The Work Disability Prevention CIHR Strategic Training Program: Program Performance After 5 Years of Implementation

Introduction The Work Disability Prevention (WDP) Canadian Institutes of Health Research (CIHR) Strategic Training Program was developed in 2001 and is a unique program in the world. The main objective of this program is to help future researchers develop transdisciplinary knowledge, skills and attitudes regarding WDP. The purpose of this paper is to present a descriptive portrait of the program's performance over the past 5 years, as well as the trainees' and alumni's perspectives on the WDP CIHR Training Program. Methods Data on the program's performance were collected from documents in the program records. The trainees' opinions on the WDP training program were obtained through focus groups and telephone interviews. The data collected were compiled and divided into themes to summarize the qualitative findings pertaining to each question. Results From 2003 to 2007, five successive summer sessions have been offered, involving 44 high-caliber applicants from nine countries, 34 mentors and collaborators, 29 guest speakers and 15 stakeholders. Overall, trainees appreciated the networking, the opportunity to interact with people from different disciplines and countries, the openness, and the international perspective and uniqueness of the program. The least appreciated aspects concerned mainly the e-learning course, evaluations and information on optional courses. The coordination and logistics were judged appropriate and several topics were suggested to improve the program quality. Conclusion In general, the program implementation went well, with good participation from mentors, speakers and stakeholders; the program was appreciated by the trainees and alumni. This paper underscores the importance of the international perspective, the transdisciplinarity and the scientific networking established through the progra

Global-scale pattern of peatland Sphagnum growth driven by photosynthetically active radiation and growing season length

Journal Article© Author(s) 2012. This work is distributed under the Creative Commons Attribution 3.0 License.High-latitude peatlands contain about one third of the world's soil organic carbon, most of which is derived from partly decomposed Sphagnum (peat moss) plants. We conducted a meta-analysis based on a global data set of Sphagnum growth measurements collected from published literature to investigate the effects of bioclimatic variables on Sphagnum growth. Analysis of variance and general linear models were used to relate Sphagnum magellanicum and S. fuscum growth rates to photosynthetically active radiation integrated over the growing season (PAR0) and a moisture index. We found that PAR0 was the main predictor of Sphagnum growth for the global data set, and effective moisture was only correlated with moss growth at continental sites. The strong correlation between Sphagnum growth and PAR0 suggests the existence of a global pattern of growth, with slow rates under cool climate and short growing seasons, highlighting the important role of growing season length in explaining peatland biomass production. Large-scale patterns of cloudiness during the growing season might also limit moss growth. Although considerable uncertainty remains over the carbon balance of peatlands under a changing climate, our results suggest that increasing PAR0 as a result of global warming and lengthening growing seasons, without major change in cloudiness, could promote Sphagnum growth. Assuming that production and decomposition have the same sensitivity to temperature, this enhanced growth could lead to greater peat-carbon sequestration, inducing a negative feedback to climate change. © 2012 Author(s). CC Attribution 3.0 License

Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders

Introduction In Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new "coordinated and tailored work rehabilitation" (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional case management (CCM) on return-to-work of workers on sick leave due to musculoskeletal disorders (MSDs). Methods The study was a randomized controlled trial with economic evaluation undertaken with workers on sick leave for 4-12 weeks due to MSDs. CTWR consists of a work disability screening by an interdisciplinary team followed by the collaborative development of a RTW plan. The primary outcome variable was registered cumulative sickness absence hours during 12 months follow-up. Secondary outcomes were work status as well as pain intensity and functional disability, measured at baseline, 3 and 12 months follow-up. The economic evaluation (intervention costs, productivity loss, and health care utilization costs) was based on administrative data derived from national registries. Results For the time intervals 0-6 months, 6-12 months, and the entire follow-up period, the number of sickness absence hours was significantly lower in the CTWR group as compared to the control group. The total costs saved in CTWR participants compared to controls were estimated at US $1,366 per person at 6 months follow-up and US$ 10,666 per person at 12 months follow-up. Conclusions Workers on sick leave for 4-12 weeks due to MSD who underwent "CTWR" by an interdisciplinary team had fewer sickness absence hours than controls. The economic evaluation showed that-in terms of productivity loss-CTWR seems to be cost saving for the society

Ecological resilience of restored peatlands to climate change

This is the final version. Available from Nature Research via the DOI in this record. Degradation of peatlands through land-use change and drainage is currently responsible for 5-10% of global annual anthropogenic carbon dioxide emissions. Therefore, restoring disturbed and degraded peatlands is an emerging priority in efforts to mitigate climate change. While restoration can revive multiple ecosystem functions, including carbon storage, the resilience of restored peatlands to climate change and other disturbances remains poorly understood. Here, we review the recent literature on the response of degraded and restored peatlands to fire, drought and flood. We find that degraded sites can generally be restored in a way that allows for net carbon sequestration. However, biodiversity, hydrological regime, and peat soil structure are not always fully restored, even after a decade of restoration efforts, potentially weakening ecosystem resilience to future disturbances. As the recovery of degraded peatlands is fundamental to achieving net-zero goals and biodiversity targets, sound science and monitoring efforts are needed to further inform restoration investments and priorities

How physicians caring for adult patients presenting a chronic mental disturbance take account of the difficulties their patients’ children under 18: Preliminary study

AbstractAimsTo study how physicians caring for adult patients presenting a chronic mental disturbance take account of the difficulties of their patients’ children under 18.MethodExploratory and qualitative study based on an in-depth study of interviews.Study populationThirteen physiatrists or neurologists following brain-damaged patients and 12 psychiatrists following patients with chronic psychiatric disorders.ResultsIn the two groups of physicians, diversified practices in catering for the issues of the patient's parenthood, child–parent relationships, and difficulties experienced by the child. The child's difficulties are not approached as such. For many of the physicians, representations of the parenting function, and of the child's needs and difficulties are not often used in work with the patient. Patient-centred care appears at odds with catering for the patient's children and their specific difficulties. The seriousness of the mental pathologies, their chronic nature, and the fact that they can affect the patient in his/her parental functioning and concerns, appear as factors in the reluctance of physicians. Other reasons are lack of familiarity with issues relating to childhood, and the feeling of encroaching on a private and intimate sphere. The representations of physicians with regard to parenthood, parent–child relations, and the needs and difficulties of children, are often not integrated into the corpus of knowledge. These issues are more often aspects of physicians’ own experience.ConclusionThe conflict of values and the uneasiness of the physicians suggest the need for ethical reflection groups or Balint groups