Case 4 : Combatting the Opioid Crisis: Expanding Naloxone Kit Distribution to Niagara Health Emergency Departments

A regional hospital system is exploring the possibility of making naloxone kits accessible to patients in the emergency department of its hospital sites. The current hospital staff are reluctant to distribute these kits. The organization is trying to determine the best approach to guaranteeing program participation. The expansion of hospital access to naloxone kits is a direct response to the ongoing opioid crisis across Canada. Opioid-related deaths have spiked in recent years and various national and provincial initiatives are underway to reduce these deaths. Staff reluctance to distributing lifesaving naloxone kits in emergency departments stems from their lack of understanding and knowledge about the value and benefits of introducing these types of harm-reduction strategies. Unfortunately, many frontline health workers at the hospitals view the distribution of naloxone kits as “enabling drug users”. This stigmatization of patients who have opioid addictions is a complication that is making it much more challenging for Jessica Corso and the Quality, Patient Safety, and Risk Department to introduce this initiative. The problem they face is how to ensure that health workers understand the social constraints that exacerbate addictions and the value of naloxone kit distribution in combatting them. This fictional case focuses on the social determinants of health and health equity, and how best to educate hospital staff so that they gain an understanding of inequities as they relate to health care

Integrated IP communication solutions for public safety services

In a crisis communication and access to data and information, is critical for public safety services. Several EU projects tackle this topic. In this workshop, results from the u-2010 and HNPS projects will be presented and discussed. The u-2010 project’s objective was to provide the most capable means of communication to everybody required to act in case of accident, catastrophe or crisis, as well as the most The International Emergency Management Society 17 th Annual Conference (TIEMS2010), Beijing (China), June 8-12 2010 effective access to that information,. The project aimed to use any existing or (future) planned communication infrastructure to do this. The HNPS project’s purpose is to design and implement interaction capacities for important public safety applications. These may be at a technical level (interaction between different radio technologies or different video applications) or at a functional level (the collaboration between different agencies)

Elaboración de jabón en barra, con la reutilización y aprovechamiento de aceite usado de cocina, Tarapoto, 2021

El objetivo del presente estudio es elaborar jabón en barra, con la reutilización y aprovechamiento de aceite usado de cocina, considerando lo importante que es reducir este residuo peligroso que contamina nuestras fuentes de aguas. La investigación que se ha desarrollado es de tipo aplicativo, con diseño experimental, realizado con una muestra de 4 litros de aceite usado de cocina. Como técnica principal de recolección de datos se utilizó la observación experimental y como instrumento fichas de registros de datos, en el cual se registra todos los datos relevantes obtenidos en el procedimiento. Se obtuvo 5,297 kg de jabón en barra de 4 litros de aceite usado de cocina, más 1kg de soda cáustica, más 2 litros de agua. El costo de producción de 1kg de jabón en barra con aceite usado de cocina es de s/ 6.50. las características químicas del jabón en barra, referidas al pH están relacionados a las cantidades de agua y soda cáustica

Prenatal smoking might not cause attention-deficit/hyperactivity disorder: evidence from a novel design

Background: It is widely considered that exposure to maternal cigarette smoking in pregnancy has risk effects on offspring attentiondeficit/ hyperactivity disorder (ADHD). This view is supported by consistent observations of association. It is, however, impossible to be certain of adequate control for confounding factors with observational designs. We use a novel "natural experiment" design that separates prenatal environmental from alternative inherited effects. Methods: The design is based on offspring conceived with Assisted Reproductive Technologies recruited from 20 fertility clinics in the United Kingdom and United States who were: 1) genetically unrelated, and 2) related to the woman who underwent the pregnancy. If maternal smoking in pregnancy has true risk effects, association will be observed withADHDregardless of whether mother and offspring are related or unrelated. Data were obtained from 815 families of children ages 4 years-11 years with parent questionnaires and antenatal records. Birth weight was used as a comparison outcome. The key outcome considered was child ADHD symptoms. Results: Association between smoking in pregnancy and lower birth weight was found in unrelated and related mother-offspring pairs, consistent with a true risk effect. However, for ADHD symptoms, the magnitude of association was significantly higher in the related pairs (β=.102, p .10), suggesting inherited effects. Conclusions: Our findings highlight the need to test causal hypotheses with genetically sensitive designs. Inherited confounds are not necessarily removed by statistical controls. The previously observed association between maternal smoking in pregnancy and ADHD might represent an inherited effect. © 2009 Society of Biological Psychiatry

Kankakee dune sands as a commercial source of feldspar

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Report of the Link Resolver Implementation Team

The Link Resolver Implementation Team was charged in March 2016 with carrying out the recommendations of the Link Resolver Investigation Team (http://hdl.handle.net/2027.42/117361), which were to re-launch the MGet It link resolver service as a locally-hosted application using the existing 360 Link knowledge base and the Umlaut open-source software. Specifically, the Implementation Team was asked to: 1) Design a user interface using Umlaut and the 360 Link API; 2) Select and prioritize added services in the link resolver menu interface; 3) Determine what, if anything, should be part of a report-a-problem link and implement corresponding workflows; and 4) Determine in which circumstances the link resolver menu page should appear for which kinds of users. This report outlines our decisions on these three points, details user studies to design the interface, and describes the roll-out process. The new MGet It service was released as a limited beta for library staff on September 14, 2016. After a period of review and feedback from library staff, and subsequent adjustments to the interface, the new interface replaced the native 360 Link interface on Monday, October 17, 2016.http://deepblue.lib.umich.edu/bitstream/2027.42/135723/1/link resolver implementation team final report.pdfDescription of link resolver implementation team final report.pdf : Final Repor

Reconstructing Late Pleistocene paleoclimate at the scale of human behavior: an example from the Neandertal occupation of La Ferrassie (France)

Exploring the role of changing climates in human evolution is currently impeded by a scarcity of climatic information at the same temporal scale as the human behaviors documented in archaeological sites. This is mainly caused by high uncertainties in the chronometric dates used to correlate long-term climatic records with archaeological deposits. One solution is to generate climatic data directly from archaeological materials representing human behavior. Here we use oxygen isotope measurements of Bos/Bison tooth enamel to reconstruct summer and winter temperatures in the Late Pleistocene when Neandertals were using the site of La Ferrassie. Our results indicate that, despite the generally cold conditions of the broader period and despite direct evidence for cold features in certain sediments at the site, Neandertals used the site predominantly when climatic conditions were mild, similar to conditions in modern day France. We suggest that due to millennial scale climate variability, the periods of human activity and their climatic characteristics may not be representative of average conditions inferred from chronological correlations with long-term climatic records. These results highlight the importance of using direct routes, such as the high-resolution archives in tooth enamel from anthropogenically accumulated faunal assemblages, to establish climatic conditions at a human scale.Projekt DEALinfo:eu-repo/semantics/publishedVersio

The Association between Conduct Problems and the Initiation and Progression of Marijuana Use during Adolescence: A Genetic Analysis across Time

The present study used a prospective, longitudinal design to investigate genetic and environmental influences on the association between earlier conduct problems and the initiation and progression of marijuana use during adolescence. Parent- and teacher-reported conduct problems assessed at Time 1 (1996) and self-reported marijuana use assessed at Time 2 (2004) were available for 1088 adolescent twin pairs participating in the Cardiff Study of All Wales and North West of England Twins (CaStANET). Using a novel approach to the modeling of initiation and progression dimensions in substance use, findings suggested that the initiation of marijuana use in adolescence was influenced by genetic, common and unique environmental factors. The progression (or frequency) of marijuana use was influenced by genetic and unique environmental factors. Findings for conduct problems indicated that while the presence or absence of conduct problems was largely heritable, the relative severity of conduct problems appeared to be more strongly environmentally influenced. Multivariate model fitting indicated that conduct problems in childhood and early adolescence made a small but significant contribution to the risk for marijuana use 8 years later