The Equality of Sub-Surface Minerals

Sub-surface minerals are in most cases considered to be the proprietary right of a country should those minerals be found within its borders. PRO169 (Indigenous Peoples’ Rights, International Labour Organization) has recorded instances where the private land of indigenous peoples has been pilfered by a government – often through the sale of a contract to a private company, and without the consent of the people living on that land. Other times, indigenous peoples, the government they find themselves living in, and the company that bought mining rights engage in consultation. But these practices are far from transparent, equitable, or fair as indigenous peoples are often unskilled in contractual law and do not have the same legal resources as the company or government does. This paper argues that the sub-surface minerals found within the territory of indigenous tribes should be legally allocated as theirs

Telehealth in Light of Cloud Computing: Clinical, Technological, Regulatory and Policy Issues

In the health sector, information and communications technologies (ICT) are transforming the modes of practice and service delivery. Telehealth, which is the use of ICT to provide care and health services, is an example of this new model of services. However, telehealth is accompanied by many questions regarding the terms of exchange, archiving, control and security of medical and administrative patient data. These may be very useful but also harmful to patients, healthcare professionals, organizations and even countries. Indeed, with the globalization of information, national data protection policies are being overtaken by this new reality where the "regulatory sovereignty" of a country is challenged. The increasing use of Cloud Computing, as a form of exchange, management and storage of data in the practice of telehealth, is an illustrative example of such challenges

Regional cerebral blood flow during wakeful rest in older subjects with mild to severe obstructive sleep apnea

Objectives: To evaluate changes in regional cerebral blood flow (rCBF) during wakeful rest in older subjects with mild to severe obstructive sleep apnea (OSA) and healthy controls, and to identify markers of OSA severity that predict altered rCBF. Design: High-resolution 99mTc-HMPAO SPECT images during wakeful rest. Setting: Research sleep laboratory affiliated with a University hospital. Participants: Fifty untreated OSA patients aged between 55 and 85 years divided into mild, moderate and severe OSA and 20 age-matched healthy controls. Interventions: N/A Measurements: Using statistical parametrical mapping, rCBF was compared between groups and correlated with clinical, respiratory and sleep variables. Results: Whereas no rCBF change was observed in mild and moderate groups, participants with severe OSA had reduced rCBF compared to controls in the left parietal lobules, precentral gyrus, bilateral postcentral gyri, and right precuneus. Reduced rCBF in these regions and in areas of the bilateral frontal and left temporal cortex was associated with more hypopneas, snoring, hypoxemia, and sleepiness. Higher apnea, micro-arousal, and body mass indexes were correlated to increased rCBF in the basal ganglia, insula, and limbic system. Conclusions: While older individuals with severe OSA had hypoperfusions in the sensorimotor and parietal areas, respiratory variables and subjective sleepiness were correlated with extended regions of hypoperfusion in the lateral cortex. Interestingly, OSA severity, sleep fragmentation and obesity correlated with increased perfusion in subcortical and medial cortical regions. Anomalies with such a distribution could result in cognitive deficits and reflect impaired vascular regulation, altered neuronal integrity, and/or undergoing neurodegenerative processes

A learning organization in the service of knowledge management among nurses: A case study

AbstractIt becomes critical for health care organizations to develop strategies that aim to design new work practices and to manage knowledge. The introduction of learning organizations is seen as a promising choice for better knowledge management and continuing professional development in health care. This study analyzes the effects of a learning organization on nurses’ continuing professional development, knowledge management, and retention in a health and social services centre in Quebec, Canada. The learning organization seemed to affect daily nursing work in a positive manner, despite its variable impact on other professionals and other sites outside the hospital centre. These changes were particularly pronounced with respect to knowledge transfer, support for nursing practices, and quality of health care, objectives that the learning organization had sought to meet since its inception. However, it seemed to have a limited effect on nurse retention

Negative Urgency and Its Role in the Association between Image Distorting Defensive Style and Reactive Aggression

Although the association between immature defensive styles to protect oneself from conflict in emotional context and reactive aggression (RA) has been shown recently among nonclinical individuals, the factors that may explain this relationship remain poorly understood. One putative factor is negative urgency as impulsive individuals tend to react aggressively in emotional contexts. This study aims to verify whether the relationship between image distorting defensive style and RA is moderated and not mediated by negative urgency of trait impulsivity. Nonclinical participants completed the Defensive Style Questionnaire, the UPPS Impulsivity Behavior Scale, and the Reactive-Proactive Aggression Questionnaire. Contrary to what was expected, the results showed that the relationship between image distortion and RA was entirely mediated but not moderated by the effect of negative urgency. These results suggest that when individuals get in a defensive state leading to a distortion of the image of themselves and others, they become more emotionally impulsive, leading to RA