40 research outputs found

    Incorporating the insurance value of peri-urban ecosystem services into natural hazard policies and insurance products: Insights from Mexico

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    Understanding how to adapt to increasing risk under climate change is essential for governments wishing to mitigate harms and manage insurance and disaster assistance costs. An approach that values the public good of hazard mitigation provisioned by natural ecosystems could also incentivise government, beneficiaries and insurance companies to share responsibility and funding for targeted conservation and restoration. To illuminate this concept of the insurance value of ecosystems, it is important to map the relationship between the area(s) that benefit from and provide regulating ecosystem services and to identify what determines the level of protection. In the case of flood control regulation that benefits at-risk urban areas, upstream or inland peri-urban areas are key. We present steps to operationalise the insurance value in policy using spatial indicators of peri-urban biodiversity and vegetation and soil health for four Mexican cities. For Mexico City only, we identify at-risk areas and characterise upstream peri-urban areas and find this insurance value is already diminished. Combining spatial analysis with a damage cost function we estimate the expected damage costs of different flood events and the monetary value of enhancing this insurance value. This estimate could be compared to other policy interventions and integrated into hazard insurance

    Simplicity in Visual Representation: A Semiotic Approach

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    Simplicity, as an ideal in the design of visual representations, has not received systematic attention. High-level guidelines are too general, and low-level guidelines too ad hoc, too numerous, and too often incompatible, to serve in a particular design situation. This paper reviews notions of visual simplicity in the literature within the analytical framework provided by Charles Morris' communication model, specifically, his trichotomy of communication levels—the syntactic, the semantic, and the pragmatic. Simplicity is ultimate ly shown to entail the adjudication of incompatibilities both within, and between, levels.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68281/2/10.1177_105065198700100103.pd

    A qualitative exploration of workarounds related to the implementation of national electronic health records in early adopter mental health hospitals

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    AIMS: To investigate the perceptions and reported practices of mental health hospital staff using national hospital electronic health records (EHRs) in order to inform future implementations, particularly in acute mental health settings. METHODS: Thematic analysis of interviews with a wide range of clinical, information technology (IT), managerial and other staff at two early adopter mental health National Health Service (NHS) hospitals in London, UK, implementing national EHRs. RESULTS: We analysed 33 interviews. We first sought out examples of workarounds, such as delayed data entry, entering data in wrong places and individuals using the EHR while logged in as a colleague, then identified possible reasons for the reported workarounds. Our analysis identified four main categories of factors contributing to workarounds (i.e., operational, cultural, organisational and technical). Operational factors included poor system integration with existing workflows and the system not meeting users' perceived needs. Cultural factors involved users' competence with IT and resistance to change. Organisational factors referred to insufficient organisational resources and training, while technical factors included inadequate local technical infrastructure. Many of these factors, such as integrating the EHR system with day-to-day operational processes, staff training and adequate local IT infrastructure, were likely to apply to system implementations in various settings, but we also identified factors that related particularly to implementing EHRs in mental health hospitals, for example: EHR system incompatibility with IT systems used by mental health-related sectors, notably social services; the EHR system lacking specific, mental health functionalities and options; and clinicians feeling unable to use computers while attending to distressed psychiatric patients. CONCLUSIONS: A better conceptual model of reasons for workarounds should help with designing, and supporting the implementation and adoption of, EHRs for use in hospital mental health settings

    World Congress Integrative Medicine & Health 2017: Part one

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    Retrospective evaluation of whole exome and genome mutation calls in 746 cancer samples

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    Funder: NCI U24CA211006Abstract: The Cancer Genome Atlas (TCGA) and International Cancer Genome Consortium (ICGC) curated consensus somatic mutation calls using whole exome sequencing (WES) and whole genome sequencing (WGS), respectively. Here, as part of the ICGC/TCGA Pan-Cancer Analysis of Whole Genomes (PCAWG) Consortium, which aggregated whole genome sequencing data from 2,658 cancers across 38 tumour types, we compare WES and WGS side-by-side from 746 TCGA samples, finding that ~80% of mutations overlap in covered exonic regions. We estimate that low variant allele fraction (VAF < 15%) and clonal heterogeneity contribute up to 68% of private WGS mutations and 71% of private WES mutations. We observe that ~30% of private WGS mutations trace to mutations identified by a single variant caller in WES consensus efforts. WGS captures both ~50% more variation in exonic regions and un-observed mutations in loci with variable GC-content. Together, our analysis highlights technological divergences between two reproducible somatic variant detection efforts

    Cultural Identity in Latin America: Toward a cooperative understanding of our past

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    Collective chapter that examines and deconstructs stable, fixed notions of Latin America and Latin American culture by counterpointing voices of South American, Caribbean, and Chicano authors. The chapter interweaves a diversity of viewpoints concerning exile, migration, bilingualism, translation, identity, and the relationship with the United States in the formation of critical discourses on culture with regard to Latin America.Fil: Salomon, Carlos Manuel. California State University; Estados UnidosFil: Catelli, Laura. Universidad Nacional de Rosario. Facultad de Humanidades y Artes. Instituto de Estudios Críticos en Humanidades. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario. Instituto de Estudios Críticos en Humanidades; ArgentinaFil: Majfud, Jorge. Jacksonville University; Estados UnidosFil: Martínez Cruz, Paloma. Ohio State University; Estados UnidosFil: Rabasa, Magalí. College of Art and Science. Lewis & Clark; Estados UnidosFil: Salmón, Enrique. California State University; Estados UnidosFil: Vaughn, Umi. California State University; Estados UnidosFil: Chacón, Gloria. University of California at San Diego; Estados Unido
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