85 research outputs found

    Investment guide for low-emission rice in the Mekong Delta, Vietnam

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    Rice production is an integral commodity to global food security, but it also contributes considerably to greenhouse gas emissions (GHG). There are a variety of options to mitigate GHG emissions from paddy rice production but the impacts and opportunities to finance such activities are not well-known or well-understood for global investors, and much remains to be done to ensure that international climate finance can be used to attract private sector investments into sustainable agriculture. This guide provides promising GHG mitigation options and analyses of cost and benefits to develop an investment plan for Mekong Delta in Vietnam. Investment de-risking strategies are also included in this publication

    What are the differences among occupational groups related to their palliative care-specific educational needs and intensity of interprofessional collaboration in long-term care homes?

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    © 2017 The Author(s). Background: The purpose of this study was to compare the differences across occupational groups related to their end-of-life care-specific educational needs and reported intensity of interprofessional collaboration in long-term care (LTC) homes. Methods: A cross-sectional survey, based on two questionnaires, was administered at four LTC homes in Ontario, Canada using a modified Dilman’s approach. The first questionnaire, End of Life Professional Caregiver Survey, included three domains: patients and family-centered communication, cultural and ethical values, effective care delivery. The Intensity of Interprofessional Collaboration Scale included two subscales: care sharing activities, and interprofessional coordination. In total, 697 LTC staff were given surveys, including personal support workers, support staff (housekeeping, kitchen, recreation, laundry, dietician aids, office staff), and registered staff (licensed nurses, physiotherapists, social workers, pharmacists, physicians). Results: A total of 317 participants completed the survey (126 personal support workers, 109 support staff, 82 registered staff) for a response rate of 45%. Significant differences emerged among occupational groups across all scales and subscales. Specifically, support staff rated their comfort of working with dying patients significantly lower than both nurses and PSWs. Support staff also reported significantly lower ratings of care sharing activities and interprofessional coordination compared to both registered staff and personal support workers. Conclusions: These study findings suggest there are differing educational needs and sense of interprofessional collaboration among LTC staff, specific to discipline group. Both the personal support workers and support staff groups appeared to have higher needs for education; support staff also reported higher needs related to integration on the interdisciplinary team. Efforts to build capacity within support staff related to working with dying residents and their families are needed. Optimal palliative care may require resources to increase the availability of support for all staff involved in the care of patients

    Curation of complex, context-dependent immunological data

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    BACKGROUND: The Immune Epitope Database and Analysis Resource (IEDB) is dedicated to capturing, housing and analyzing complex immune epitope related data . DESCRIPTION: To identify and extract relevant data from the scientific literature in an efficient and accurate manner, novel processes were developed for manual and semi-automated annotation. CONCLUSION: Formalized curation strategies enable the processing of a large volume of context-dependent data, which are now available to the scientific community in an accessible and transparent format. The experiences described herein are applicable to other databases housing complex biological data and requiring a high level of curation expertise

    Research Trends in Evidence-Based Medicine: A Joinpoint Regression Analysis of More than 50 Years of Publication Data

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    Background Evidence-based medicine (EBM) has developed as the dominant paradigm of assessment of evidence that is used in clinical practice. Since its development, EBM has been applied to integrate the best available research into diagnosis and treatment with the purpose of improving patient care. In the EBM era, a hierarchy of evidence has been proposed, including various types of research methods, such as meta-analysis (MA), systematic review (SRV), randomized controlled trial (RCT), case report (CR), practice guideline (PGL), and so on. Although there are numerous studies examining the impact and importance of specific cases of EBM in clinical practice, there is a lack of research quantitatively measuring publication trends in the growth and development of EBM. Therefore, a bibliometric analysis was constructed to determine the scientific productivity of EBM research over decades. Methods NCBI PubMed database was used to search, retrieve and classify publications according to research method and year of publication. Joinpoint regression analysis was undertaken to analyze trends in research productivity and the prevalence of individual research methods. Findings Analysis indicates that MA and SRV, which are classified as the highest ranking of evidence in the EBM, accounted for a relatively small but auspicious number of publications. For most research methods, the annual percent change (APC) indicates a consistent increase in publication frequency. MA, SRV and RCT show the highest rate of publication growth in the past twenty years. Only controlled clinical trials (CCT) shows a non-significant reduction in publications over the past ten years. Conclusions Higher quality research methods, such as MA, SRV and RCT, are showing continuous publication growth, which suggests an acknowledgement of the value of these methods. This study provides the first quantitative assessment of research method publication trends in EBM

    The Real Role of β-Blockers in Daily Cardiovascular Therapy

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    Central Vietnam climate over the past five centuries from cypress tree rings

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    We present the first crossdated tree ring record from central Vietnam, derived from the growth rings of the rare cypress Fokienia hodginsii from the mountains of Quang Nam Province near the Laos border. The Quang Nam Fokienia hodginsii time series (QNFH), based on the crossdated sequences of 71 increment core samples from 37 mature trees, is the third published dendrochronological record from this species. The record extends 667 years from AD 1347 to 2013 and exhibits a mean series intercorrelation of 0.526, similarly significant with the first two published Fokienia hodginsii records: 0.474 for Mu Cang Chai (MCFH) and 0.578 for Bidoup-Nui Ba National Park (BDFH) in the north and south of Vietnam, respectively. The Expressed Population Signal (EPS) for the QNFH record exceeds the generally accepted threshold of 0.85 back to AD 1567, but remains above 0.8 back to 1550. Similar to the MCFH and BDFH records, QNFH expresses statistically significant linkages to regional hydroclimate metrics and the El Niño-Southern Oscillation. Here we present a reconstruction of the Standardized Precipitation Evapotranspiration Index for the month of April, averaged over a large region of Southeast Asia. As with prior studies we demonstrate that cool phase (La Niña) and warm phase (El Niño) events are linked to regional wet and dry conditions, respectively, with linkages to modulation of the surface water temperature over the adjacent sea to the east of Vietnam as well as the Indian Ocean. A late eighteenth century megadrought that is expressed widely across South and Southeast Asia, and notably from the MCFH and BDFH records described above, is not as pronounced in Central Vietnam and we explore the reasons why
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