The Thermostat is Rising Again: Canadian's Belief in Anthropogenic Climate Change

AbstractCanadian public opinion surveys from five Canadian polling firms in 29 separate surveys from 2007 to 2021 are used to measure changes in belief in anthropogenic climate change in Canada. By applying Stimson’s (1991) Dyad Ratio Algorithm to the surveys an index is created which shows a single trend line tracking belief in climate change over time. Belief in climate change declined from 2007 to 2011, then gradually increased to 2021. The research note concludes by suggesting there is an opportunity in Canada for action to address climate change which will continue to solve the problem even when public interest once again declines.ResuméVingt-huit sondages de l’opinion publique canadienne emmenée par cinq maisons de sondages canadiens de 2007 à 2019 sont utilisés pour mesurer le changement de la croyance au changement climatique anthropique au Canada. En appliquant l'Algorithme du rapport dyadique de Stimson (1991) aux sondages, on crée un index montrant une unique ligne de tendance suivant l'évolution de la croyance au changement climatique au fil du temps. De 2007 à 2011, la croyance au changement climatique a diminué, suivie d’une augmentation graduelle jusqu’en 2018. La conclusion de l'article de recherche suggère qu’il y a des opportunités au Canada pour agir contre le changement climatique et qu'ils continueront à résoudre le problème même si l'opinion publique s'en désintéresse.Key Words: Canada, public opinion and public policy, belief in climate changeMots-clés : Canada, opinion publique et les politiques publique, croyance dans le changement climatiqu

Using Hyperlocal Delivery System to Accelerate Localised Business

Hyperlocal organizations provide purchasers with merchandise delivery and utility administrations. Merchandise delivery includes staple goods, food, prescriptions, and personal needs, while utility administrations include plumbing, home cleaning, yard care, electrical, and drainage. Each of these services and products is provided by an organization of individuals from businesses or neighborhoods. Hyperlocal administration stages enable eateries, lodging, discount food outlets, organic products or vegetables, fish, and meat, and other retailers to attract and manage customers effectively without worrying about shipment. Simple web connectivity and the proliferation of cell phones have significantly increased interest in hyperlocal administrations. Occupied way of life accelerates the growth of the online food and staples ordering market, which in turn accelerates the growth of hyperlocal services in the emerging online market

An unorthodox innervation of the gluteus maximus muscle and other associated variations: A case report

Knowledge of peripheral nerve morphology, location, and variation is important for facilitating appropriate diagnosis and intervention. We present a unique case of absence of the inferior gluteal nerve and high division of the sciatic nerve. In this instance, the common peroneal nerve was found piercing the piriformis muscle and emerging distally in the form of two trunks: thin medial and thick lateral. The medial trunk presented an interesting course, supplying the gluteus maximus muscle before joining the lateral trunk to form the common peroneal nerve. Additionally, the arteria nervi ischiadisci was also observed accompanying and supplying the tibial nerve passing inferior to the piriformis. These variations are important for clinicians and surgeons for some radiological diagnoses and surgical procedures in the lower limb

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

A Prospective Study of Factors Influencing Wound Dehiscence after Midline Laparotomy

Portrait of child trying to hold in smile.GrayscaleSorensen Safety Negatives, Binder: North & Central America