Believe in a healthy community: greater Manchester community needs assessment 2009

Needs assessment providing data and statistics on health related demographics and issues in the Manchester Health Service Area (HAS), as well as four strategic imperatives for health improvement

Manchester\u27s primary care safety net intact but endangered : a call to action, Manchester sustainable access project, a strategic planning initiative of the healthy Manchester leadership council

Report examining the Manchester, N.H. primary health care delivery system and economic barriers faced by the population served

The Gas Cylinder, the Motorcycle and the Village Health Team Member: A Proof-of-Concept Study for the Use of the Microsystems Quality Improvement Approach to Strengthen the Routine Immunization System in Uganda

Although global efforts to support routine immunization (RI) system strengthening have resulted in higher immunization rates, the World Health Organization (WHO) estimates that the proportion of children receiving recommended DPT3 vaccines has stagnated at 80% for the past 3 years (WHO Fact sheet-Immunization coverage 2014, WHO, 2014). Meeting the WHO goal of 90% national DPT3 coverage may require locally based strategies to support conventional approaches. The Africa Routine Immunization Systems Essentials-System Innovation (ARISE-SI) initiative is a proof-of-concept study to assess the application of the Microsystems Quality Improvement Approach for generating local solutions to strengthen RI systems and reach those unreached by current efforts in Masaka District, Uganda. The ARISE-SI intervention had three components: health unit (HU) advance preparations, an action learning collaborative, and coaching of improvement teams. The intervention was informed and assessed using qualitative and quantitative methods. Data collection focused on changes and outcomes of improvement efforts among five HUs and one district-level team during the intervention (June 2011-February 2012) and five follow-up months

Seventeen ‘extinct’ plant species back to conservation attention in Europe

Seventeen European endemic plant species were considered extinct, but improved taxonomic and distribution knowledge as well as ex situ collecting activities brought them out of the extinct status. These species have now been reported into a conservation framework that may promote legal protection and in situ and ex situ conservation.info:eu-repo/semantics/publishedVersio

Influence of Preparation Design and Restorative Material on Fatigue and Fracture Strength of Restored Maxillary Premolars

Statement of Problem: Extensive carious lesions and/or large preexisting restorations possibly contribute to crack formation, ultimately resulting in a fracture that may lead to the loss of a tooth cusp. Hence, preparation design strategy in conjunction with the restorative material selected could be influential in the occurrence of a cuspal fracture. Purpose: The purpose of this in vitro study was to evaluate the fatigue behavior and fracture strength of maxillary premolars restored with direct composite and indirect ceramic inlays and overlays, with different preparation depths in the presence or absence of cuspal coverage, and analyze their failure types. Methods and Materials: Sound maxillary premolars (N=90; n=10) were divided into nine groups: group C: control; group DCI3: direct composite inlay 3 mm; group DCI5: direct composite inlay 5 mm; group ICI3: indirect ceramic inlay 3 mm; group ICI5: indirect ceramic inlay 5 mm; group DCO3: direct composite overlay 3 mm; group DCO5: direct composite overlay 5 mm; group ICO3: indirect ceramic overlay 3 mm; group ICO5: indirect ceramic overlay 5 mm. In indirect ceramic, lithium disilicate restoration groups, immediate dentin sealing was applied. After restoration, all specimens were tested in fatigue (1,200,000 cycles, 50 N, 1.7 Hz). Samples were critically appraised, and the specimens without failure were subjected to a load to failure test. Failure types were classified and the data analyzed. Results: Zero failures were observed in the fatigue testing. The following mean load to failure strengths (N) were recorded: group ICO5: 858 N; group DCI3: 829 N; group ICO3: 816 N; group C: 804 N; group ICI3: 681 N; group DCO5: 635 N; group DCI5: 528 N; group DCO3: 507 N; group ICI5: 482 N. Zero interaction was found between design-depth-material (p=0.468). However, significant interactions were found for the design-depth (p=0.012) and design-material (p=0.006). Within restorations at preparation depth of 3 mm, direct composite overlays obtained a significantly lower fracture strength in comparison to indirect ceramic onlays (p=0.013) and direct composite inlays (p=0.028). In restorations at depth 5 mm, significantly higher fracture load values were observed in indirect ceramic overlays compared with the inlays (p=0.018). Indirect ceramic overlays on 3 mm were significantly stronger than the deep inlays in ceramic (p=0.002) and tended to be stronger than the deep direct composite inlays. Severe, nonreparable fractures were observed with preparation depth of 5 mm within ceramic groups. Conclusions: The preparation depth significantly affected the fracture strength of tooth when restored with either composite or ceramic materials. Upon deep cavity preparations, cuspal coverage proved to be beneficial when a glass ceramic was used as the restorative material. Upon shallow cavity preparations, a minimally invasive approach regarding preparation design used in conjunction with a direct composite material was favorable

Temporal and inter habitat variations of substratum, vegetation and substratum macroinvertebrates attributes across coastal wetland systems, North East Aegean, Greece

Using five coastal wetland systems across Kalloni bay, Lesvos Island, NE Aegean, we investigated: (I) the interaction between spatial units (land, wetland, sea) and seasons (spring, autumn) of substratum physicochemical attributes, vegetation composition and aerial cover, and substratum macroinvertebrates distribution and abundance and (II) the relative importance of substratum attributes in explaining temporal and inter habitat variations in vegetation and substratum macroinvertebrates distributions to elucidate the functional role of these coastal wetlands in the landscape. Electrical conductivity, percent organic matter and bulk density of substratum showed the most pronounced differences among spatial units, between seasons, and among spatial units x seasons interaction, respectively. Comparison of C:N and N:P ratios among spatial units and between seasons indicated that, in general, nitrogen and phosphorus appear to be limiting factors at the sea and the land unit, respectively. It is likely that these coastal wetlands function as transformers of chemical elements while P limits primary production. Significant substratum physicochemical attributes explained 23.4 and 14.7% of plants distribution in spring (percent organic matter, total phosphorus concentration, electrical conductivity) and autumn (electrical conductivity, pH), respectively, while significant substratum variables explained 46.1 and 73.3% of macroinvertebrates distribution in spring (percent organic matter) and autumn (total phosphorus concentration, electrical conductivity, percent organic matter), respectively

ARES(2014)2425342 - 22/07/2014. Organisation and running of a scientific workshop to complete selected invasive alien species (IAS) risk assessments

The introduction and spread of invasive alien species (IAS) constitutes one of the most important drivers of global change in biodiversity and ecosystem services. Robust risk assessment methods are required for IAS to provide the foundation upon which to prioritise appropriate action. In a previous study (Roy, Schonrogge et al. 2014) minimum standards were developed to provide an assessment framework for risk assessments and ultimately for underpinning the development of a proposed list of “IAS of EU concern”, in accordance to the provisions of the Regulation (EU) No 1143/2014 of the European Parliament and of the Council of 22 October 2014 on the prevention and management of the introduction and spread of invasive alien species. In practice, of the protocols assessed in detail, only four (GB NNRA, EPPO DSS, Harmonia+ and ENSARS) were sufficiently compliant with the minimum standards to be considered and of these only the GB NNRA and EPPO DSS have published IAS risk assessments. As a result, using the information from such “substantially compliant” protocols, a draft list of approximately 50 species was compiled. It is important to note that this list of species is based on availability of robust risk assessments already completed through methods which are almost compliant with the minimum standards, and it does not constitute the list of “IAS of EU concern”. In view of the application of the forthcoming EU Regulation on IAS (and building-on ENV.B.2/ETU/2013/0026) the Commission hosted a 2-day scientific workshop to examine the selected risk assessments and pool the existing knowledge existing in the EU to complete the missing information, on the basis of robust scientific evidence, in order to make them fully compliant with the minimum standards, wherever possible. The workshop was led by Helen Roy (CEH) and Riccardo Scalera (ISSG). An additional 16 experts from fifteen member states were selected based on their expertise in invasion biology and represented a breadth of expertise from a variety of perspectives including taxonomic (all taxa), environmental (freshwater, marine and terrestrial), impacts (environmental, socio-economic and health) and disciplines (ecologists, conservation practitioners, scientists, policy-makers, risk assessors). In view of the gaps across risk assessments for ecosystem services and climate change two experts were invited to guide the development of approaches for these specific themes. In total the risk assessments for 56 species were considered. The GB NNRA and EPPO DSS have published IAS risk assessments which, when considering species that score medium to high impact, together cover 51 species (noting that Fallopia japonica and F. sachalinensis are separate species). Two further risk assessments were suggested for consideration by the GB Non-Native Species Secretariat which follow the GB NNRA protocol: coati (Nasua nasua) and skunk (Mephitis mephitis), although scored as low impact. Finally an additional three species have been considered through new European–wide risk assessments, with the reported outcome of high impact, for this project which again follow the GB NNRA protocol: Pallas squirrel (Callosciurus erythraeus), grey squirrel (Sciurus carolinensis) and coypu (Myocastor coypus). The main gaps across all risk assessments were in relation to climate change and ecosystem services but additional information was also required on benefits as mentioned with minimum standard “Description (Taxonomy, invasion history, distribution range (native and introduced), geographic scope, socio-economic benefits)” and in some cases information to support the minimum standard “Includes status (threatened or protected) of species or habitat under threat“ was missing. It was agreed that systematic consideration of a list of questions in relation to the minimum standards on ecosystem services and climate change would be useful guidance for experts. An outline of the approaches agreed through the workshop for the minimum standards “Includes possible effects of climate change in the foreseeable future“ and “Can broadly assess environmental impact with respect to ecosystem services” were developed as guidance for documenting information in relation to climate change and ecosystem services. Each species was considered separately with the experts providing an overview of the information available for addressing the identified gaps. After all species had been considered the workshop participants (excluding the EC, Helen Roy and Riccardo Scalera) adopted a consensus approach to confirm whether or not the risk assessment was compliant with the minimum standards and whether the overall score of the risk assessment remained applicable. No changes were made to the scores but any recommendations were noted. There were very few recommendations for change. The outcome for each risk assessment was agreed and summarised as “compliant” or “not compliant” with the minimum standards. Of the risk assessments for the 56 species considered through this project, 53 were agreed to be fully compliant with the minimum standards. However, Pacific oyster, Crassostrea gigas, although compliant with the minimum standards should be excluded as it is not within the scope of the regulation (see art 2.e) because it is listed in annex IV of Council Regulation (EC) No 708/2007 of 11 June 2007 concerning use of alien and locally absent species in aquaculture. Four of the risk assessments were not considered to be compliant because of major information gaps: Elodea canadensis (Canadian pondweed), Heracleum mantegazzianum (giant hogweed), M. mephitis (skunk), N. nasua (coati)

ELNAIS: A collaborative network on Aquatic Alien Species in Hellas (Greece)

ELNAIS is a dynamic online information platform aiming to collect and report spatial information on Aquatic Alien Species in Greek waters. It covers freshwater, marine and estuarine waters, including not only established aliens but also casual records and cryptogenic species. The ELNAIS system includes: News, List of Greek experts, Literature of findings in Greece, List of species with information on their first introduction date and source as well as photos and distribution maps. Data providers are the scientific community (publications, grey literature, and databases) as well as citizen scientists. ELNAIS provides a useful tool towards national obligations and commitments under both the European and global frameworks in respect to Non Indigenous Species (CBD, WFD, MSFD).JRC.H.1-Water Resource

HELLAS-ALIENS. The invasive alien species of Greece: time trends, origin and pathways

The current paper presents the first effort to organize a comprehensive review of the Invasive Alien Species (IAS) of Greece. For this purpose, a database was developed with fields of information on the taxonomy, origin, ecology and pathways of introduction of terrestrial, freshwater and marine species. Our database includes a) taxa in the Union’s list that are present in Greece, b) taxa already present in Greece and considered to be invasive, and c) taxa highly likely to enter Greece in the next 10 years and become invasive. The Database served as the starting point for the compilation of the National List of Alien Invasive Species (HELLAS-ALIENS) in compliance with the EU Regulation 1143/2014. Overall, the HELLAS-ALIENS comprises 126 species, i.e. 32 terrestrial and freshwater plant species, 14 terrestrial invertebrates, 28 terrestrial vertebrates, 30 freshwater fishes and invertebrates and 22 marine species. Terrestrial invertebrates, birds and mammals are mainly of Asiatic origin. Most of the terrestrial plants have their native geographical distribution in the Americas (North and South). Most of the freshwater invertebrates and fishes are of North American origin, while the majority of the marine species are of Indo-Pacific origin. The first records of IAS concern terrestrial plant species, and date back to the 19th century, while those in freshwater and marine ecosystems seem to have been systematically recorded some decades later. Regarding the pathways of introduction, most of the taxa arrived in Greece or are expected to arrive through escape from confinement and unaided. The majority of the terrestrial, freshwater and marine species have been evaluated as of High-risk for the indigenous biodiversity and only 3% of the species listed have been evaluated of Low-risk. Our results provide an important baseline for management and action plans, as required by the priorities set by the European Union through the Biodiversity Strategy for 2030

Euro plus Med-Checklist Notulae, 11

This is the eleventh of a series of miscellaneous contributions, by various authors, where hitherto unpublished data relevant to both the Med-Checklist and the Euro+Med (or Sisyphus) projects are presented. This instalment deals with the families Anacardiaceae, Asparagaceae (incl. Hyacinthaceae), Bignoniaceae, Cactaceae, Compositae, Cruciferae, Cyperaceae, Ericaceae, Gramineae, Labiatae, Leguminosae, Orobanchaceae, Polygonaceae, Rosaceae, Solanaceae and Staphyleaceae. It includes new country and area records and taxonomic and distributional considerations for taxa in Bidens, Campsis, Centaurea, Cyperus, Drymocallis, Engem, Hoffmannseggia, Hypopitys, Lavandula, Lithraea, Melilotus, Nicotiana, Olimarabidopsis, Opuntia, Orobanche, Phelipanche, Phragmites, Rumex, Salvia, Schinus, Staphylea, and a new combination in Drimia.Peer reviewe