Great Lakes: Sailing to the Forefront of National Water Policy?
While all eyes were on the presidential election last fall, the US Congress quickly—and rather unceremoniously—approved legislation that will shape the face of US water policy for years to come. On 3 October, then President George Bush signed into law the Great Lakes–St. Lawrence River Basin Water Resources Compact (S.J. Res. 45). Although federal passage was swift, the compact itself was nearly a decade in the making, and it represents significant progress in how the Great Lakes are managed. In turn, the compact sets the stage for the future of water policy in the United States. Accounting for 84 percent of the surface freshwater in North America, the Laurentian Great Lakes represent one-fifth of the world's freshwater supply. Management of the lakes, with their more than 17,000 kilometers of shoreline, has always been complex. Two countries, eight US states, two Canadian provinces, 40 tribal nations, and numerous metropolitan areas, counties, and local governments in the Great Lakes basin share governance of the lakes. The US Environmental Protection Agency (EPA) estimates that within the US federal government alone, 10 agencies administer 140 programs related to the lakes. The recently approved compact will provide a comprehensive management framework for the Great Lakes. While the compact deals with a large number of issues—conservation and economic development among them—perhaps the diversion of Great Lakes water is the most significant. Pr...
DiscussionThe interventions of education and medication alerts resulted in a significant increase in the percentage of patients receiving appropriate doses of dilTIAZem and a nonsignificant decrease in the incidence of hypotension. This process-oriented intervention resulted in an improvement in appropriate dilTIAZem doses at our site. Rate control was not statistically significantly different between the 2 groups. Long-term sustainability of this intervention requires further study.
ConclusionsVitamin D insufficiency was prevalent in both newly diagnosed axSpA patients and healthy controls. There was no association between vitamin D and pain and disease activity in the newly diagnosed axSpA patients. Monitoring vitamin D levels is important and early intervention for vitamin D insufficiency is needed, especially in female patients.
ConclusionVacuum assisted dressing is more effective than traditional wound dressing in wound healing of open fractures.
This study aims to reflect on the process of adoption of the preprints publication model, briefly delimiting its history and current use by the national and the international scientific community. Departing from the literature and a consultation of preprint repositories, this reflection intends to highlight the main challenges that preprint implementation will face in the Nursing area, along with its specificities. While considering its benefits for scientific dissemination, this study points out the difficulties that may arise from the implementation of mostly north-American science models in a peripheral country such as ...
RESUMO Objetivo Identificar na literatura a avalia ção da qualidade dos serviços de Atenção Primária à Saúde sob a ótica de cuidadores de crianças por meio da aplicação do PCATool, versão infantil. Método Revisão integrativa realizada nas bases de dados MEDLINE, CINAHL, LILACS, BDENF e Web of Science. Resultados Foram selecionados 17 artigos. Todos os estudos incluídos eram descritivos (100%) e possuíam nível de evidência IV (100%). O componente grau de afiliação (média=7,...
CONCLUSIONS: Neonatal screening with the red reflex is not sufficient to detect intraocular disease. A normal neonatal red reflex does no exclude intraocular disease. It has a specificity of nearly 90%, but its sensitivity is only 56%. Most retinal haemorrhages are undiagnosed as they cannot be detected with a red reflex. PMID: 31826811 [PubMed - as supplied by publisher]
Reaction to claims of study misconduct have dominated the press and social media since the report dropped earlier this week.Medscape Medical News
At least 1,300 people have died from the flu so far this season, according to a preliminary estimate released Friday by the US Centers for Disease Control and Prevention.
Researchers have developed a self-cleaning plastic wrap that repels bacteria -- and could be used to prevent the transfer of antibiotic resistant superbugs, and other forms of dangerous bacteria.
There is evidence that an ancient Chinese form of martial arts improves your mind and body, and may even contribute to a longer life.