Annual and Monthly Variation in Species Composition and Catches of Fishes from the Tabusintac River Estuary in the Southern Gulf of St. Lawrence

A total of 7130 fish from 13 taxa were collected during summer and autumn, 2002-2005 using box traps at two sites in the Tabusintac River Estuary, New Brunswick, Canada. The objective was to determine seasonal change in species composition and catches, and to access change in annual returns of Atlantic Salmon, an important recreational fishery during autumn on the Tabusintac, Miramichi and neighboring rivers. Taxa richness and composition varied annually and from trap to trap. Richness ranged from 8-10 taxa annually and catches were usually highest in the trap closest to the ocean despite its slightly smaller size. Taxa contributing greater than one percent of the total catch during the four years of sampling included six diadromous taxa: Blueback Herring and Alewife (41.65%), Striped Bass (21.54%), Atlantic Salmon (3.98%), Tomcod (2.95%), Brook Trout (1.05%), American Eel (5.27%); one freshwater species, White Sucker (11.96%); one marine species, Winter Flounder and one resident estuarine species, Smooth Flounder which together account for 11.19% of the total catch. The remaining five species (American Smelt, Northern Pipefish, White Perch, Cunner, Sea Lamprey) contributed 0.39% of the total catch. The fish fauna 14-15 km up the Tabusintac River was not species rich, due in large part to the limited sampling time each year and due to fishing with just one sampling gear, a stationary box trap. Additional species would have been collected if smaller mesh sampling gear were used. Comparisons were made with other studies and the phenology of the dominant species on the Tabusintac and Miramichi River Estuaries during the ice free season is established. Most catches appear to be related to pre- or post-spawning movements of anadromous fishes

Performance measurement for co-occurring mental health and substance use disorders

<p>Abstract</p> <p>Background</p> <p>Co-occurring mental health and substance use disorders (COD) are the norm rather than the exception. It is therefore critical that performance measures are developed to assess the quality of care for individuals with COD irrespective of whether they seek care in mental health systems or substance abuse systems or both.</p> <p>Methods</p> <p>We convened an expert panel and asked them to rate a series of structure, process, and outcomes measures for COD using a structured evaluation tool with domains for importance, usefulness, validity, and practicality.</p> <p>Results</p> <p>We chose twelve measures that demonstrated promise for future pilot testing and refinement. The criteria that we applied to select these measures included: balance across structure, process, and outcome measures, quantitative ratings from the panelists, narrative comments from the panelists, and evidence the measure had been tested in a similar form elsewhere.</p> <p>Conclusion</p> <p>To be successful performance measures need to be developed in such a way that they align with needs of administrators and providers. Policymakers need to work with all stakeholders to establish a concrete agenda for developing, piloting and implementing performance measures that include COD. Future research could begin to consider strategies that increase our ability to use administrative coding in mental health and substance use disorder systems to efficiently capture quality relevant clinical data.</p

Ideações e tentativas de suicídio em adolescentes com práticas sexuais hetero e homoeróticas

Esta pesquisa, que teve como população-alvo adolescentes com idade entre 12 e 20 anos, residentes em três municípios do interior Paulista, buscou conhecer as associações entre orientação sexual e ideações e tentativas de suicídio. Corroborando com as pesquisas internacionais, evidenciou-se que os não heterossexuais têm mais chances de pensarem e tentarem suicídio, comparativamente aos heterossexuais. Todavia, encontrou-se que, dentre o grupo de adolescentes que se assumiram não heterossexuais, os que estão mais vulneráveis são aqueles que se autodefiniram bissexuais e "outros", os quais constituem o grupo de pessoas menos assumidas, dentre os não heterossexuais. Do mesmo modo, constatou-se que os respondentes apresentam diversas opiniões e valores homofóbicos, sexistas e heterocentrados, o que revela ser o espaço escolar, onde se encontram esses jovens não heterossexuais, bastante carregado de posicionamentos discursivos discriminatórios. Conclui-se que a questão do suicídio é uma problemática de saúde pública e que a população de jovens não heterossexuais necessita de abordagens específicas para a prevenção e de atenção relativas a essa conduta.This survey, which had as the target population adolescents aged between 12 and 20 years living in three municipalities in São Paulo, sought to investigate the associations between sexual orientation and ideation and suicide attempts. Confirming international research findings, it is showed that non-heterosexuals are more likely to attempt and think about suicide, compared to heterosexuals. However, we found that among the group of teenagers who assumed to be non-heterosexuals, the most vulnerable are those who define themselves as bisexual and "other", which constitute the group of people less assumed, among non-heterosexuals. Similarly, it was found that the respondents have different homophobic, sexist and heterocentric opinions and values, which turn out to be the school environment, where these young non-heterosexual study, loaded with enough discriminatory discursive positions. We conclude that the issue of suicide is a public health problem and that the population of young non-heterosexual needs specific approaches for prevention and care in respect to this conduct

Dual diagnosis clients' treatment satisfaction - a systematic review

Background: The aim of this systematic review is to synthesize existing evidence about treatment satisfaction among clients with substance misuse and mental health co-morbidity (dual diagnoses, DD). Methods: We examined satisfaction with treatment received, variations in satisfaction levels by type of treatment intervention and by diagnosis (i.e. DD clients vs. single diagnosis clients), and the influence of factors other than treatment type on satisfaction. Peer-reviewed studies published in English since 1970 were identified by searching electronic databases using pre-defined search strings. Results: Across the 27 studies that met inclusion criteria, high average satisfaction scores were found. In most studies, integrated DD treatment yielded greater client satisfaction than standard treatment without explicit DD focus. In standard treatment without DD focus, DD clients tended to be less satisfied than single diagnosis clients. Whilst the evidence base on client and treatment variables related to satisfaction is small, it suggested client demographics and symptom severity to be unrelated to treatment satisfaction. However, satisfaction tended to be linked to other treatment process and outcome variables. Findings are limited in that many studies had very small sample sizes, did not use validated satisfaction instruments and may not have controlled for potential confounders. A framework for further research in this important area is discussed. Conclusions: High satisfaction levels with current treatment provision, especially among those in integrated treatment, should enhance therapeutic optimism among practitioners dealing with DD clients

Annual and Monthly Variation in Species Composition and Catches of Fishes from the Tabusintac River Estuary in the Southern Gulf of St. Lawrence

A total of 7130 fish from 13 taxa were collected during summer and autumn, 2002-2005 using box traps at two sites in the Tabusintac River Estuary, New Brunswick, Canada. The objective was to determine seasonal change in species composition and catches, and to access change in annual returns of Atlantic Salmon, an important recreational fishery during autumn on the Tabusintac, Miramichi and neighboring rivers. Taxa richness and composition varied annually and from trap to trap. Richness ranged from 8-10 taxa annually and catches were usually highest in the trap closest to the ocean despite its slightly smaller size. Taxa contributing greater than one percent of the total catch during the four years of sampling included six diadromous taxa: Blueback Herring and Alewife (41.65%), Striped Bass (21.54%), Atlantic Salmon (3.98%), Tomcod (2.95%), Brook Trout (1.05%), American Eel (5.27%); one freshwater species, White Sucker (11.96%); one marine species, Winter Flounder and one resident estuarine species, Smooth Flounder which together account for 11.19% of the total catch. The remaining five species (American Smelt, Northern Pipefish, White Perch, Cunner, Sea Lamprey) contributed 0.39% of the total catch. The fish fauna 14-15 km up the Tabusintac River was not species rich, due in large part to the limited sampling time each year and due to fishing with just one sampling gear, a stationary box trap. Additional species would have been collected if smaller mesh sampling gear were used. Comparisons were made with other studies and the phenology of the dominant species on the Tabusintac and Miramichi River Estuaries during the ice free season is established. Most catches appear to be related to pre- or post-spawning movements of anadromous fishes

Fine tilt tuning of a laparoscopic camera by local magnetic actuation: two-port nephrectomy experience on human cadavers

Background: Magnetic surgical camera is an emerging technology having the potential to improve visualization without taking up port site space. However, tilting downward/upward the point of view can be obtained only by constantly applying a pressure on the abdomen. This study aims to test the hypothesis that the novel concept of Local Magnetic Actuation (LMA) is able to increase the tilt range available for a magnetic camera without the need for deforming the abdominal wall. The hypothesis that two-port laparoscopic nephrectomy in fresh tissue human cadavers could be performed by using the LMA camera is also tested. Methods: Firstly, the two cameras were separately inserted, anchored, and moved inside the inflated abdomen. Tilting angles were quantified by image analysis, while intra-abdominal pressure changes were monitored. Then, 5 two-port nephrectomies were performed by using the LMA camera while collecting quantitative outcomes. Results: The magnetic camera required a constant pressure on the magnetic handle to achieve an average of ±20 ° tilt from the horizontal position with an average of 7 mmHg loss of intra-abdominal pressure. The LMA camera allowed for 75 ° of tilt from the horizontal position with a resolution of ±1°, without any need to deform the abdomen. All the nephrectomies were completed successfully within an average time of 11 minutes. Conclusion: LMA is an effective strategy to provide magnetic cameras with wide-range and high-resolution vertical motion without the need of deforming the abdominal wall