Information Flow Impediments in Disaster Relief Supply Chains

Supply Chain Management (SCM) is seldom more difficult than during disaster relief efforts. As supply chains quickly form in response to a disaster, a slow information flow presents a major hindrance to coordinating the allocation of resources necessary for disaster relief efforts. This paper identifies impediments to the flow of information through supply chains following large scale and catastrophic disasters. Given the scarce body of literature on this subject, a grounded theory case study was conducted to examine an extreme case. The study concentrates on the efforts of multiple organizations and individuals that provided relief in the aftermath of Hurricane Katrina, which battered the Gulf Coast of the southeastern United States in late 2005. Data was gathered from diverse sources, including government agencies, profit and non-profit organizations, and individuals, during and after the disaster. Based on our data analysis, we not only identify information flow impediments (i.e., inaccessibility, inconsistent data and information formats, inadequate stream of information, low information priority, source identification difficulty, storage media misalignment, unreliability, and unwillingness), but also identify likely sources of these impediments, and examine their consequences to organizations’ disaster recovery efforts. Our findings suggest some potential design principles for devising solutions capable of reducing or alleviating the impact of information flow impediments in future disasters

Implantação da unidade de conservação do parque areião na região sul de Goiânia

O presente trabalho parte de uma revisão bibliográfica, artigos científicos, legislação ambiental, órgãos governamentais, conselhos e estudos de caso exploratório de implantação da unidade de conservação do Parque Areião na região Sul de Goiânia, em consequência dos impactos ambientais causados por ações antrópicas para Jornada Científica do Curso de Engenharia Ambiental, Saneamento Ambiental das relações entre saneamento, saúde e meio ambiente

PATRIMÔNIO HISTÓRICO DE SOBRAL E LUDICIDADE NA ESCOLA CARMOSINA FERREIRA GOMES: UM RELATO DE EXPERIÊNCIA

Este trabalho traz um relato de experiência dos bolsistas do subprojeto de História da Universidade Estadual Vale do Acaraú (UVA) na escola Carmosina Ferreira Gomes, na utilização do patrimônio cultural para o processo de ensino-aprendizagem para compreender a experiência humana ampla e complexa, sendo possível compreendê-la através de suas diversas manifestações

EXTRAÇÃO, CARACTERIZAÇÃO E ANÁLISES DE DADOS DE CURRÍCULOS LATTES

Curricula from the Lattes Platform are a vast source of information for the creation and analysis of researchers' social networks. However, due to the large amount of data, the manual filling-in, and the use of semi-structured data, there are several challenges in the use of Lattes as a source of data. This paper presents a database produced from the mining of more than one million Brazilian Lattes curricula. Moreover, it highlights some descriptive characteristics and relationships among these curricula and among the knowledge areas, directions and challenges to the production and analyzes of social networks generated from these data.Os currículos da Plataforma Lattes são uma vasta fonte de informação para a criação e análise de redes sociais de pesquisadores. Contudo, devido à quantidade de dados, ao preenchimento manual e ao uso de dados semiestruturados existem diversos desafios para a utilização desta fonte de dados. Este artigo apresenta um banco de dados produzido a partir da mineração de mais de um milhão de Currículos Lattes, destacando algumas características descritivas e relações entre os currículos e entre as grandes áreas de conhecimento, direções e desafios para a produção e análise de redes sociais a partir destes dados

ANÁLISE DA EVOLUÇÃO DAS RELAÇÕES DE COAUTORIA NOS PROGRAMAS DE PÓS-GRADUAÇÃO EM COMPUTAÇÃO NO BRASIL

This paper describes the basis for a study of the dynamic relationships of (co- )authorship among full time professors from Brazilian Computer Science graduate programs. 889 researchers were identified, working in 45 graduate programs. A robust entity resolution heuristic was developed, allowing the identification of (co-)authorship relationships among researchers with accuracy above 96%. The social network analysis allowed for the discovery of some interesting phenomena about the dynamics of the Brazilian scientific production, related to the increasing in the production within and among graduate programs.Este trabalho descreve as bases para um estudo da dinâmica de relações de coautoria entre pesquisadores associados aos programas de pós-graduação em Ciência da Computação, avaliados pela CAPES no triênio 2007-2009. Ao todo, foram identificados 889 pesquisadores permanentes nos 45 programas de pós-graduação avaliados. Uma heurística robusta de resolução de entidades foi desenvolvida, possibilitando a identificação das relações de coautoria entre pesquisadores, com uma taxa de acerto superior a 96%. Com base na análise das redes de coautoria foi possível observar fenômenos interessantes da dinâmica da pesquisa brasileira, relacionados especialmente ao aumento da produção conjunta inter e intra programas de pós-graduação

Investment in child and adolescent health and development: key messages from Disease Control Priorities, 3rd Edition.

The realisation of human potential for development requires age-specific investment throughout the 8000 days of childhood and adolescence. Focus on the first 1000 days is an essential but insufficient investment. Intervention is also required in three later phases: the middle childhood growth and consolidation phase (5-9 years), when infection and malnutrition constrain growth, and mortality is higher than previously recognised; the adolescent growth spurt (10-14 years), when substantial changes place commensurate demands on good diet and health; and the adolescent phase of growth and consolidation (15-19 years), when new responses are needed to support brain maturation, intense social engagement, and emotional control. Two cost-efficient packages, one delivered through schools and one focusing on later adolescence, would provide phase-specific support across the life cycle, securing the gains of investment in the first 1000 days, enabling substantial catch-up from early growth failure, and leveraging improved learning from concomitant education investments

Deworming drugs for soil-transmitted intestinal worms in children: effects on nutritional indicators, haemoglobin and school performance (Review)

Background The World Health Organization (WHO) recommends treating all school children at regular intervals with deworming drugs in areas where helminth infection is common. The WHO state this will improve nutritional status, haemoglobin, and cognition and thus will improve health, intellect, and school attendance. Consequently, it is claimed that school performance will improve, child mortality will decline, and economic productivity will increase. Given the important health and societal benefits attributed to this intervention, we sought to determine whether they are based on reliable evidence. Objectives To summarize the effects of giving deworming drugs to children to treat soil-transmitted intestinal worms (nematode geohelminths) on weight, haemoglobin, and cognition; and the evidence of impact on physical well being, school attendance, school performance, and mortality. Search methods In February 2012, we searched the Cochrane Infectious Diseases Group Specialized Register, MEDLINE, EMBASE, LILACS, mRCT, and reference lists, and registers of ongoing and completed trials. Selection criteria We selected randomized controlled trials (RCTs) and quasi-RCTs comparing deworming drugs for geohelminth worms with placebo or no treatment in children aged 16 years or less, reporting on weight, haemoglobin, and formal test of intellectual development. In cluster-RCTs treating communities or schools, we also sought data on school attendance, school performance, and mortality. We included trials that included health education with deworming. Data collection and analysis At least two authors independently assessed the trials, evaluated risk of bias, and extracted data. Continuous data were analysed using the mean difference (MD) with 95% confidence intervals (CI). Where data were missing, we contacted trial authors. We used GRADE to assess evidence quality, and this is reflected in the wording we used: high quality ("deworming improves...."); moderate quality ("deworming probably improves..."); low quality ("deworming may improve...."); and very low quality ("we don't know if deworming improves...."). Main results We identified 42 trials, including eight cluster trials, that met the inclusion criteria. Excluding one trial where data are awaited, the 41 trials include 65,168 participants. Screening then treating For children known to be infected with worms (by screening), a single dose of deworming drugs may increase weight (0.58 kg, 95% CI 0.40 to 0.76, three trials, 139 participants; low quality evidence) and may increase haemoglobin (0.37 g/dL, 95% CI 0.1 to 0.64, two trials, 108 participants; low quality evidence), but we do not know if there is an effect on cognitive functioning (two trials, very low quality evidence). Single dose deworming for all children In trials treating all children, a single dose of deworming drugs gave mixed effects on weight, with no effects evident in seven trials, but large effects in two (nine trials, 3058 participants, very low quality evidence). The two trials with a positive effect were from the same very high prevalence setting and may not be easily generalised elsewhere. Single dose deworming probably made little or no effect on haemoglobin (mean difference (MD) 0.06 g/dL, 95% CI -0.06 to 0.17, three trials, 1005 participants; moderate evidence), and may have little or no effect on cognition (two trials, low quality evidence). Mulitple dose deworming for all children Over the first year of follow up, multiple doses of deworming drugs given to all children may have little or no effect on weight (MD 0.06 kg, 95% CI -0.17 to 0.30; seven trials, 2460 participants; low quality evidence); haemoglobin, (mean 0.01 g/dL lower; 95% CI 0.14 lower to 0.13 higher; four trials, 807 participants; low quality evidence); cognition (three trials, 30,571 participants, low quality evidence); or school attendance (4% higher attendance; 95% CI -6 to 14; two trials, 30,243 participants; low quality evidence); For time periods beyond a year, there were five trials with weight measures. One cluster-RCT of 3712 children in a low prevalence area showed a large effect (average gain of 0.98 kg), whilst the other four trials did not show an effect, including a cluster-RCT of 27,995 children in a moderate prevalence area (five trials, 37,306 participants; low quality evidence). For height, we are uncertain whether there is an effect of deworming (-0.26 cm; 95% CI -0.84 to 0.31, three trials, 6652 participants; very low quality evidence). Deworming may have little or no effect on haemoglobin (0.00 g/dL, 95%CI -0.08 to 0.08, two trials, 1365 participants, low quality evidence); cognition (two trials, 3720 participants; moderate quality evidence). For school attendance, we are uncertain if there is an effect (mean attendance 5% higher, 95% CI -0.5 to 10.5, approximately 20,000 participants, very low quality evidence). Stratified analysis to seek subgroup effects into low, medium and high helminth endemicity areas did not demonstrate any pattern of effect. In a sensitivity analysis that only included trials with adequate allocation concealment, we detected no significant effects for any primary outcomes. One million children were randomized in a deworming trial from India with mortality as the primary outcome. This was completed in 2005 but the authors have not published the results. Authors' conclusions Screening children for intestinal helminths and then treating infected children appears promising, but the evidence base is small. Routine deworming drugs given to school children has been more extensively investigated, and has not shown benefit on weight in most studies, except for substantial weight changes in three trials conducted 15 years ago or more. Two of these trials were carried out in the same high prevalence setting. For haemoglobin and cognition, community deworming seems to have little or no effect, and the evidence in relation to school attendance, and school performance is generally poor, with no obvious or consistent effect. Our interpretation of this data is that it is probably misleading to justify contemporary deworming programmes based on evidence of consistent benefit on nutrition, haemoglobin, school attendance or school performance as there is simply insufficient reliable information to know whether this is so

Can service integration work for universal health coverage? Evidence from around the globe

Universal health coverage (UHC) is at the heart of the new 2030 Agenda for Sustainable Development. Health service integration is seen by World Health Organization as an essential requirement to achieve UHC. However, to date the debate on service integration has focused on perceived benefits rather than empirical impact. We conducted a global review in a systematic manner searching for empirical outcomes of service integration experiments in UHC countries and those on the path to UHC. Sixty-seven articles and reports were found. We grouped results into a unique integration typology with six categories - medical staff from different disciplines; patients and medical staff; care package for one medical condition; care package for two or more medical conditions; specialist stand-alone services with GP services; community locations. We showed that it is possible to integrate services in different human development contexts delivering positive outcomes for patients and clinicians without incurring additional costs. However, the improved outcomes shown were incremental rather than radical and suggest that integration is likely to enhance already well established systems rather than fundamentally changing the outcomes of care