential threat to LEO spacecraft, the international space station, and manned missions. This paper presents the Canadian activities to address the concerns over space debris in terms of debris mitigation measures and technologies; these include novel spacecraft demise technologies to safely decommission the spacecraft at the end of the mission, integrated self-healing material technologies for spacecraft structures to facilitate self-repair and help maintain the spacecraft structural and thermal performance, hypervelocity ground test capability to predict the impact of space debris on spacecraft performance, and ways of raising awareness within the space community through participation in targeted Science and Technology conferences and international forums.

  9. Contraceptive sterilization among Canadians, 1984-1995

    Directory of Open Access Journals (Sweden)

    Vijaya Krishnan


    Full Text Available Prior to early 1970s, traditional methods were the principal means of controlling the number and spacing of births. Today, an estimated 57 per cent of the world’s married women use contraceptives and half use modern methods such as medical sterilizations. Recent statistics suggest that Canada has the highest sterilization rate in the Western world. This paper presents findings of research examining sterilization trends in Canada with respect to changing patterns in the use of modern contraceptives, using data from the 1984 Canadian Fertility Survey (CFS and the 1995 General Social Survey (GSS. The main finding is that there is a decrease in the use of tubal ligation and an increase in the use of hysterectomy over the period 1984-1995. Less educated women are more likely to be in the forefront of modern methods of contraception.

  10. A Canadian Indian Health Status Index. (United States)

    Connop, P J


    Health care services for registered "band" Indians in Ontario are provided primarily by the Canadian Federal Government. Complex management methods preclude the direct involvement of Indian people in the decisions for their health resource allocation. Health indicators, need, and health status indexes are reviewed. The biostatistics of mortality and demography of the Indian and reference populations are aggregated with hospitalization/morbidity experience as the Chen G'1 Index, as an indicator of normative and comparative need. This is weighted by linear measurements of perceived need for preventive medicine programs, as ranked and scaled values of priorities, Zj. These were determined by community survey on 11 Indian reserves using a non-probabilistic psychometric method of "pair comparisons," based upon "Thurstone's Law of Comparative Judgement.," The calculation of the aggregate single unit Indian Health Status Index [Log.G'1].Zj and its potential application in a "zero-base" budget is described.

  11. The 2013 Canadian Forces Mental Health Survey (United States)

    Bennett, Rachel E.; Boulos, David; Garber, Bryan G.; Jetly, Rakesh; Sareen, Jitender


    Objective: The 2013 Canadian Forces Mental Health Survey (CFMHS) collected detailed information on mental health problems, their impacts, occupational and nonoccupational determinants of mental health, and the use of mental health services from a random sample of 8200 serving personnel. The objective of this article is to provide a firm scientific foundation for understanding and interpreting the CFMHS findings. Methods: This narrative review first provides a snapshot of the Canadian Armed Forces (CAF), focusing on 2 key determinants of mental health: the deployment of more than 40,000 personnel in support of the mission in Afghanistan and the extensive renewal of the CAF mental health system. The findings of recent population-based CAF mental health research are reviewed, with a focus on findings from the very similar mental health survey done in 2002. Finally, key aspects of the methods of the 2013 CFMHS are presented. Results: The findings of 20 peer-reviewed publications using the 2002 mental health survey data are reviewed, along with those of 25 publications from other major CAF mental health research projects executed over the past decade. Conclusions: More than a decade of population-based mental health research in the CAF has provided a detailed picture of its mental health and use of mental health services. This knowledge base and the homology of the 2013 survey with the 2002 CAF survey and general population surveys in 2002 and 2012 will provide an unusual opportunity to use the CFMHS to situate mental health in the CAF in a historical and societal perspective. PMID:27270738

  12. Canadian consumer battery baseline study : final report

    Energy Technology Data Exchange (ETDEWEB)



    This report provided information about the estimated number of consumer and household batteries sold, re-used, stored, recycled, and disposed each year in Canada. The report discussed the ways in which different batteries posed risks to human health and the environment, and legislative trends were also reviewed. Data used in the report were obtained from a literature review as well as through a series of interviews. The study showed that alkaline batteries are the most common primary batteries used by Canadians, followed by zinc carbon batteries. However, lithium primary batteries are gaining in popularity, and silver oxide and zinc air button cell batteries are also used in applications requiring a flat voltage and high energy. Secondary batteries used in laptop computers, and cell phones are often made of nickel-cadmium, nickel-metal-hydroxide, and lithium ion. Small sealed lead batteries are also commonly used in emergency lighting and alarm systems. Annual consumption statistics for all types of batteries were provided. Results of the study showed that the primary battery market is expected to decline. Total units of secondary batteries are expected to increase to 38.6 million units by 2010. The report also used a spreadsheet model to estimate the flow of consumer batteries through the Canadian waste management system. An estimated 347 million consumer batteries were discarded in 2004. By 2010, it is expected that an estimated 494 million units will be discarded by consumers. The study also considered issues related to lead, cadmium, mercury, and nickel disposal and the potential for groundwater contamination. It was concluded that neither Canada nor its provinces or territories have initiated legislative or producer responsibility programs targeting primary or secondary consumer batteries. 79 refs., 37 tabs., 1 fig.

  13. CanWEA Pan-Canadian wind integration study paper

    Energy Technology Data Exchange (ETDEWEB)

    Tremblay, Martin [GL Garrad Hassan Canada Inc, Ottawa, ON (Canada); Gardner, Paul [GL Garrad Hassan and Partners, Glasgow (United Kingdom); Price, Doug; Le, Don [GL Garrad Hassan America, San Diego, CA (United States)


    GL Garrad Hassan has been contracted by CanWEA to undertake a scoping study for a future Pan-Canadian Wide-Scale Wind Integration Study. The scoping study provides the methodology and the rationale on which the actual wind integration study and request for proposals will be based on. Major system operators and owners of each Canadian Province along with experts involved in major US wind integration studies have been consulted and contributed to the decisional process. This paper provides a summary of the factors considered in the study and outline the actual methodology that was adopted for the future Pan-Canadian wind integration study. (orig.)

  14. Knowledge synthesis and the Canadian Institutes of Health Research

    Directory of Open Access Journals (Sweden)

    Graham Ian D


    Full Text Available Abstract The Canadian Institutes of Health Research (CIHR is Canada's premier health-research funding agency. We fund nearly 14,000 researchers and trainees in four theme areas: biomedical, clinical, health services, and population and public-health research. Our mandate is 'to excel according to international standards of scientific excellence, in the creation of new knowledge and its translation into improved health for Canadians, more effective health services and products and a strengthened Canadian health care system'. Knowledge synthesis is a key element of the knowledge-translation objectives of CIHR, as outlined in our definition of knowledge-translation.

  15. The evolving role of hyaluronic acid fillers for facial volume restoration and contouring: a Canadian overview

    Directory of Open Access Journals (Sweden)

    Muhn C


    Full Text Available Channy Muhn,1 Nathan Rosen,1 Nowell Solish,2 Vince Bertucci,2 Mark Lupin,3 Alain Dansereau,4 Fred Weksberg,5 B Kent Remington,6 Arthur Swift71Division of Dermatology, McMaster University, Hamilton, Ontario, 2Division of Dermatology, New Women's College Hospital, Toronto, Ontario, 3Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, 4Private Practice, Repentigny, Québec, 5Department of Medicine, University of Toronto, Toronto, Ontario, 6Private Practice, Calgary, Alberta, Canada; 7St Mary's Hospital, McGill University, Montréal, Québec, CanadaAbstract: Recent advancements, including more versatile facial fillers, refined injection techniques and the adoption of a global facial approach, have contributed to improved patient outcome and increased patient satisfaction. Nine Canadian specialists (eight dermatologists, one plastic surgeon collaborated to develop an overview on volume restoration and contouring based on published literature and their collective clinical experience. The specialists concurred that optimal results in volume restoration and contouring depend on correcting deficiencies at various layers of the facial envelope. This includes creating a foundation for deep structural support in the supraperiosteal or submuscular plane; volume repletion of subcutaneous fat compartments; and the reestablishment of dermal and subdermal support to minimize cutaneous rhytids, grooves and furrows. It was also agreed that volume restoration and contouring using a global facial approach is essential to create a natural, youthful appearance in facial aesthetics. A comprehensive non-surgical approach should therefore incorporate combining fillers such as high-viscosity, low-molecular-weight hyaluronic acid (LMWHA for structural support and hyaluronic acid (HA for lines, grooves and furrows with neuromodulators, lasers and energy devices.Keywords: hyaluronic acid filler, volumizing, facial

  16. [Learning how to learn for specialist further education]. (United States)

    Breuer, G; Lütcke, B; St Pierre, M; Hüttl, S


    The world of medicine is becoming from year to year more complex. This necessitates efficient learning processes, which incorporate the principles of adult education but with unchanged periods of further education. The subject matter must be processed, organized, visualized, networked and comprehended. The learning process should be voluntary and self-driven with the aim of learning the profession and becoming an expert in a specialist field. Learning is an individual process. Despite this, the constantly cited learning styles are nowadays more controversial. An important factor is a healthy mixture of blended learning methods, which also use new technical possibilities. These include a multitude of e‑learning options and simulations, which partly enable situative learning in a "shielded" environment. An exemplary role model of the teacher and feedback for the person in training also remain core and sustainable aspects in medical further education.

  17. New study program: Interdisciplinary Postgraduate Specialist Study in Medical Informatics. (United States)

    Hercigonja-Szekeres, Mira; Simić, Diana; Božikov, Jadranka; Vondra, Petra


    Paper presents an overview of the EU funded Project of Curriculum Development for Interdisciplinary Postgraduate Specialist Study in Medical Informatics named MEDINFO to be introduced in Croatia. The target group for the program is formed by professionals in any of the areas of medicine, IT professionals working on applications of IT for health and researchers and teachers in medical informatics. In addition to Croatian students, the program will also provide opportunity for enrolling students from a wider region of Southeast Europe. Project partners are two faculties of the University of Zagreb - Faculty of Organization and Informatics from Varaždin and School of Medicine, Andrija Štampar School of Public Health from Zagreb with the Croatian Society for Medical Informatics, Croatian Chamber of Economy, and Ericsson Nikola Tesla Company as associates.

  18. An approach to mentoring healthcare play specialist students. (United States)

    Brown, Rachel; Jubb, Mags


    Healthcare play specialists (HPSs) provide therapeutic play programmes for children in healthcare settings. Each HPS student must have a mentor in practice, but most HPSs have received no formal training for their role. This article explores mentoring in the HPS service at Guy's and St Thomas' NHS Foundation Trust. A study day for HPSs was arranged to share best practice and discuss the challenges of mentoring students. Stronger links were built between the higher education institute that delivers the training to HPS students and the trust, and the HPSs were provided with a deeper understanding of what was required of them in their mentoring role. HPSs highlighted the importance of a yearly update on mentoring students.

  19. Professional applied physical training of future specialists of agricultural production

    Directory of Open Access Journals (Sweden)

    Karabanov Y.A.


    Full Text Available Purpose : develop and experimentally prove the contents, methods and forms of physical training of future specialists of agricultural production. This takes into account advanced course of professional applied physical preparation means kettlebell sport. Material : The study involved 141 students. Duration of study is 5 years. Results : It was found that a significant increase in indicators of flexibility, strength, coordination abilities of students promoted the use of exercises using weights of different weights. Confirmed the legitimacy of the use of such means of physical education for the development of muscle strength of the upper body, back, legs, abdominals. These muscles are the most loaded in the performance of professional activities of mechanical engineers. Conclusions : The program meets the basic criteria for the formation of curriculum for physical education. The program promotes the development of professional applications of physical qualities, motor skills and improve physical performance of students.

  20. 2nd CEAS Specialist Conference on Guidance, Navigation and Control

    CERN Document Server

    Mulder, Bob; Choukroun, Daniel; Kampen, Erik-Jan; Visser, Coen; Looye, Gertjan


    Following the successful 1st CEAS (Council of European Aerospace Societies) Specialist Conference on Guidance, Navigation and Control (CEAS EuroGNC) held in Munich, Germany in 2011, Delft University of Technology happily accepted the invitation of organizing the 2nd  CEAS EuroGNC in Delft, The Netherlands in 2013. The goal of the conference is to promote new advances in aerospace GNC theory and technologies for enhancing safety, survivability, efficiency, performance, autonomy and intelligence of aerospace systems using on-board sensing, computing and systems. A great push for new developments in GNC are the ever higher safety and sustainability requirements in aviation. Impressive progress was made in new research fields such as sensor and actuator fault detection and diagnosis, reconfigurable and fault tolerant flight control, online safe flight envelop prediction and protection, online global aerodynamic model identification, online global optimization and flight upset recovery. All of these challenges de...

  1. Andragogical Model in Language Training of Mining Specialists (United States)

    Bondareva, Evgeniya; Chistyakova, Galina; Kleshevskyi, Yury; Sergeev, Sergey; Stepanov, Aleksey


    Nowadays foreign language competence is one of the main professional skills of mining engineers. Modern competitive conditions require the ability for meeting production challenges in a foreign language from specialists and managers of mining enterprises. This is the reason of high demand on foreign language training/retraining courses. Language training of adult learners fundamentally differs from children and adolescent education. The article describes the features of andragogical learning model. The authors conclude that distance learning is the most productive education form having a number of obvious advantages over traditional (in-class) one. Interactive learning method that involves active engagement of adult trainees appears to be of the greatest interest due to introduction of modern information and communication technologies for distance learning.

  2. The clinical nurse specialist: from the outside looking in. (United States)

    Storr, G


    This paper considers the role of the clinical nurse specialist (CNS) as portrayed in the literature. The historical development of the role is highlighted, rationale for preparation at an advanced level presented and controversy regarding placement of the CNS in a line or staff position outlined. Also discussed are the five commonly accepted sub-roles of the CNS (practitioner, educator, consultant, researcher and change agent) as well as a new role (staff advocate) which can be seen to be emerging in the literature. The author presents some of her observations of the role of the CNS at a large urban teaching hospital and concludes that congruence between the ideal role portrayed in the literature and the actual practice of the role is possible.

  3. Scandinavian Nurse Specialist Group/Cystic Fibrosis (SNSG/CF)

    DEFF Research Database (Denmark)

    Bregnballe, Vibeke; Erwander, Inger


    Aims: SNSG/CF was established to stimulate and improve cooperation between CF nurses from Scandinavian CF centers. Methods: SNSG/CF includes all the CF centers in Norway (Oslo and Bergen), Sweden (Stockholm, Gothenburg, Lund and Uppsala) and Denmark (Copenhagen and Aarhus). The board of SNSG....../CF comprises one CF nurse from each of the centers. The board meets twice a year to plan workshops and courses. SNSG/CF is part of the International Nurse Specialist Group/Cystic Fibrosis (INSG/CF). Results: Within the framework of SNSG/CF a 2-day workshop is held every second year for approximately 40...... Scandinavian CF nurses. A twelve-day CF course equivalent to 5 ECTS has been held once. Twenty-one nurses, physiotherapists and dieticians attended the course and the course will be repeated. SNSG/CF plans to make a common Scandinavian database on nursing interventions in CE SNSG/CF aims to conduct common...

  4. Andragogical Model in Language Training of Mining Specialists

    Directory of Open Access Journals (Sweden)

    Bondareva Evgeniya


    Full Text Available Nowadays foreign language competence is one of the main professional skills of mining engineers. Modern competitive conditions require the ability for meeting production challenges in a foreign language from specialists and managers of mining enterprises. This is the reason of high demand on foreign language training/retraining courses. Language training of adult learners fundamentally differs from children and adolescent education. The article describes the features of andragogical learning model. The authors conclude that distance learning is the most productive education form having a number of obvious advantages over traditional (in-class one. Interactive learning method that involves active engagement of adult trainees appears to be of the greatest interest due to introduction of modern information and communication technologies for distance learning.

  5. Clinical nurse specialist leadership in computerized provider order entry design. (United States)

    Roggow, Darla J; Solie, Carol J; Tracy, Mary Fran; Gjere, Niki


    The purpose of this clinical project was to design and implement a computerized provider order entry system. Well-designed clinical computer systems can advance best practice and quality decision making, leading to improvements in patient and organizational outcomes. An Orders Design Group composed of clinical nurse specialists (CNSs), staff nurses, and information management personnel was formed. CNSs used competencies in the system sphere to lead the integration of the needs of patients, nurses, and organizations into new technologies. CNSs facilitated implementation of a collaboratively designed interdisciplinary computerized order entry process. Evaluation of the design and implementation process demonstrated greater success with the order entry system under the leadership of CNSs than past initiatives where CNSs were not in leadership roles. CNS competencies in designing and implementing innovative system-level solutions are key to clinical information systems design.

  6. STS-88 Mission Specialist Krikalev dons flight suit (United States)


    In the Operations and Checkout Building, STS-88 Mission Specialist Sergei Konstantinovich Krikalev, a Russian cosmonaut, gives a thumbs up during suit check before launch. Mission STS-88 is expected to lift off at 3:56 a.m. EST with the six-member crew aboard Space Shuttle Endeavour on Dec. 3. Endeavour carries the Unity connecting module, which the crew will be mating with the Russian-built Zarya control module already in orbit. In addition to Unity, two small replacement electronics boxes are on board for possible repairs to Zarya batteries. The mission is expected to last 11 days, 19 hours and 49 minutes, landing at 10:17 p.m. EST on Dec. 14.

  7. Professional socialization of students in clinical nurse specialist programs. (United States)

    Ares, Terri L


    Graduate nursing programs facilitate the transition of RNs to advanced roles through a complex process of professional socialization. The purpose of this study was to explore the professional socialization of clinical nurse specialist (CNS) students. Two hundred twenty-five students, representing 73 CNS programs, responded to an online survey. Both preprogram variables and educational experiences contributed to an adequate level of CNS socialization. Students' self-concept was strong, and they felt prepared to practice in the role, which was highly correlated with their perceptions of how well the program prepared them academically and experientially. Having a CNS mentor was positively associated with readiness to practice. Outcomes did not vary with cohort status, and online instruction did not impede socialization. These findings provide implications for CNS program advisement and design. Copyright 2014, SLACK Incorporated.

  8. STS-99 Mission Specialist Thiele returns to KSC for launch (United States)


    STS-99 Mission Specialist Gerhard P.J. Thiele (Ph.D.), with the European Space Agency, arrives at KSC aboard a T-38 jet aircraft eager to prepare for the second launch attempt of Endeavour Feb. 11 at 12:30 p.m. EST from Launch Pad 39A. The earlier launch scheduled for Jan. 31 was scrubbed due to poor weather and a faulty Enhanced Master Events Controller in the orbiter's aft compartment. Over the next few days, the crew will review mission procedures, conduct test flights in the Shuttle Training Aircraft and undergo routine preflight medical exams. STS-99 is the Shuttle Radar Topography Mission, which will produce unrivaled 3- D images of the Earth's surface. The result of the Shuttle Radar Topography Mission could be close to 1 trillion measurements of the Earth's topography. Landing is expected at KSC on Feb. 22 at 4:36 p.m. EST.


    Lingg, Myriam; Merida-Herrera, Everth; Wyss, Kaspar; Durán-Arenas, Luis


    The aim of this study was to assess viewpoints of end-users concerning the purchasing process of high-risk medical devices and to discuss the relevance of health technology assessments (HTAs) at the hospital level and other potential areas for improvement of purchasing processes. We used a cross-sectional study and assessed the attitudes and thoughts of orthopedic specialists. The study took place between June and October 2015 in Mexico. We collected data from 187 orthopedic surgeons. Involvement of orthopedic specialists in purchasing was reported by 86 percent. However, clinical practice was perceived as negatively influenced by purchasing outcomes by 92 percent. The problems were described as: material failure; effectiveness of medical devices; obsolete medical device technology; incomplete provision of implant / instrument sets; delayed provision of implants and instruments. To prevent sub-standard outcomes of purchasing decisions, this study and the current literature suggest that technologies should be assessed during the purchasing process, end-users should be adequately involved, and decisions should be based on multiple criteria including clinical impact in the short-term (e.g., primary stability of implant) and long-term (e.g., survival of implant). The focus on Mexico is particularly novel and provides insights into a health system where HTA is mainly present at the macro level and can be used for the listing of medical device technologies in the standard list. This study concludes that Mexican stakeholders of the purchasing process underestimate the contribution of HTAs at the level of purchasing decisions. HTA in Mexico has improved over the past years but still requires more advancement.

  10. Clinical nurse specialist assessment of nurses' knowledge of heart failure. (United States)

    Mahramus, Tara L; Penoyer, Daleen Aragon; Sole, Mary Lou; Wilson, Debra; Chamberlain, Lyne; Warrington, William


    Patients' self-management of heart failure (HF) is associated with improved adherence and reduced readmissions. Nurses' knowledge about self-management of HF may influence their ability to adequately perform discharge education. Inadequate nurse knowledge may lead to insufficient patient education, and insufficient education may decrease patients' ability to perform self-management. Prior to developing interventions to improve patient education, clinical nurse specialists should assess nurses' knowledge of HF. The purpose of this study was to determine nurses' knowledge of HF self-management principles. This was a prospective, exploratory, and descriptive online test. There were 3 patient care settings: tertiary care teaching hospital, community hospital, and home healthcare division. The sample was composed of 90 registered nurses who worked directly with patients with HF. Nurses completed an online test of knowledge using the Nurses' Knowledge of Heart Failure Education Principles instrument. Registered nurses (n = 90) completed the knowledge test instrument; their average score was 71% (SD, 10.8%) (range, 20%-90%). The percentage of correct items on each subscale ranged from 63.9% (SD, 30.0) for medications to 83.3% (SD, 25.0) for exercise. Only 8.9% of respondents achieved a passing score of greater than 85%, and a passing score was not associated with any demographic characteristics. Overall, nursing knowledge of HF self-management principles was low. Scores from our nurses were similar to those found in other studies. There is a need to develop interventions to improve nursing knowledge of HF self-management principles. Clinical nurse specialists can be instrumental in developing knowledge interventions for nurses.

  11. Neurophysiology training in the Neurology Specialist Education Program in Spain. (United States)

    Rodríguez-Antigüedad, A; Matías-Guiu, J; Hernández-Pérez, M A; Jiménez Hernández, M D; Martín González, M R; Morales Ortiz, A; Delgado, G; Frank, A; López de Silanes, C; Martínez-Vila, E


    The training period in neurophysiology is a substantial part of the Neurology Specialist Program in Spain. The National Neurology Committee (La Comisión Nacional de Neurología (CNN), which is the body reporting to the Ministries of Health and Education, must ensure compliance to the Program. During the first trimester of 2008, the CNN sent a questionnaire, in which there was a question asking about this training period, to each of the managers of the 69 teaching units accredited for neurology training in Spain, for them to answer. Of the 69 questionnaires issued, 49 were received completed, which was a response rate of 71%. The neurophysiology training period of the neurology specialist program in Spain was carried out in the same hospital in 44 teaching unit (90%): the remaining 5 sent their neurology trainees to 4 different hospitals. The Unit that carried out the neurophysiology training period was incorporated into the Neurology Department in 27 (55%) cases, and the formula was mixed in 3 (6%). A total of 69% of tutors were satisfied with the training, but was 90% in the hospitals where the unit was integrated into Neurology, and was 65% where this relationship did not exist. The neurologists in training were informed about EEG in 49% of education units, performed EMG/ENG 57%, and informed about evoked potentials in 35% after their training period. Although the level of satisfaction is high, the level of responsibility assumed by the neurologists in training during their rotation into neurophysiology does not appear to comply to the demands laid out in the training program, particularly in these units not integrated into Neurology Departments. Copyright © 2010 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  12. Decision making in specialist forensic psychiatric (the psychological aspect

    Directory of Open Access Journals (Sweden)

    Shmakova E.V.


    Full Text Available The article presents the results of a study of psychological factors of decision making amongforensic psychiatric specialists. Given the survey data of10 medical psychologists and 10 psychiatrists carrying out compulsory treatment in the psychiatric hospital №5, Moscow Department of Public Health, in comparison with the control group, consisting of professionals working in the field of education, manufacturing, services and technology. Methodical complex included: 1. The Epstein questionnaire of the intuitive style (adaptation Kornilova T. V., Kornilov S. A.; A new questionnaire of tolerance/intolerance to uncertainty (Kornilova T. V.; Melbourne questionnaire of decision making (adaptation T. V.Kornilova; The questionnaire «Personal factors of decision making»(T.V. Kornilova; TheV. Smecalo and V. M. Kucher method; The Tsvetkova Method; 7. The questionnaire «Styles of thinking» by R. Bramsonand Harrison (adaptation of A. A. Alekseev; 8.The questionnaire «Scale of base convictions» (R.Yanov-Boulemane, adaptation M.A. Padun, A.V. Kotelnikov; 9. The check-list aimed to identify the type of decisions taken by the expert in professional activity, their frequency, importance, subjective evaluation is necessary for decision making qualities and to evaluate the most significant opinions of other persons in the decision-making process. There were defined the characteristics of decision making depending on gender. The relationships between type of activity and frequency of occurrence of different types of decisions in professional activities of specialists were revealed. Analyzed the relationship between consideration of the views of others when making decisions and activity.

  13. Contemporary engagement with social media amongst hernia surgery specialists. (United States)

    Lui, D H; McDonald, J J; de Beaux, A; Tulloh, B; Brady, R R W


    Healthcare professional engagement is increasing. This study aims to identify levels of adoption and engagement of several social media platforms by a large international cohort of hernia surgery specialists. Hernia specialists attending the 38th International Congress of the European Hernia Society were identified. A manual search was then performed on Twitter, ResearchGate, and LinkedIn to identify those who had named accounts. Where accounts were identified, data on markers of utilisation were assessed. 759 surgeons (88.5% male) from 57 countries were identified. 334 surgeons (44%) engaged with a social media platform. 39 (5.1%) had Twitter accounts, 189 (24.9%) had ResearchGate accounts and 265 (34.9%) had LinkedIn accounts. 137 surgeons (18.1%) had accounts on 2 or more social media platforms. There was no gender association with social media account ownership (p > 0.05). Engagement in one social media platform was associated with increased engagement and utilisation on other platforms; LinkedIn users were more likely to have Twitter accounts (p ResearchGate profiles (p < 0.001). Surgeons on all three SM platforms were more likely to have high markers of engagement across all SM platforms (multiple outcomes, p < 0.05). Geographical variation was noted with UK and South American Surgeons being more likely to be present on Twitter than their counterparts (p = 0.031). The level of engagement with social media amongst Hernia surgeons is similar to other surgical specialities. Geographical variation in SM engagement is seen. Engagement with one SM platform is associated with presence on multiple platforms.

  14. Training specialists in international relations: rethinking the new paradigm

    Directory of Open Access Journals (Sweden)

    Elena V. Voevoda


    Full Text Available The article considers new tasks of universities and faculties training students of international relations. The author analyzes the essence of the concept "paradigm" in education because paradigm serves as the basis of the educational process in universities. The content of professional education depends on the aims of professional education of specialists in international relations. The process of globalization, global changes, challenges and threats bring about the necessity to study specific features of international cooperation in ecology, psychology of conflict, psychology of leadership, etc. In the age of globalization, national economies are converging while national cultures are diverging. Representatives of different nations realize the importance of preserving cultural identity. It is of vital importance to instil tolerance in future specialists in international relations and prepare them for cross-cultural communication. At the same time, it is necessary that they should not only enjoy individual freedom and national cultural identity, but realize their own responsibility to the state. In the modern world, the axiological and educational functions of professional training are growing. At the same time, it is crucial to let the students build a number of professionally relevant competences that will make it possible for them to effectively perform their professional functions. It is the competence-based approach that makes the basis of Federal state education standards, including education standards for faculties of international relations. Another direction that needs developing is training and retraining lecturers for universities specializing in international relations. Foreign language training of lecturers in basic subjects will make it possible for the, to give lectures in foreign languages, particularly in English, which, in its turn, will help to make Russia's universities more competitive.

  15. Revisioning a clinical nurse specialist curriculum in 3 specialty tracks. (United States)

    Arslanian-Engoren, Cynthia; Sullivan, Barbara-Jean; Struble, Laura


    The objective of the present study was to revise 3 clinical nurse specialist (CNS) educational tracks with current National Association of Clinical Nurse Specialist core competencies and educational expectations. National curricula recommendations include core competencies by the 3 spheres of influence. Advanced practice registered nurses consensus model educational requirements include a minimum of 500 faculty-supervised clinical hours; separate graduate courses in pharmacology, pathophysiology, and advanced physical assessment; and content in differential diagnosis disease management, decision making, and role preparation. This educational initiative was designed to (1) align with core competencies and advanced practice registered nurse consensus model recommendations, (2) create an innovative learning environment, (3) meet the needs of diverse student populations, (4) align with emerging doctor of nursing practice programs, (5) create a high-efficiency and high-quality environment to manage human and fiscal resources, and (6) reduce duplication of efforts. Courses were revised that did not meet current CNS educational preparation expectations. A total of 11 didactic and clinical sequences courses were developed for the 3 tracks to (1) ensure minimum numbers of clinical hours; (2) expand content on health promotion and risk reduction, advanced practice nurse role, and the healthcare delivery system; (3) consolidate clinical courses; and (4) resequence foundational content before beginning clinical courses. Revisioning a CNS curriculum in 3 specialty tracks is challenging but doable using innovative and creative approaches. The innovative process used to revise our CNS curriculum will assist nurse educators faced with similar program delivery challenges to meet future directions for educating CNS students in advanced nursing practice. Copyright © 2011 Lippincott Williams & Wilkins.

  16. Canadian Contraception Consensus (Part 2 of 4). (United States)

    Black, Amanda; Guilbert, Edith; Costescu, Dustin; Dunn, Sheila; Fisher, William; Kives, Sari; Mirosh, Melissa; Norman, Wendy V; Pymar, Helen; Reid, Robert; Roy, Geneviève; Varto, Hannah; Waddington, Ashley; Wagner, Marie-Soleil; Whelan, Anne Marie; Ferguson, Carrie; Fortin, Claude; Kielly, Maria; Mansouri, Shireen; Todd, Nicole


    To provide guidelines for health care providers on the use of contraceptive methods to prevent pregnancy and on the promotion of healthy sexuality. Guidance for Canadian practitioners on overall effectiveness, mechanism of action, indications, contraindications, non-contraceptive benefits, side effects and risks, and initiation of cited contraceptive methods; family planning in the context of sexual health and general well-being; contraceptive counselling methods; and access to, and availability of, cited contraceptive methods in Canada. Published literature was retrieved through searches of Medline and The Cochrane Database from January 1994 to January 2015 using appropriate controlled vocabulary (e.g., contraception, sexuality, sexual health) and key words (e.g., contraception, family planning, hormonal contraception, emergency contraception). Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies published in English from January 1994 to January 2015. Searches were updated on a regular basis and incorporated in the guideline to June 2015. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies. The quality of the evidence in this document was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table). Chapter 1: Contraception in Canada Summary Statements  1. Canadian women spend a significant portion of their lives at risk of an unintended pregnancy. (II-2)  2. Effective contraceptive methods are underutilized in Canada, particularly among vulnerable populations. (II-2)  3. Long-acting reversible contraceptive methods, including contraceptive implants and intrauterine contraception (copper-releasing and levonorgestrel

  17. Canadian Contraception Consensus (Part 1 of 4). (United States)

    Black, Amanda; Guilbert, Edith; Costescu, Dustin; Dunn, Sheila; Fisher, William; Kives, Sari; Mirosh, Melissa; Norman, Wendy V; Pymar, Helen; Reid, Robert; Roy, Geneviève; Varto, Hannah; Waddington, Ashley; Wagner, Marie-Soleil; Whelan, Anne Marie; Ferguson, Carrie; Fortin, Claude; Kielly, Maria; Mansouri, Shireen; Todd, Nicole


    To provide guidelines for health care providers on the use of contraceptive methods to prevent pregnancy and on the promotion of healthy sexuality. Guidance for Canadian practitioners on overall effectiveness, mechanism of action, indications, contraindications, non-contraceptive benefits, side effects and risks, and initiation of cited contraceptive methods; family planning in the context of sexual health and general well-being; contraceptive counselling methods; and access to, and availability of, cited contraceptive methods in Canada. Published literature was retrieved through searches of Medline and The Cochrane Database from January 1994 to January 2015 using appropriate controlled vocabulary (e.g., contraception, sexuality, sexual health) and key words (e.g., contraception, family planning, hormonal contraception, emergency contraception). Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies published in English from January 1994 to January 2015. Searches were updated on a regular basis and incorporated in the guideline to June 2015. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies. The quality of the evidence in this document was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care (Table). Chapter 1: Contraception in Canada Summary Statements 1. Canadian women spend a significant portion of their lives at risk of an unintended pregnancy. (II-2) 2. Effective contraceptive methods are underutilized in Canada, particularly among vulnerable populations. (II-2) 3. Long-acting reversible contraceptive methods, including contraceptive implants and intrauterine contraception (copper-releasing and levonorgestrel

  18. Guidelines for Evaluation of Canadian Forces Indoor Firing Ranges

    National Research Council Canada - National Science Library

    Severs, Y


    Indoor Firing Ranges (IFR) within DND are typically used by Canadian Forces (CF) personnel, Cadets, RCMP, and civilian organizations for firing small bore weapons in support of both operational/ occupational and recreational requirements...

  19. Building Canadian Support for Global Health Research - Phase III ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2008. Key activities will include mobilizing Canadian investment in global health research, building global health research capacity in Canada and LMICs, translating research into action, nurturing partnerships between researchers in Canada ...

  20. Canadian women opting for less effective birth control

    National Research Council Canada - National Science Library

    Lauren Vogel


    More Canadian women are relying on less effective methods of birth control and are using them less consistently than they did a decade ago, according to the Society of Obstetricians and Gynaecologists of Canada (SOGC...

  1. Endoscopy training in Canadian general surgery residency programs. (United States)

    Bradley, Nori L; Bazzerelli, Amy; Lim, Jenny; Wu Chao Ying, Valerie; Steigerwald, Sarah; Strickland, Matt


    Currently, general surgeons provide about 50% of endoscopy services across Canada and an even greater proportion outside large urban centres. It is essential that endoscopy remain a core component of general surgery practice and a core competency of general surgery residency training. The Canadian Association of General Surgeons Residents Committee supports the position that quality endoscopy training for all Canadian general surgery residents is in the best interest of the Canadian public. However, the means by which quality endoscopy training is achieved has not been defined at a national level. Endoscopy training in Canadian general surgery residency programs requires standardization across the country and improved measurement to ensure that competency and basic credentialing requirements are met.

  2. Interculturalism and Theatrefront: Shifting Meanings in Canadian Collective Creation

    National Research Council Canada - National Science Library

    Ratsoy, Ginny


    .... The intercultural work Ubuntu (The Cape Town Project) expressionistically performs the stories of two generations of a South African family and a Canadian family as their complex associations are revealed against the backdrop of a Toronto university...

  3. Technical Communication Programs at Canadian Post-secondary Institutions. (United States)

    Graves, Roger; And Others


    Reports on a survey identifying the location, extent, and focus of technical writing programs at Canadian colleges and universities. Describes representative programs in some detail. Discusses the focus of these programs and the need for more programs. (SR)

  4. Latin American geo-political struggles in Canadian documentaries production

    Directory of Open Access Journals (Sweden)

    Anelise Reich Corseuil


    Full Text Available This paper analyzes two contemporary Canadian documentaries about Latin American history, specifically the ways in which the films provide an aesthetics of resistance to stereotypical and homogeneous representations of Latin American countries. Canadian documentaries on the history and the people of third world countries not only document Latin American countries but also criticize the conflicting relationships and forms of representation involved in the making of the documentary, revealing the documentary as a narrative form in its making of Latin American subjects and histories. Within this theoretical context, the study here proposed analyses two documentaries about Latin-American geopolitical conflicts. The World is Watching: Inside the News (1988, a British-Canadian production directed by Jim Munro and Peter Raymond, and a Place Called Chiapas, a Canadian production, directed by Nettie Wild (1998.

  5. Toxic effects of skin-lightening products in Canadian immigrants. (United States)

    Mistry, Nisha; Shapero, Jonathan; Kundu, Roopal V; Shapero, Harvey


    The cultural practice of skin bleaching is highly prevalent in Africa. Most reported cases of toxic effects of skin-lightening products occur in this region. To describe cases of misuse of over-the-counter (OTC) cosmetic skin-lightening products occurring in Canadian immigrants. Two cases of Canadian immigrants with severe complications from OTC skin-bleaching agents were identified in a community-based dermatology practice in Toronto. The case histories were reviewed and analyzed. A 28-year-old African-Canadian woman developed extensive striae from long-term use of a topical cream containing clobetasol that she had purchased in a Caribbean health food store. A 55-year-old African-Canadian woman developed exogenous ochronosis from the use of a topical bleaching agent she had purchased in Ghana. Cosmetic skin lightening with unregulated topical products occurs in Canada. Dermatologists working in Canada need to be aware of this practice to provide appropriate directive care.

  6. 22 CFR 123.19 - Canadian and Mexican border shipments. (United States)


    ... FOR THE EXPORT OF DEFENSE ARTICLES § 123.19 Canadian and Mexican border shipments. A shipment originating in Canada or Mexico which incidentally transits the United States en route to a delivery point in...

  7. Canadian Forces Experience with Turbofan HCF - Case Study

    National Research Council Canada - National Science Library

    Kinart, Corey; Theriault, Pierre


    High Cycle Fatigue (HCF) cracking of a Canadian Forces (CF) turbofan engine fuel tube resulted in a six year, multinational effort to identify the root cause and to ultimately develop and implement a solution...

  8. Household Income, Food Insecurity and Nutrition in Canadian Youth

    National Research Council Canada - National Science Library

    Sean Mark; Marie Lambert; Jennifer O'Loughlin; Katherine Gray-Donald


    .... The objective of this study was to examine the influence of income and the conjoint influence of low income and food insecurity on several dietary indicators in a representative sample of Canadian youth. Methods...

  9. Thinking Globally, Acting Locally: Preparing the Canadian Foreign ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    , strengthen the foreign policy community in the national capital region, and include younger professionals in ongoing work. This grant from IDRC will help the National Capital Branch of the Canadian International Council (CIC-NCB) create a ...

  10. AUCC-IDRC Partnership Grant 2013-2016: Canadian University ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    This project will identify promising practices in Canadian universities' student mobility programs, which are designed to advance the institutions' internationalization strategies. Researchers will examine program partnerships between developing- and developed-countries, along with the success factors behind them.

  11. Canadian advanced life support capacities and future directions (United States)

    Bamsey, M.; Graham, T.; Stasiak, M.; Berinstain, A.; Scott, A.; Vuk, T. Rondeau; Dixon, M.


    Canada began research on space-relevant biological life support systems in the early 1990s. Since that time Canadian capabilities have grown tremendously, placing Canada among the emerging leaders in biological life support systems. The rapid growth of Canadian expertise has been the result of several factors including a large and technically sophisticated greenhouse sector which successfully operates under challenging climatic conditions, well planned technology transfer strategies between the academic and industrial sectors, and a strong emphasis on international research collaborations. Recent activities such as Canada's contribution of the Higher Plant Compartment of the European Space Agency's MELiSSA Pilot Plant and the remote operation of the Arthur Clarke Mars Greenhouse in the Canadian High Arctic continue to demonstrate Canadian capabilities with direct applicability to advanced life support systems. There is also a significant latent potential within Canadian institutions and organizations with respect to directly applicable advanced life support technologies. These directly applicable research interests include such areas as horticultural management strategies (for candidate crops), growth media, food processing, water management, atmosphere management, energy management, waste management, imaging, environment sensors, thermal control, lighting systems, robotics, command and data handling, communications systems, structures, in-situ resource utilization, space analogues and mission operations. With this background and in collaboration with the Canadian aerospace industry sector, a roadmap for future life support contributions is presented here. This roadmap targets an objective of at least 50% food closure by 2050 (providing greater closure in oxygen, water recycling and carbon dioxide uptake). The Canadian advanced life support community has chosen to focus on lunar surface infrastructure and not low Earth orbit or transit systems (i.e. microgravity

  12. Sources of satisfaction and dissatisfaction among specialists within the public and private health sectors

    DEFF Research Database (Denmark)

    Ashton, Toni; Brown, Paul M.; Sopina, Elizaveta (Liza)


    Aim As in many countries, medical and surgical specialists in New Zealand have the opportunity of working in the public sector, the private sector or both. This study aimed to explore the level and sources of satisfaction and dissatisfaction of specialists in New Zealand with working in the two....... Results Completed surveys were received from 943 specialists (47% response rate). Overall mean levels of satisfaction were higher in the private sector than the public sector while levels of dissatisfaction were lower. While the public system is valued for its opportunities for further education...... and dissatisfaction amongst specialists are different for the public and private sectors. Allowing specialists more freedom to work independently and to apply their own ideas in the workplace may enhance recruitment and retention of specialists in the public health system....

  13. Treatment Algorithm for Chronic Idiopathic Constipation and Constipation-Predominant Irritable Bowel Syndrome Derived from a Canadian National Survey and Needs Assessment on Choices of Therapeutic Agents

    Directory of Open Access Journals (Sweden)

    Yvonne Tse


    Full Text Available Background. Chronic idiopathic constipation (CIC and constipation-predominant irritable bowel syndrome (IBS-C are common functional lower gastrointestinal disorders that impair patients’ quality of life. In a national survey, we aimed to evaluate (1 Canadian physician practice patterns in the utilization of therapeutic agents listed in the new ACG and AGA guidelines; (2 physicians satisfaction with these agents for their CIC and IBS-C patients; and (3 the usefulness of these new guidelines in their clinical practice. Methods. A 9-item questionnaire was sent to 350 Canadian specialists to evaluate their clinical practice for the management of CIC and IBS-C. Results. The response rate to the survey was 16% (n=55. Almost all (96% respondents followed a standard, stepwise approach for management while they believed that only 24% of referring physicians followed the same approach. Respondents found guanylyl cyclase C (GCC agonist most satisfying when treating their patients. Among the 69% of respondents who were aware of published guidelines, only 50% found them helpful in prioritizing treatment choices and 69% of respondents indicated that a treatment algorithm, applicable to Canadian practice, would be valuable. Conclusion. Based on this needs assessment, a treatment algorithm was developed to provide clinical guidance in the management of IBS-C and CIC in Canada.

  14. Mini Citizens' Assemblies on the Future of Canadian Federalism


    Reuchamps, Min


    Canadian federalism and its future are undeniably a frequent and important topic of debate. Many people have their own opinions on the topic but they rarely have the opportunity to discuss it with fellow Canadians, experts and politicians in a setting conducive to learning and debate. With this in mind, three small citizens' assemblies on the future of federalism in Canada were held in the spring of 2008, two in Montreal and one in Kingston. For over four hours, participants had the opportuni...

  15. Association between Body Composition and Sport Injury in Canadian Adolescents


    Ezzat, Allison M.; Schneeberg, Amy; Koehoorn, Mieke; Emery, Carolyn A.


    Purpose: To examine the association between overweight or obesity and sport injury in a population-based sample of Canadian adolescents. Methods: Cross-sectional analyses were performed using the Canadian Community Health Survey (2009?2010), a nationally representative sample (n=12,407) of adolescents aged 12?19 years. Body composition was quantified using BMI, grouping participants into healthy weight, overweight, or obese. The outcome of interest was acute or repetitive strain injury sustai...

  16. Open Access and Canadian Libraries: Taking a Position


    Morrison, Heather; Waller, Andrew


    The co-convenors of the Canadian Library Association (CLA) Task Force on Open Access report on the work of the Task Force. CLA has adopted strong policies on open access to CLA's own publications, most of which have been implemented. CLA has contributed to consultations on open access. On May 21, 2008, CLA approved a Position Statement on Open Access for Canadian Libraries. The Position Statement reinforces access to information as one of librarianship's key values. Libraries are encoura...

  17. Sleeping with the Elephant: A Canadian Strategic Culture (United States)


    the Canadian Forces Do Not Campaign,” in The Operational Art: Canadian Perspectives, Context and Concepts, ed. Allan English , Daniel Gosselin...armies. As he wrote in 1838: Nations with powerful imaginations are particularly liable to panics; and nothing short of strong institutions and skillful ...assumptions derived from common experiences and accepted narratives (both oral and written), that shape collective identity and relationships to

  18. Financial Situation and Performance of Canadian Farms 2009


    Niekamp, Deborah


    This publication is a resource book of statistics on farm income in Canada. Farm income is a complex issue because of the diversity of Canadian farms and agricultural production in Canada. This resource book focuses on both income and the opportunities and challenges facing Canadian producers to provide a better understanding of the financial conditions of farms and farm families in Canada. Charts, figures and tables with brief accompanying text are used to summarize information and to provid...

  19. Scori: specialist of the thermal treatment of wastes in cement industry; Scori: specialiste du traitement thermique des dechets en cimenterie

    Energy Technology Data Exchange (ETDEWEB)



    Todays, the valorization in cement industry is an integral part of the treatment of industrial wastes in France. This solution, widely developed in other European countries, has been considered as an integral way of wastes elimination by the European directive on special industrial wastes incineration. In this context, with 460000 t processed in France and Belgium and a 600000 t capacity, the SCORI company is considered as the European specialist of the industrial wastes treatment in cement industry thanks to its know-how developed with its partners Ciment Calcia, Lafarge Ciments, Holderbank and Vicat. This paper describes the advantages of cement kilns for the destruction of organic compounds, the part of inorganic and mineral wastes introduced, the purification of combustion gases, the energy valorization of wastes, the pre-treatment of some special wastes before combustion, and the different types of wastes accepted in cement industry (selection, risk assessment, legal aspects and safety). (J.S.)

  20. Doctors of osteopathic medicine (DO): a Canadian perspective. (United States)

    Evren, Sevan; Bi, Andrew Yuzhong; Talwar, Shuchi; Yeh, Andrew; Teitelbaum, Howard


    Doctors of osteopathic medicine (DO) are one of the fastest growing segments of health care professionals in the United States. Although Canada has taken significant leaps in the acknowledgment of US trained DOs, there continues to be a lack of understanding of the profession by Canadian trained physicians. In this article, we provide a brief overview of osteopathic medical education and training in the United States. Current information of osteopathic training by American Association of Colleges of Osteopathic Medicine (AACOM) and American Osteopathic Association (AOA) was presented. Data pertaining to Canadians enrolled in osteopathic colleges was compared with allopathic (MD) and international medical graduates (IMGs). Doctors of osteopathic medicine programs provide an additional pathway for students interested in pursuing a medical education. Canadian applications to osteopathic colleges are expected to grow due to successful post-graduate US residency matching, increased difficulty of matriculating at Canadian medical schools, and a greater awareness of the profession in Canada. Given the increasing enrollment of Canadian students in US osteopathic medical schools, we expect that Canadian DOs will play a significant role in shaping health care in both the US and Canada.

  1. Self-Perceived Eating Habits and Food Skills of Canadians. (United States)

    Slater, Joyce J; Mudryj, Adriana N


    This study identified and described Canadians' self-perceived eating habits and food skills through the use of population-based data. Data from the Canadian Community Health Survey 2013 Rapid Response on Food Skills was used to examine the eating quality and patterns of Canadians. Data were collected from all provinces in January and February 2013. Respondent variables (sex, age, Aboriginal/immigrant status) were examined to assess differentiations between socio-demographic groupings (family structure, marital status, education, and income). Logistic regression was used to determine whether demographic variables increased the likelihood of certain responses. Forty-six percent of Canadians believe they have excellent/very good eating habits, with 51% categorizing their habits as good or fair. Similarly, the majority report having good food skills. Sex and age were significantly associated with food skills, with women rating their cooking skill proficiency higher than men (72% vs 55%), and older Canadians reporting higher food skill knowledge than their younger counterparts. Results indicate that while portions of the Canadian population have adequate food skills, others are lacking, which may negatively impact their diet. Findings from this study have implications for education and health promotion programs focusing on foods skills, particularly among vulnerable target groups. Copyright © 2016 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  2. The representations of work-life balance in Canadian newspapers. (United States)

    Reece, Katherine T; Davis, Jane A; Polatajko, Helene J


    Work-life balance has become a topic of increasing interest in the media as well as a concern among working Canadians. Since print media discourse can both reflect and shape societal values, cultural norms and ideals of workers in this country, it is important to understand this representation and its potential influence on the occupational engagement and life transitions of Canadian workers. Articles from four major Canadian newspapers published between 2003 and 2005 were used as data sources to examine the media construction of "work-life balance". Thematic analysis of 100 articles was performed using a modified affinity diagramming process. Representations within the Canadian print media conveyed both themes pertaining to the perceived experiences of imbalance and balance, as well as, a process of life balance. Obtaining balance was portrayed as an ongoing process during which an individual negotiates and sacrifices in an attempt to achieve his or her ideal level of balance. Environmental expectations and individual practices and perceptions were conveyed as reasons for the success or derailment of balance. The representations of work-life balance found in the Canadian print media were predominantly of professionals, focused on the demands of work and family, and did not appear to be a broad representation of the multiple realities that all Canadians face.

  3. A qualitative study of work-life balance amongst specialist orthodontists in the United Kingdom


    S J Cunningham; Bateman, L. E.; Collins, J M


    Objective: To identify factors affecting work-life balance amongst male and female orthodontists in the United Kingdom. Design: A qualitative interview-based study with a cross-sectional design. Subjects: Specialist orthodontists working in specialist practice and the hospital service in the United Kingdom were selected by purposive sampling. Methods: In-depth semi-structured interviews were conducted with eighteen orthodontic specialists. Interview transcripts were analysed using Framework A...

  4. Canadian plans for participation in GSETT 3

    Directory of Open Access Journals (Sweden)

    R. N. North


    Full Text Available The Geological Survey of Canada (GSC is making preparations for Canadian participation in GSETT 3 but will be unable to make a formal commitment until the necessary resources have been secured. As Canada is expected to provide at least four alpha stations, and a significant number of beta stations, the financial resources that will be needed are substantial, even though in many respccts the GSC is, with the recent modernization of the Yellowknife array and the ongoing installation of the Canadian National Seismograph Network (CNSN, well positioned to make a significant contribution to GSETT 3. The CNSN currently (October 1993 consists of 17 broad band stations and will grow to 23 and 33 such stations by December 1993 and December 1994 respectively. Some 40 50 short period stations will complete the network. Data from all sites are continuously telemetered in real time to network acquisition centres in Ottawa and Sidney, British Columbia, archived to optical disk, and kept on line in a 72 h ring buffer. Most of the broadband sites could serve as either alpha or beta stations once the necessary software for continuous data transfer, or on request provision, of data from the selected sites has been completed. This software wili be configured so that changes in station selection are easy to implement, and this will provide considerable flexibility to the GSETT 3 planning and operations working groups in selecting the optimum network. Backup stations can be designated in the case of station failures, and the network centre in British Columbia will serve, at least for beta stations, as a backup NDC to that in Ottawa. Data from. the Yellowknife array are collected in Yellowknife and forwarded in ten minute files to Ottawa, where processing is completed and the results archived. This arrangement would not meet the deadlines for receipt of alpha station data at the IDC and new hardware and software will be needed to forward the data more immediately from

  5. The Snowtweets Project: communicating snow depth measurements from specialists and non-specialists via mobile communication technologies and social networks (United States)

    King, J. M.; Cabrera, A. R.; Kelly, R. E.


    With the global decline of in situ snow measurements for hydrometeorological applications, there is an evolving need to find alternative ways to collect localized measurements of snow. The Snowtweets Project is an experiment aimed at providing a way for people interested in making snow measurements to quickly broadcast their measurements to the internet. The goal of the project is to encourage specialists and non-specialists alike to share simple snow depth measurements through widely available social networking sites. We are currently using the rapidly growing microblogging site Twitter ( as a broadcasting vehicle to collect the snow depth measurements. Using 140 characters or less, users "tweet" their snow depth from their location through the Twitter website. This can be done from a computer or smartphone with internet access or through SMS messaging. The project has developed a Snowtweets web application that interrogates Twitter by parsing the 140 character string to obtain a geographic position and snow depth. GeoRSS and KML feeds are available to visualize the tweets in GoogleEarth or they can be viewed in our own visualiser, Snowbird. The emphasis is on achieving wide coverage to increase the number of microblogs. Furthermore, after some quality control filters, the project is able to combine the broadcast snow depths with traditional and objective satellite remote sensing-based observations or hydrologic model estimates. Our site,, was launched in July 2009 and is ready for the 2009-2010 northern hemisphere winter. We invite comments from experienced community participation projects to help improve our product.

  6. Specialist clinics in remote Australian Aboriginal communities: where rock art meets rocket science. (United States)

    Gruen, Russell; Bailie, Ross


    People in remote Aboriginal communities in the Northern Territory have greater morbidity and mortality than other Australians, but face considerable barriers when accessing hospital-based specialist services. The Specialist Outreach Service, which began in 1997, was a novel policy initiative to improve access by providing a regular multidisciplinary visiting specialist services to remote communities. It led to two interesting juxtapositions: that of 'state of the art' specialist services alongside under-resourced primary care in remote and relatively traditional Aboriginal communities; and that of attempts to develop an evidence base for the effectiveness of outreach, while meeting the short-term evaluative requirements of policy-makers. In this essay, first we describe the development of the service in the Northern Territory and its initial process evaluation. Through a Cochrane systematic review we then summarise the published research on the effectiveness of specialist outreach in improving access to tertiary and hospital-based care. Finally we describe the findings of an observational population-based study of the use of specialist services and the impact of outreach to three remote communities over 11 years. Specialist outreach improves access to specialist care and may lessen the demand for both outpatient and inpatient hospital care. Specialist outreach is, however, dependent on well-functioning primary care. According to the way in which outreach is conducted and the service is organised, it can either support primary care or it can hinder primary care and, as a result, reduce its own effectiveness.

  7. Attitudes, practices on allergic rhinitis of generalists and specialists in Philippine National Capital Region (United States)

    Romualdez, Joel A.


    Background Treatment of allergic rhinitis (AR) consistent with consensus guidelines is reported to result in better patient outcomes. However, physicians may manage patients independently of guidelines. Asian data on physician perspectives regarding AR diagnosis and management is limited. Objective The study objective is to assess attitudes and practices on AR of Filipino specialists and generalists. Methods A cross sectional survey of 100 specialists and 100 generalists was conducted from November 2014 to January 2015. A previously validated and pilot tested questionnaire was administered via structured face to face interviews. Results Specialists reported greater adequate knowledge of AR (specialists, 58%; generalists, 39%) and adherence to guidelines (specialists, 84%; generalists, 54%). Diagnostic tests were not routinely used (specialists, 81%; generalists, 92%). Monotherapy, specifically antihistamines, was preferred for mild AR. For moderate-severe AR, preference for monotherapy versus combination therapy (specialists, 49% vs. 51%; generalists, 44% vs. 56%) was similar. Both groups preferred intranasal corticosteroid spray (INCS) for monotherapy and antileukotrienes, antihistamines, INCS for combination therapy. For adjuvant therapy, specialists (82%) preferred nasal irrigation/douche. Primary consideration for choice of therapy was efficacy. Cost was the perceived reason for patients' noncompliance with treatment. Conclusion Despite differences in awareness of and adherence to guidelines, prescribing patterns on management of mild and moderate-severe AR are similar among Filipino specialists and generalists. This can be attributed to a shared perception of efficacy and cost as drivers for therapeutic choices. PMID:26539402

  8. Ankle fracture controversies: Do the foot and ankle specialists have a different vision? (United States)

    González-Lucena, G; Pérez-Prieto, D; López-Alcover, A; Ginés-Cespedosa, A

    To analyse the differences in the management of ankle fractures between orthopaedic/trauma surgeons and foot and ankle specialists. An e-mail survey was performed asking some of the country's orthopaedic surgeons controversial questions regarding the analysis of 5 clinical cases of different ankle fractures. Seventy-two surgeons responded to the questionnaire (response rate of 24.2%): 37 foot and ankle specialists and 35 non-specialist orthopaedic surgeons. For trimalleolar fracture, 40.5% of the specialists would request a computed tomography scan compared to 14% of the non-specialists (P=.01). Ninety-four percent of all the respondents would synthesise the posterior malleolus; 91% of the non-specialists would use an antero-posterior approach, either with a plate or with screws (P=.006). No differences were found between groups in the treatment of syndesmotic injuries (P>.05). For trans-syndesmotic fracture (Weber B) with signs of medial instability, 54% of the non-specialists would revise the internal lateral ligament compared to only 32% of the specialists (P=.06). The foot and ankle specialists ask for more complementary tests to diagnose ankle fractures. In turn, they use a greater diversity of surgical techniques in synthesis of the posterior malleolus (posterior plate) and the medial malleolus (cerclage wires). Finally, they indicated a lower revision rate of the internal lateral ligament. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Вікторія Пацюк


    Full Text Available Relevance and importance of training of tourism specialists on the regional level have been revealed.  General principles of training of tourism services specialists in Ukraine have been found out. The structure and professional specialization of Ukrainian universities, where the “Tourism” specialists are trained have been analyzed. Pofessional requirements for future employees of tourism industry have been defined. Relevance of training of tourism specialists in Kryvyi Rih in the context of the implementation of the Program of Industrial Tourism Development has been revealed. Potential scope of employment of tourism graduates has been defined. Main tasks  of tourism education in Ukraine have been generalized.

  10. Doctors applying for Danish postgraduate medical specialist training are getting younger

    DEFF Research Database (Denmark)

    Kjaer, N. K.; Clausen, L. W.; Qvesel, D.


    INTRODUCTION: It was previously shown that applicants for postgraduate medical specialist training in Denmark were old. In order to prevent potential shortage of specialists, the Danish health authorities have passed legislation to speed up the output of new specialists. The aim of this study...... was to highlight the present characteristics of young doctors who entered specialist training. MATERIAL AND METHODS: Data include 443 doctors who were enrolled in a formalized postgraduate medical training programme in the Region of Southern Denmark from 2009 to 2011. RESULTS: 41% of the recruited young doctors...

  11. Word Segmentation in Monolingual Infants Acquiring Canadian English and Canadian French: Native Language, Cross-Dialect, and Cross-Language Comparisons (United States)

    Polka, Linda; Sundara, Megha


    In five experiments, we tested segmentation of word forms from natural speech materials by 8-month-old monolingual infants who are acquiring Canadian French or Canadian English. These two languages belong to different rhythm classes; Canadian French is syllable-timed and Canada English is stress-timed. Findings of Experiments 1, 2, and 3 show that…

  12. Adaptation of the Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) into French-Canadian and English-Canadian


    Donna Coffin; Karine Duval; Simon Martel; John Granton; Marie-Claude Lefebvre; Meads, David M.; James Twiss; McKenna, Stephen P.


    BACKGROUND: The Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) is the first disease-specific instrument for assessing patient-reported symptoms, functioning and quality of life (QoL) in pulmonary arterial hypertension (PAH).OBJECTIVES: To create and validate French-Canadian (FC) and English-Canadian (EC) language versions of the CAMPHOR.METHODS: A translation panel (for the FC version) and lay panels (for both versions) were convened to adapt the questionnaires (dual-panel methodol...

  13. International Relations As A Field Of Study In The Canadian System Of Higher Education

    Directory of Open Access Journals (Sweden)

    Istomina Kateryna


    Full Text Available The research presents an attempt to investigate the current state of international relations as a field of study in the context of higher education system in Canada. It contains a general overview of the field of study, focusing predominantly on the role and function of the given academic discipline. The scientific investigation covers the issue of short historiographic review of the development of international relations as a separate academic discipline and an independent field of study at the universities of Canada since it provides better understanding of the international relations evolution as a discipline in Canadian system of higher education. It gives information on the origins of international relations discipline in Canada and first higher education establishments, which provided professional training in the international relations field. The article reviews the official normative documents in the sphere of higher education in Canada, such as Major Field of Study Classification and Classification of Instructional Programs, being theoretical basis of our analysis. The research results can be used to outline the place of international relations major among the diversity of functioning academic majors in Canada. The research also turns to the profound analysis of the information about the offered instructional programs, dedicated to professional training of international relations specialists at the universities of Canada.

  14. Integrated environmental impact assessment: a Canadian example. (United States)

    Kwiatkowski, Roy E; Ooi, Maria


    The Canadian federal process for environmental impact assessment (EIA) integrates health, social, and environmental aspects into either a screening, comprehensive study, or a review by a public panel, depending on the expected severity of potential adverse environmental effects. In this example, a Public Review Panel considered a proposed diamond mining project in Canada's northern territories, where 50% of the population are Aboriginals. The Panel specifically instructed the project proposer to determine how to incorporate traditional knowledge into the gathering of baseline information, preparing impact prediction, and planning mitigation and monitoring. Traditional knowledge is defined as the knowledge, innovations and practices of indigenous and/or local communities developed from experience gained over the centuries and adapted to local culture and environment. The mining company was asked to consider in its EIA: health, demographics, social and cultural patterns; services and infrastructure; local, regional and territorial economy; land and resource use; employment, education and training; government; and other matters. Cooperative efforts between government, industry and the community led to a project that coordinated the concerns of all interested stakeholders and the needs of present and future generations, thereby meeting the goals of sustainable development. The mitigation measures that were implemented take into account: income and social status, social support networks, education, employment and working conditions, physical environments, personal health practices and coping skills, and health services.

  15. Food and eating environments: in Canadian schools. (United States)

    Browning, H Frances; Laxer, Rachel E; Janssen, Ian


    This national study was conducted to examine healthy eating programs, healthy eating education, and the food retail environments of schools. A total of 436 Canadian schools were studied. Administrators completed a questionnaire designed to assess school healthy eating programs, healthy eating education, and food retail environment. The number of chain fast food restaurants, chain cafés/coffee shops, and convenience stores within 1 km of schools was measured using geographic information systems food retailer measures from DMTI Spatial Inc. and the Yellow Pages. During the preceding year, 67% of schools had initiated healthy eating lunch programs while 18% had junk food-free days. The majority of schools offered cooking classes (59%) and healthy eating media literacy education (67%), while a minority offered gardening activities (15%) and field trips to farmers' markets (27%) and grocery stores (36%). Fifty-three percent had a school cafeteria, and most had a school tuck shop (75%) and pop/juice vending machines (76%). Fifty percent had a chain fast food restaurant, 33% had a chain café/coffee shop, and 41% had a convenience store within 1 km. An important aspect of addressing childhood obesity will be improving the food environments of schools and their surrounding neighbourhoods, and providing healthy eating education for all students.

  16. Canadian survey on pandemic flu preparations

    Directory of Open Access Journals (Sweden)

    Tracy CS


    Full Text Available Abstract Background The management of pandemic influenza creates public health challenges. An ethical framework, 'Stand on Guard for Thee: ethical considerations in pandemic influenza preparedness' that served as a template for the World Health Organization's global consultation on pandemic planning, was transformed into a survey administered to a random sample of 500 Canadians to obtain opinions on key ethical issues in pandemic preparedness planning. Methods All framework authors and additional investigators created items that were pilot-tested with volunteers of both sexes and all socioeconomic strata. Surveys were telephone administered with random sampling achieved via random digit dialing (RDD. Eligible participants were adults, 18 years or older, with per province stratification equaling provincial percent of national population. Descriptive results were tabulated and logistic regression analyses were used to assess whether demographic factors were significantly associated with outcomes. Results 5464 calls identified 559 eligible participants of whom 88.5% completed surveys. Over 90% of subjects agreed the most important goal of pandemic influenza preparations was saving lives, with 41% endorsing saving lives solely in Canada and 50% endorsing saving lives globally as the highest priority. Older age (OR = 8.51, p Conclusions Results suggest trust in public health officials to make difficult decisions, providing emphasis on reciprocity and respect for individual rights.

  17. The Olympus program: A Canadian opportunity (United States)

    Booth, G. H.; Hayes, E. J.; Mamen, R.; Olsen, R. L.; Tsang, E. K.

    Canada was involved in the European Space Agency's Olympus satellite program since the beginning. Canadian industry was responsible for the design and manufacture of the large solar array system, intermediate frequency amplifiers, and microwave components as well as playing an important role in the assembly, integration, and test of the satellite and test models which were largely conducted at the Department of Communications' David Florida Laboratory (DFL). This paper describes the salient features of the satellite, special aspects of the testing at the DFL that were driven by the Olympus program, and Canada's part in the post-launch trials and demonstration program which provides Canada with an early opportunity to experiment in the next frequency band to be exploited commercially. The Olympus satellite is a multipurpose three axis stabilized bus capable of carrying a variety of payloads. It has a flexible solar array capable of generating 3.5 kW of power. The multielement payload of the first Olympus satellite includes the following: a two channel, high power television broadcast payload, a four channel 12/14 GHz payload for business services, a 20/30 GHz communications payload primarily aimed at video conferencing and communications systems, and 12/30/30 GHz beacon which will be used to gather propagation information. Testing at the DFL included thermal, vibration, and mass properties measurements and radio frequency testing.

  18. Canadian regulatory perspectives on genome engineered crops. (United States)

    Smyth, Stuart J


    New breeding techniques in plant agriculture exploded upon the scene about two years ago, in 2014. While these innovative plant breeding techniques, soon to be led by CRISPR/Cas9, initially appear to hold tremendous promise for plant breeding, if not a revolution for the industry, the question of how the products of these technologies will be regulated is rapidly becoming a key aspect of the technology's future potential. Regulation of innovative technologies and products has always lagged that of the science, but in the past decade, regulatory systems in many jurisdictions have become gridlocked as they try to regulate genetically modified (GM) crops. This regulatory incapability to efficiently assess and approve innovative new agricultural products is particularly important for new plant breeding techniques as if these techniques are classified as genetically modified breeding techniques, then their acceptance and future will diminish considerably as they will be rejected by the European Union. Conversely, if the techniques are accepted as conventional plant breeding, then the future is blindingly bright. This article examines the international debate about the regulation of new plant breeding techniques and then assesses how the Canadian regulatory system has approached the regulation of these technologies through two more public product approvals, GM apples and GM potatoes, then discusses other crop variety approval and those in the regulatory pipeline.

  19. Canadian cardiac surgeons' perspectives on biomedical innovation. (United States)

    Snyman, Gretchen; Tucker, Joseph E L; Cimini, Massimo; Narine, Kishan; Fedak, Paul W M


    Barriers to successful innovation can be identified and potentially addressed by exploring the perspectives of key stakeholders in the innovation process. Cardiac surgeons in Canada were surveyed for personal perspectives on biomedical innovation. Quantitative data was obtained by questionnaire and qualitative data via interviews with selected survey participants. Surgeons were asked to self-identify into 1 of 3 categories: "innovator," "early adopter," or "late adopter," and data were compared between groups. Most surgeons viewed innovation favourably and this effect was consistent irrespective of perceived level of innovativeness. Key barriers to the innovation pathway were identified: (1) support from colleagues and institutions; (2) Canada's health system; (3) sufficient investment capital; and (4) the culture of innovation within the local environment. Knowledge of the innovation process was perceived differently based on self-reported innovativeness. The majority of surgeons did not perceive themselves as having the necessary knowledge and skills to effectively translate innovative ideas to clinical practice. In general, responses indicate support for implementation of leadership and training programs focusing on the innovation process in an effort to prepare surgeons and enhance their ability to successfully innovate and translate new therapies. The perspectives of cardiac surgeons provide an intriguing portal into the challenges and opportunities for healthcare innovation in Canada. Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  20. Specialization in services: a Canadian example

    Directory of Open Access Journals (Sweden)

    James W. Simmons


    Full Text Available In modern urban systems the economic growth of cities is largely driven by services. In many regions employment growth in primary and secondary activities is close to zero, or even negative. Growth depends on the ability to attract jobs in the services. This study explores the pattern of specialization in various service activities for 159 Canadian urban areas in 1996, as the basis for a series of maps for the Atlas of Canada. The hierarchical specialization is evaluated for each service sector by computing a regression model of ser-vice employment as a function of urban population and income per capita. The rapidly growing business and financial services are the most strongly oriented to larger cities. The horizontal specialization is measured as residuals from the regressions. Strong regional differences contrast the central place roles of agricultural communities with the more loca-lized markets of resource and manufacturing centres. Public sector decisions about the loca-tion of major health and education facilities complement the choices of the private sector.

  1. Medical cannabis – the Canadian perspective (United States)

    Ko, Gordon D; Bober, Sara L; Mindra, Sean; Moreau, Jason M


    Cannabis has been widely used as a medicinal agent in Eastern medicine with earliest evidence in ancient Chinese practice dating back to 2700 BC. Over time, the use of medical cannabis has been increasingly adopted by Western medicine and is thus a rapidly emerging field that all pain physicians need to be aware of. Several randomized controlled trials have shown a significant and dose-dependent relationship between neuropathic pain relief and tetrahydrocannabinol – the principal psychoactive component of cannabis. Despite this, barriers exist to use from both the patient perspective (cost, addiction, social stigma, lack of understanding regarding safe administration) and the physician perspective (credibility, criminality, clinical evidence, patient addiction, and policy from the governing medical colleges). This review addresses these barriers and draws attention to key concerns in the Canadian medical system, providing updated treatment approaches to help clinicians work with their patients in achieving adequate pain control, reduced narcotic medication use, and enhanced quality of life. This review also includes case studies demonstrating the use of medical marijuana by patients with neuropathic low-back pain, neuropathic pain in fibromyalgia, and neuropathic pain in multiple sclerosis. While significant preclinical data have demonstrated the potential therapeutic benefits of cannabis for treating pain in osteoarthritis, rheumatoid arthritis, fibromyalgia, and cancer, further studies are needed with randomized controlled trials and larger study populations to identify the specific strains and concentrations that will work best with selected cohorts. PMID:27757048

  2. "Promoting continuity of care"-Specialist nurses' role experiences in gynaecological oncology: A qualitative study. (United States)

    Kobleder, Andrea; Mayer, Hanna; Gehrig, Larissa; Senn, Beate


    To investigate the experiences of specialist nurses in Switzerland concerning their role of caring for women with gynaecological cancer. Women with gynaecological cancer often face complex situations, which require an integrative and quality-assured approach by the healthcare system. Specialist nurses can play an important role in supporting these patients. However, in countries where the role of specialist nurses is at a developmental stage, their role lacks clarity. A qualitative descriptive design was chosen to gain insights into experiences of specialist nurses who care for women with gynaecological cancer. We conducted three focus groups with 12 specialist nurses to access their experiences with regard to their role. Thematic qualitative text analysis was used to interpret the results. Divided into six main themes, the study results describe specialist nurses' (1) current and (2) aspired role. (A) Counselling, (B) guidance, (C) key contact person and (D) team support are relevant themes in their current role. The themes (E) provision of resources and (F) extended knowledge are relevant to their aspired role. Within their current and aspired roles, the specialist nurses' scope of practice is defined as "promoting continuity of care." The results indicate aspects of specialist nurses' current and aspired roles. Detailed role descriptions and legal requirements are necessary to further support nurses towards an extended and specialised practice. In the context of gynaecological cancer survivors, services should be developed, where specialist nurses can play an important role in providing continuous care. To support implementation of specialist nursing in clinical practice, resources have to be mobilised and role descriptions should be provided. By creating an appropriate framework, the specialist nurse can turn into an important support for women with gynaecological cancer, in addition to current healthcare services. © 2017 John Wiley & Sons Ltd.

  3. Radiological Operations Support Specialist (ROSS) Pilot Course Summary and Recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Alai, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Askin, A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Buddemeier, B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wogan, L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Doshi, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Tai, L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)


    In support of the Department of Homeland Security / Science and Technology Directorate’s (DHS/S&T) creation of a new position called the Radiological Operations Support Specialist (ROSS), Lawrence Livermore National Laboratory (LLNL) in Sub-task 1.1 and 1.2 has assisted in the development of the ROSS skills, knowledge, and abilities (SKAs); identified potentially relevant training; cross-mapped the training to the SKAs; and identified gaps in the training related to the SKAs, as well as their respective level of training knowledge - current versus desired. In the follow on task, Sub-task 1.3, a 5 day ROSS Pilot Training course was developed to fill the priority gaps identified in Sub-Task 1.2. Additionally, in Sub-Task 1.5, LLNL has performed a gap analysis of electronic tools, handbooks, and job-aides currently available to the ROSS and developed recommendations for additional and next generation tools to ensure the operational effectiveness of the ROSS position. This document summarizes the feedback received from the instructors and pilot course observers on what worked in the course and what could be improved as well as an assessment of the Pre- and Post-Test administered to the students.

  4. Specialist nursing training in Poland: applications for neuroscience nursing. (United States)

    Slusarz, Robert; Ireland, Sandra; Green, Theresa


    Nurses have a pivotal role in providing facilitating, advocating and promoting the best possible care and outcome for the client. To ensure decisions and actions are based on current standards of practice, nurses must be accountable for participation in ongoing education in their area of practice. To present a description of the current state of Polish nursing education and specialized model for neurological and neurosurgical nursing that can be utilized for both undergraduate and postgraduate continuing education in Poland. The model of postgraduate training introduced in Poland in 2000 was taken into consideration in developing the framework for neuroscience nursing postgraduate continuing education presented here. The framework for neurological continuing education is also based on a review of the literature and is consistent with Poland's legally binding professional nursing regulations (normative and implementing regulations). The model demonstrates the need for the content of pre- and post-undergraduate degree education in neurological nursing to be graduated, based on the frameworks for undergraduate education (acquiring the knowledge and basic skills for performing the work of nurses) and postgraduate education (acquiring knowledge and specialist skills necessary for providing advanced nursing care including medical acts on patients with nervous system diseases). New and advanced skills gained in specialization training can be applied to complex functions, roles and professional tasks undertaken by nurses in relation to care of patients with neurological dysfunctions.


    Directory of Open Access Journals (Sweden)

    Ulyana Lyashenko


    Full Text Available The article represents main questions concerning usage of the newest information-communicative technologies of maritime educational establishments in the process of training specialists of corresponding specialities; reviews the problem of training cadets of Maritime educational institutions by means of information technologies while studying professionally focused disciplines; means of implementation information technologies into the educational process and their practical usage in future professional activity on board a ship are disclosed; the importance of online communications in teaching foreign language speaking, listening comprehension, writing and test tasks implementation to control forming of cadet’s lexical, phonetic and grammar skills are proved; presentations of authentic professionally oriented materials from the newest electronic sources on lectures on disciplines «Marine diesel installations», «Power management system», «Radio-navigational devices and systems». The author of the article grounds practicability of implementation of the newest information communicative technologies into educational process in classroom and extracurricular work, cadets are given an opportunity to get authentic professionally focused information on professional discipline, to extend knowledge on these disciplines and to realize control of formation corresponding competences.

  6. River Cetaceans and Habitat Change: Generalist Resilience or Specialist Vulnerability?

    Directory of Open Access Journals (Sweden)

    Brian D. Smith


    Full Text Available River dolphins are among the world’s most threatened mammals, and indeed the baiji (Lipotes vexillifer, a species endemic to China's Yangtze River, is likely extinct. Exploitation for products such as meat, oil, and skins has been a lesser feature in the population histories of river dolphins compared to most large mammals. Habitat factors are therefore of particular interest and concern. In this paper we attempt to describe the population-level responses of river dolphins to habitat transformation. We find circumstantial but compelling evidence supporting the view that, at a local scale, river dolphins are opportunists (generalists capable of adapting to a wide range of habitat conditions while, at a river basin scale, they are more appropriately viewed as vulnerable specialists. The same evidence implies that the distributional responses of river dolphins to basinwide ecological change can be informative about their extinction risk, while their local behaviour patterns may provide important insights about critical ecological attributes. Empirical studies are needed on the ecology of river cetaceans, both to inform conservation efforts on behalf of these threatened animals and to help address broader concerns related to biodiversity conservation and the sustainability of human use in several of the world's largest river systems.

  7. [Were there infection disease specialists in Ancient Rome?]. (United States)

    Ledermann D, Walter


    The existence of infectious diseases specialists in Ancient Rome is unlikely, but there were at least three authors able of keen observations on infectious matters, with enough merit to be considered our predecessors: Varro, Columella and Vitruvius, none of them physicians. Varro, in his first Book on Agriculture recommended, "Build the houses distant from swamps, because certain minute creatures are bred which cannot be followed with the eyes but which float in the air and enter the body through the mouth and nose, giving rise to severe diseases". Also in a text of agriculture and in the same sense, Columella says "that with heat a swamp releases a pestilential vapor and produces a very dense swarm of insects, which come flying over us armed with harmful stings Vitruvius, the great architect was worried about drinkable water: its sources and properties, how to obtain it and the methods for testing its quality. The concern on its distribution and disposal of sewage started on 614 B.C., little after the foundation of Rome, with the building of the first aqueduct, the Aqua Marcia. This aqueduct in Trajan's times (century II A.D.), reached a total of 443 km, with 49,500 meters of arcades, which were up to 32 meters high, plus 2.4 km of an underground net. This system released 947,200 m(3) of water per day, two thirds of which were for public use and one third for private customers.

  8. Mechanical diffraction in a sand-specialist snake (United States)

    Schiebel, Perrin E.; Rieser, Jennifer M.; Hubbard, Alex M.; Chen, Lillian; Goldman, Daniel I.

    Limbless locomotors such as snakes move by pressing the trunk against terrain heterogeneities. Our laboratory studies of the desert-dwelling Mojave Shovel-nosed snake (C. occipitalis, 40cm long, N=9) reveal that these animals use a stereotyped sinusoidal traveling wave of curvature. However, this snake also encounters rigid obstacles in its natural environment, and the tradeoff between using a cyclic, shape controlled gait versus one which changes shape in response to the terrain is not well understood. We challenged individuals to move across a model deformable substrate (carpet) through a row of 6.4 mm diameter force-sensitive pegs, a model of obstacles such as grass, oriented perpendicular to the direction of motion. Instead of forward-directed reaction forces, reaction forces generated by the pegs were more often perpendicular to the direction of motion. Distributions of post-peg travel angles displayed preferred directions revealing a diffraction-like pattern with a central peak at zero and symmetric peaks at 193 ° and 415 °. We observed similar dynamics in a robotic snake using shape-based control. This suggests that this sand-specialist snake adheres to its preferred waveform as opposed to changing in response to heterogeneity.

  9. Role clarity and role conflict among Swedish diabetes specialist nurses. (United States)

    Boström, Eva; Hörnsten, Asa; Lundman, Berit; Stenlund, Hans; Isaksson, Ulf


    To explore diabetes specialist nurses (DSNs)' perceptions of their role in terms of clarity, conflict and other psychosocial work aspects. A cross-sectional study was conducted among DSNs in a county in northern Sweden. The DSNs answered the Nordic Questionnaire of Psychological and Social Factors at Work (QPS Nordic) about psychosocial aspects of their work. Statistical analysis compared DSNs with a reference group of different health professionals. Correlations between role clarity, role conflict, and other variables were analysed. The DSNs perceived more, and higher, job demands, including quantitative, decision-making and learning demands, but also more positive challenges at work compared with the reference group. Role clarity correlated with experiences of health promotion, perception of mastery, co-worker support, and empowering leadership, while role conflict correlated with quantitative and learning demands. The DSNs perceived high demands but also positive challenges in their work. Their role expectations correlated with several psychosocial work aspects. It is important that DSNs should be presented with positive challenges as meaningful incentives for further role development and enhanced mastery of their work. Copyright © 2013 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

  10. Bicuspid Aortic Valve: Unresolved Issues and Role of Imaging Specialists (United States)


    Bicuspid aortic valve (BAV) is the most common congenital heart disease with marked heterogeneity in many aspects. Fusion patterns of the aortic cusp are quite variable with different type and severity of valvular dysfunction. Moreover, non-valvular cardiovascular abnormalities are associated with BAV. Among them, aortic aneurysm/dissection is the most serious clinical condition with variable patterns of segmental aortic dilatation. Potential association between BAV phenotype and valvulopathy or aortopathy has been suggested, but needs to be tested further. A lack of long-term outcome data at this moment is responsible for unresolved debate regarding appropriate management of patients with BAV, specifically to prevent development of aortic dissection. Long-term follow-up data of a well-characterized cohort or registry based on standardized classification of BAV phenotype and aortopathy are necessary for evidence-based medical practice. Advanced imaging techniques such as computed tomography or magnetic resonance imaging offer better opportunities for accurate phenotype classification and imaging specialists should play a central role to establish a collaborative multicenter cohort or registry. PMID:25883749

  11. The history specialist in psychology: From avocation to professionalization. (United States)

    Barnes, Marissa E; Greer, Scott


    This article focuses on the history of psychology as a core area in the field of psychology. Does the discipline recognize the contributions of historical research, or does the history of psychology only serve a pedagogical function in the discipline? Our concerns center on the relationship (or lack thereof) between pedagogy and research in the academy. This stems from the fact that historical research is not viewed as contributing to the advancement of the field both professionally and pedagogically. We summarize the pedagogical function that the history of psychology serves in the academic discipline, as well as its status for professionalism in psychology. Moving from the U.S. and Canadian context, we address the status of the history and philosophy of psychology within Britain and Ireland. This comparative analysis allows us to remark more broadly on the issue of professionalism for psychologists as it pertains to the requirement of the history of psychology for advancement in the field (from undergraduate student to practitioner in the field). We also discuss the issue of professionalism for historians of psychology. Specifically, what does it mean to identify as a historian of psychology, and what challenges emerge from specializing in this area? We conclude with remarks suggesting that strength in this area is derived from a combination of both teaching and research activities. We suggest that the development of a stronger community among historical researchers (despite epistemological differences) may be a way forward, and suggest where future work might head on these topics. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  12. 29 CFR 1960.56 - Training of safety and health specialists. (United States)


    ..., DEPARTMENT OF LABOR (CONTINUED) BASIC PROGRAM ELEMENTS FOR FEDERAL EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Training § 1960.56 Training of safety and health specialists. (a) Each agency... 29 Labor 9 2010-07-01 2010-07-01 false Training of safety and health specialists. 1960.56 Section...

  13. Entomology Specialist 1-1. Military Curriculum Materials for Vocational and Technical Education. (United States)

    Jones, Jimmie L.

    This individualized, self-paced course for training an entomology specialist was adapted from military curriculum materials for use in vocational and technical education. Completion of the course should provide students with basic information needed to accomplish the following duties of an entomology specialist: perform entomological work, apply…

  14. The Instructional Role of the Library Media Specialist as Perceived by Elementary School Principals (United States)

    Church, Audrey P.


    This study explores Virginia elementary school principals' perceptions of the instructional role of the library media specialist and the origin of these perceptions. Principals who responded to the study strongly endorse the role of library media specialist as teacher of information literacy skills and as instructional partner. Respondents…

  15. Administrative Perceptions on the Role of the School Library Media Specialist (United States)

    Page, Kayla


    Despite the efforts of local school library media specialists to promote their programming, many administrators do not understand the roles and responsibilities of the school library media specialist. Using a constructivist theoretical framework, this study was designed to examine the local school administrators' perceptions of the role of the…

  16. What Should a Teacher Expect a School Library Media Specialist to Be? (United States)

    Harvey, Carl A., II


    The importance and work of Library Media Specialists is discussed where they help teach students to be information literate. The Library Media Specialist also helps to find answers to questions and help find resources to support instruction in the classroom, working with students to use technology in the library media center, the computer lab, and…

  17. Fair Use Rights in the Digital World: A Phenomenological Study of Instructional Technology Specialists (United States)

    Alakur, Turgay


    The aim of this study is to reveal an insight into the awareness and experiences of IT specialists about fair use in Turkey. A phenomenological design was employed and the criterion sampling method was used in this study. A total of nine specialists volunteered to participate. The data were collected through semi-structured interviews. Information…

  18. Why are some medical specialists working part-time, while others work full-time?

    NARCIS (Netherlands)

    Jong, Judith D. de; Heiligers, Phil; Groenewegen, Peter P.; Hingstman, Lammert


    Although medical specialists primarily work full-time, part-time work is on the increase, a trend that can be found worldwide. This article seeks to answer the question why some medical specialists work part-time, while others do not although they are willing to work part-time. Two approaches are

  19. Health Education Specialist Practice Analysis 2015 (HESPA 2015): Process and Outcomes (United States)

    McKenzie, James F.; Dennis, Dixie; Auld, M. Elaine; Lysoby, Linda; Doyle, Eva; Muenzen, Patricia M.; Caro, Carla M.; Kusorgbor-Narh, Cynthia S.


    The Health Education Specialist Practice Analysis 2015 (HESPA 2015) was conducted to update and validate the Areas of Responsibilities, Competencies, and Sub-competencies for Entry- and Advanced-Level Health Education Specialists. Two data collection instruments were developed--one was focused on Sub-competencies and the other on knowledge items…

  20. 78 FR 41993 - Transport Handling Specialists, Inc.-Continuance in Control Exemption-RSL Railroad, LLC (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Surface Transportation Board Transport Handling Specialists, Inc.--Continuance in Control Exemption--RSL Railroad, LLC Transport Handling Specialists, Inc. (THS), has filed a verified notice of exemption (Notice...

  1. Legal Issues for Orientation and Mobility Specialists: Minimizing the Risks of Liability. (United States)

    Marsh, Ruth Ann; Hartmeister, Fred; Griffin-Shirley, Nora


    This article discusses the potential negligence-based liability risks that orientation and mobility (O&M) specialists often face when assisting students with visual impairments with independent travel in uncontrolled environments. It also presents strategies that may minimize the risks of O&M training for both students and specialists. (Contains…

  2. Professional Insiders/Outsiders? Teacher Professionalism and the Primary School Physical Education Specialist (United States)

    Brooks, Caroline; DinanThompson, Maree


    This paper provides a context for exploring the positioning of Physical Education specialist teachers (PE specialist teachers) in primary schools in Queensland in the discourses of teacher professionalism. A critical analysis of literature on the history and status of the subject and its practitioners aims to contextualize discourses in and about…

  3. Media Skills for Middle Schools: Strategies for Library Media Specialists and Teachers. Second Edition. (United States)

    Van Vliet, Lucille W.

    Emphasizing the role of the library media specialist, this book provides a framework for collaboration among media specialists, teachers and administrators to help middle school students master the skills necessary for continued academic success and lifelong learning. The book reviews middle school philosophy and goals in light of recent…

  4. Pharmacovigilance training for specialist oncology nurses-a two way evaluation

    NARCIS (Netherlands)

    Schutte, T.; Van Eekeren, R.; Richir, M.; Van Staveren, J.; Van Puijenbroek, E.P.; Tichelaar, J.; Van Agtmael, M.A.


    Background: In a new prescribing qualifcation course for specialist oncology nurses, we thought it important to emphasize pharma-covigilance and adverse drug reaction (ADR)-reporting. To this end, our aim was to develop and evaluate an ADR reporting assignment for specialist oncology nurses.

  5. Scholarly Productivity of School Psychology Faculty Members in Specialist-Level Programs: 2002-2011 (United States)

    Laurent, Jeff; Runia, Elizabeth


    The scholarly productivity of school psychology faculty members in specialist-level only programs was examined. Information was gathered from the School Psychology Program Information portion of the website for the National Association of School Psychologists. A total of 137 specialist-level only school psychology programs were identified.…

  6. Learning Mathematics for Teaching Mathematics: Non-Specialist Teachers' Mathematics Teacher Identity (United States)

    Crisan, Cosette; Rodd, Melissa


    A non-specialist teacher of mathematics is a school teacher who qualified to teach in a subject other than mathematics yet teaches mathematics to students in secondary school. There is an emerging interest internationally in this population, a brief report of which is given in the paper. Because of concerns about the quality of non-specialists'…

  7. Idaho Marketing Education Core Curriculum. Career Sustaining Level, Specialist Level, Supervisory Level, Entrepreneurial Level. (United States)

    Allbright, Bruce; Holup, John

    This guide lists the competencies expected to be developed in four levels of the marketing education curriculum in Idaho: the career sustaining level, the specialist level, the supervisory level, and the entrepreneurial level. For the career sustaining and specialist levels, 15 competencies are listed: define and apply the role of marketing in the…

  8. 22 CFR 11.20 - Foreign Service specialist career candidate appointments. (United States)


    ... of specialist candidates are found in Volume 3 (Personnel), Foreign Affairs Manual, section 580. (4... (Personnel), Foreign Affairs Manual, section 580, may not be reappointed as a career candidate in the same... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Foreign Service specialist career candidate...

  9. Perception of drug teratogenicity among general practitioners and specialists in obstetrics/gynecology

    DEFF Research Database (Denmark)

    Gils, Charlotte; Pottegård, Anton; Ennis, Zandra Nymand


    the perception of the teratogenic risk of 9 commonly and 3 rarely prescribed drugs among general practitioners and specialists in obstetrics/gynecology. METHODS: All 811 general practitioners in the Region of Southern Denmark and all 502 specialist obstetricians/gynecologists in Denmark as a whole were invited...

  10. Families' perceptions of the contribution of intellectual disability clinical nurse specialists in Ireland. (United States)

    Doody, Owen; Slevin, Eamonn; Taggart, Laurence


    To explore families' perceptions of the contribution of clinical nurse specialists in intellectual disability nursing in Ireland. Clinical nurse specialists roles have developed over the years and are seen as complex and multifaceted, causing confusion, frustration and controversy. 2001 saw the formal introduction of clinical nurse specialists roles in Ireland across nursing including intellectual disability. A exploratory qualitative approach using semistructured one-to-one interviews with 10 family members regarding their perceptions of the clinical nurse specialists in intellectual disability. Data were audio-recorded, transcribed and analysed using Burnard's framework. Ethical approval was gained and access granted by service providers. The study highlights that intellectual disability clinical nurse specialists contribute and support care deliver across a range of areas, including personal caring, supporting and empowering families, liaison, education and leadership. Clinical nurse specialists have an important role and contribution in supporting families and clients, and Ireland is in a unique position to develop knowledge regarding specialist care for people with intellectual disability that can be shared nationally and internationally. Ireland is in a unique position to develop knowledge regarding specialist care for people with intellectual disability that can be shared and adapted by other healthcare professionals in other countries that do not have a specialised intellectual disability nurses. © 2017 John Wiley & Sons Ltd.

  11. Not Enough Time in the Day: Media Specialists, Program Planning, and Time Management, Part I (United States)

    Fitzgerald, Mary Ann; Waldrip, Andrea


    Media specialists operate in an environment of challenge, controversy, and daily travail. A new and particularly challenging trend makes media specialists responsible for teaching classes, especially in reading, or to hold a spot on the so called "specials" rotation. [For Part II, see EJ717650.

  12. Canadian EdGEO National Workshop Program (United States)

    Clinton, L. A.; Haidl, F. M.; Hymers, L. A.; van der Flier-Keller, E.


    Established in the early 1970s, EdGEO supports locally driven geosciences workshops for Canadian teachers. Workshops are organized by geoscientists and teachers, and typically have field, laboratory and classroom components. Grants of up to $3000 per workshop are available from the National EdGEO Program. By providing educational opportunities for today's teachers and, through them, their students, EdGEO seeks to cultivate a heightened awareness of our planet. EdGEO workshops provide teachers with potential fieldtrip sites for their students and the knowledge, enthusiasm and materials to inspire their students to engage in geoscience. Networking opportunities with local experts promote the importance of the geoscience profession. The expected result is an improved capacity on the part of Canadians to understand the Earth and to make informed decisions, especially with regard to the use of mineral and energy resources, the maintenance and remediation of the environment, and response to geological hazards. There exists a critical need to provide teachers with training and resources to tackle their Earth science curricula. In 2008, EdGEO supported fourteen workshops, with an unprecedented 521 teachers attending. These teachers then used our resources to reach an estimated 14,000 students during that single academic year. EdGEO workshops are locally driven and are therefore very diverse. Workshops are strongly tied to the provincial curriculum, focus on a specific geoscience topic, or may be largely field-based to demonstrate and practice how field activities could be incorporated into Earth science teaching. Many strive to include all of these important components. Geoscientists and teachers work collaboratively to develop and deliver EdGEO workshops to ensure that the activities can be effectively used in the classroom. The length of these professional development opportunities range from two-hour sessions to several days, and can generally accommodate up to twenty

  13. Canadian Hydrogen Intensity Mapping Experiment (CHIME) pathfinder (United States)

    Bandura, Kevin; Addison, Graeme E.; Amiri, Mandana; Bond, J. Richard; Campbell-Wilson, Duncan; Connor, Liam; Cliche, Jean-François; Davis, Greg; Deng, Meiling; Denman, Nolan; Dobbs, Matt; Fandino, Mateus; Gibbs, Kenneth; Gilbert, Adam; Halpern, Mark; Hanna, David; Hincks, Adam D.; Hinshaw, Gary; Höfer, Carolin; Klages, Peter; Landecker, Tom L.; Masui, Kiyoshi; Mena Parra, Juan; Newburgh, Laura B.; Pen, Ue-li; Peterson, Jeffrey B.; Recnik, Andre; Shaw, J. Richard; Sigurdson, Kris; Sitwell, Mike; Smecher, Graeme; Smegal, Rick; Vanderlinde, Keith; Wiebe, Don


    A pathfinder version of CHIME (the Canadian Hydrogen Intensity Mapping Experiment) is currently being commissioned at the Dominion Radio Astrophysical Observatory (DRAO) in Penticton, BC. The instrument is a hybrid cylindrical interferometer designed to measure the large scale neutral hydrogen power spectrum across the redshift range 0.8 to 2.5. The power spectrum will be used to measure the baryon acoustic oscillation (BAO) scale across this poorly probed redshift range where dark energy becomes a significant contributor to the evolution of the Universe. The instrument revives the cylinder design in radio astronomy with a wide field survey as a primary goal. Modern low-noise amplifiers and digital processing remove the necessity for the analog beam forming that characterized previous designs. The Pathfinder consists of two cylinders 37m long by 20m wide oriented north-south for a total collecting area of 1,500 square meters. The cylinders are stationary with no moving parts, and form a transit instrument with an instantaneous field of view of ~100 degrees by 1-2 degrees. Each CHIME Pathfinder cylinder has a feedline with 64 dual polarization feeds placed every ~30 cm which Nyquist sample the north-south sky over much of the frequency band. The signals from each dual-polarization feed are independently amplified, filtered to 400-800 MHz, and directly sampled at 800 MSps using 8 bits. The correlator is an FX design, where the Fourier transform channelization is performed in FPGAs, which are interfaced to a set of GPUs that compute the correlation matrix. The CHIME Pathfinder is a 1/10th scale prototype version of CHIME and is designed to detect the BAO feature and constrain the distance-redshift relation. The lessons learned from its implementation will be used to inform and improve the final CHIME design.

  14. Professional training of future specialists with the use of information technologies

    Directory of Open Access Journals (Sweden)

    Виктор Семенович Корнилов


    Full Text Available This paper deals with implementation of information technologies within different levels of professional training of the future specialists at A. Yassawi International Kazakh-Turkish University. Information technologies enable the future specialists to engage in online exchanges and it gives great good opportunity in learning the subject efficiently; thereby expanding their study and learning community during the classroom activity. The results obtained by the use of the information technologies show improvements in professional training of the future specialists in teaching foreign language. The use of information technology in teaching is increasing, which should lead to a significant improvement of the training quality of future specialists. Improvements also are observed in the experimental groups of higher levels, which indicates the efficiency of the use of information technologies in the professional training of future specialists.

  15. Personal view: randomized controlled trials in epilepsy specialist nursing: the seduction of content by form. (United States)

    Brown, Stephen


    Research into the effectiveness of epilepsy specialist nursing needs to take into account a number of factors, which have not been adequately addressed in previous studies. Nursing outcome measures are different to medical ones and it is inappropriate to confuse these. Specialist nurses affect the whole culture of a service, and their impact on service quality may go beyond that of their individual patient contacts. Thus randomized studies within a service that already has specialist nurses may not give valid results. Some service users will benefit more from direct contact with a specialist nurse than others, and people who give informed consent to take part in randomized controlled trials might not be representative of those who would benefit most from specialist nurse access. The stampede for level one evidence risks failing to address the issues properly by overvaluing research process (form) against its appropriateness (content), yet there remain great opportunities for good quality research in this area.

  16. Model training of future specialists in human health to strengthen the use of health technologies

    Directory of Open Access Journals (Sweden)

    O. I. Mikheenko


    Full Text Available Purpose : develop a model of scientific and methodological training of future specialists in human health to strengthen the use of health technologies. Material : processed more than 100 literary sources. Results : analyzed the methodological, organizational and educational and training aspects of the training of future specialists in human health. On the basis of scientific modeling, the basic structural components of the model of professional training of future specialists, are characterized by their nature and relationship. Theoretical basis to ensure a high level of training future specialist is an integral concept of professionalization based on the theoretical and methodological basis of its essence. Conclusions : it is proved that the effectiveness of training future specialist determined holistic concept of professionalization and relevant scientific and methodological support of the educational process.

  17. Modeling fraud detection and the incorporation of forensic specialists in the audit process

    DEFF Research Database (Denmark)

    Sakalauskaite, Dominyka

    Financial statement audits are still comparatively poor in fraud detection. Forensic specialists can play a significant role in increasing audit quality. In this paper, based on prior academic research, I develop a model of fraud detection and the incorporation of forensic specialists in the audit...... process. The intention of the model is to identify the reasons why the audit is weak in fraud detection and to provide the analytical framework to assess whether the incorporation of forensic specialists can help to improve it. The results show that such specialists can potentially improve the fraud...... detection in the audit, but might also cause some negative implications. Overall, even though fraud detection is one of the main topics in research there are very few studies done on the subject of how auditors co-operate with forensic specialists. Thus, the paper concludes with suggestions for further...

  18. Mining Legal and Business Resources on Canadian Banking

    Directory of Open Access Journals (Sweden)

    Rajiv Johal


    Full Text Available Given the distinct nature of the Canadian banking system, it is important for novice researchers to know which business and legal resources to consult in order to quickly find information that is particular to Canadian banking. However, there are very few articles or monographs in the library literature that describe how to find information sources exclusively on this subject from a Canadian perspective. Most available publications tend to specialize in sources for the US banking and Federal Reserve System with little attention to Canada. The paper begins with a brief introduction to Canadian banking. From there, the authors demonstrate where researchers can find primary sources such as legislation, regulations and case law. In addition, this article identifies and discusses the different types of information found on the websites of associations and government agencies such as the Office of the Superintendent of Financial Institutions, which supervises and regulates various areas of Canada’s financial system. Also discussed are secondary sources such as industry research and reports that are available from reliable websites and subscription-based resources. This paper also explores the best business and legal databases for researchers. Based on results from searching in periodical directories and indexes, the paper additionally provides a description of the most pertinent academic, trade and general publications relevant to the Canadian banking system and where their contents are indexed.

  19. The Canadian space program and planning for the future (United States)

    Gibbs, Graham

    Canada is in the process of developing a Long Term Space Plan that will guide its space endeavors through the first decade of the twenty first century. Later in 1992 the Canadian Space Agency will present its recommendations to the Prime Minister and his Cabinet. The Long Term Space Plan is being developed through a combination of Working Groups with experts from the Canadian government, the largest of Canada's aerospace companies and principal scientists, and cross-Canada consultations with aerospace professionals. The process has reached a broad spectrum of the Canadian professional space community, and many practical proposals have been presented. The Long Term Space Plan development process has been the most extensive in Canadian history, and very successful. It is anticipated that the resulting plan will have wide support. Predictably, Canada's future endeavors in space will build upon our strengths and proven national needs. These include space robotics, communications, remote sensing, earth observation, space science and our astronaut program. International cooperation will continue to be a hallmark of the Canadian Civil Space Program. We may develop facilities and vehicles to allow our space scientists to put small payloads in a microgravity environment. We will continue to enthusiastically participate in the International Space Station Freedom program. However, in the future we will strive to achieve a more equitable fiscal balance between small, medium and large science, technology and application programs.

  20. Subsidies to target specialist outreach services into more remote locations: a national cross-sectional study. (United States)

    O'Sullivan, Belinda G; McGrail, Matthew R; Stoelwinder, Johannes U


    Objective Targeting rural outreach services to areas of highest relative need is challenging because of the higher costs it imposes on health workers to travel longer distances. This paper studied whether subsidies have the potential to support the provision of specialist outreach services into more remote locations. Methods National data about subsidies for medical specialist outreach providers as part of the Wave 7 Medicine in Australia: Balancing Employment and Life (MABEL) Survey in 2014. Results Nearly half received subsidies: 19% (n=110) from a formal policy, namely the Australian Government Rural Health Outreach Fund (RHOF), and 27% (n=154) from other sources. Subsidised specialists travelled for longer and visited more remote locations relative to the non-subsidised group. In addition, compared with non-subsidised specialists, RHOF-subsidised specialists worked in priority areas and provided equally regular services they intended to continue, despite visiting more remote locations. Conclusion This suggests the RHOF, although limited to one in five specialist outreach providers, is important to increase targeted and stable outreach services in areas of highest relative need. Other subsidies also play a role in facilitating remote service distribution, but may need to be more structured to promote regular, sustained outreach practice. What is known about this topic? There are no studies describing subsidies for specialist doctors to undertake rural outreach work and whether subsidies, including formal and structured subsidies via the Australian Government RHOF, support targeted outreach services compared with no financial support. What does this paper add? Using national data from Australia, we describe subsidisation among specialist outreach providers and show that specialists subsidised via the RHOF or another source are more likely to provide remote outreach services. What are the implications for practitioners? Subsidised specialist outreach providers are