Sustainable Energy Plan for a Small Island Economy: St. Vincent & the Grenadines

This paper defines a sustainable energy plan to provide the basis for renewable energy initiatives that will increase energy security, reduce negative economic impacts and provide a cleaner environment. The hotel, agriculture, transportation, construction, utility, government and private sectors will play pivotal roles in achieving targets and will see significant gains. Government policies, educational campaigns and financial incentives will be required to facilitate and encourage renewable energy development and entrepreneurship. Utilization of solar energy, energy conservation measures and the use of efficient and alternative fuel vehicles by the commercial/industrial and private sectors will be crucial in meeting targets. The utility company will be charged with developing large scale renewable energy applications and with improving efficiency of the electrical system.

A profile of small farmers in the Caribbean region : Antigua, Barbados, Belize, British Virgin Is., Cayman Is., Dominica, Grenada, Montserrat, St. Kitts-Nevis-(Anguilla), St. Lucia, St. Vincent, Turks & Caicos Is. /

Bibliography: p. [99]-101.

Report on the Agricultural department, St. Vincent ...

Report year irregular.

The life of St. Vincent de Paul /

Mode of access: Internet.

The life of Henry John Temple, viscount Palmerston: with selections from his diaries and correspondence.

"The biography is not carried down beyond the year 1847."--Pref., v.3.

Five years in Trinidad and St. Vincent: a view of the social condition of the white, coloured, and Negro population of the West Indies,

Mode of access: Internet.

St. Vincent's manual : containing a selection of prayers and devotional exercises.

Mode of access: Internet.

The life of Henry John Temple, viscount Palmerston: 1846-1865.

A continuation of Bulwer's Life of Palmerston.

Cost-effectiveness of natriuretic peptide-based screening and collaborative care: a report from the STOP-HF (St Vincent's Screening TO Prevent Heart Failure) study

AIMS: Prevention of cardiovascular disease and heart failure (HF) in a cost-effective manner is a public health goal. This work aims to assess the cost-effectiveness of the St Vincent's Screening TO Prevent Heart Failure (STOP-HF) intervention.

METHODS AND RESULTS: This is a substudy of 1054 participants with cardiovascular risk factors [median age 65.8 years, interquartile range (IQR) 57.8:72.4, with 4.3 years, IQR 3.4:5.2, follow-up]. Annual natriuretic peptide-based screening was performed, with collaborative cardiovascular care between specialist physicians and general practitioners provided to patients with BNP levels >50 pg/mL. Analysis of cost per case prevented and cost-effectiveness per quality-adjusted life year (QALY) gained was performed. The primary clinical endpoint of LV dysfunction (LVD) with or without HF was reduced in intervention patients [odds ratio (OR) 0.60; 95% confidence interval (CI) 0.38-0.94; P = 0.026]. There were 157 deaths and/or emergency hospitalizations for major adverse cardiac events (MACE) in the control group vs. 102 in the intervention group (OR 0.68; 95% CI 0.49-0.93; P = 0.01). The cost per case of LVD/HF prevented was €9683 (sensitivity range -€843 to €20 210), whereas the cost per MACE prevented was €3471 (sensitivity range -€302 to €7245). Cardiovascular hospitalization savings offset increased outpatient and primary care costs. The cost per QALY gain was €1104 and the intervention has an 88% probability of being cost-effective at a willingness to pay threshold of €30 000.

CONCLUSION: Among patients with cardiovascular risk factors, natriuretic peptide-based screening and collaborative care reduced LVD, HF, and MACE, and has a high probability of being cost-effective.

TRIAL REGISTRATION: NCT00921960.

Miscellaneous correspondence,

Includes letters from John Jervis, 1st Earl of St. Vincent, to Admiral Isaac Coffin Bart in London, and several other unaddressed or unsigned letters, as well as a copy of William Cullen Bryant’s poem, "Robert of Lincoln."

Cholera in Haiti and other Caribbean regions, 19th century.

Medical journals and other sources do not show evidence that cholera occurred in Haiti before 2010, despite the devastating effect of this disease in the Caribbean region in the 19th century. Cholera occurred in Cuba in 1833-1834; in Jamaica, Cuba, Puerto Rico, St. Thomas, St. Lucia, St. Kitts, Nevis, Trinidad, the Bahamas, St. Vincent, Granada, Anguilla, St. John, Tortola, the Turks and Caicos, the Grenadines (Carriacou and Petite Martinique), and possibly Antigua in 1850-1856; and in Guadeloupe, Cuba, St. Thomas, the Dominican Republic, Dominica, Martinique, and Marie Galante in 1865-1872. Conditions associated with slavery and colonial military control were absent in independent Haiti. Clustered populations, regular influx of new persons, and close quarters of barracks living contributed to spread of cholera in other Caribbean locations. We provide historical accounts of the presence and spread of cholera epidemics in Caribbean islands.

Evidence for the Confraternity of S. Pietro Martire at San Zanipolo, Venice

This conference paper looks at evidence of 15th- and 16th-century saints' images on carved door frames at the church of S. Zanipolo (SS Giovanni e Paolo) in Venice, using them to help locate and reconstruct the history of the 'albergo' of the confraternity dedicated to St Peter Martyr and St Vincent Ferrer. Suggestions are made concerning the possible relationship of confraternity buildings outside a church to altars dedicated to the same saint(s) within that church.

Common variant at 16p11.2 conferring risk of psychosis

Epidemiological and genetic data support the notion that schizophrenia and bipolar disorder share genetic risk factors. In our previous genome-wide association (GWA) study, meta-analysis and follow-up (totaling as many as 18,206 cases and 42,536 controls), we identified four loci showing genome-wide significant association with schizophrenia. Here we consider a mixed schizophrenia and bipolar disorder (psychosis) phenotype (addition of 7,469 bipolar disorder cases, 1,535 schizophrenia cases, 333 other psychosis cases, 808 unaffected family members and 46,160 controls). Combined analysis reveals a novel variant at 16p11.2 showing genome-wide significant association (rs4583255[T], OR = 1.08, P = 6.6 × 10−11). The new variant is located within a 593 kb region that substantially increases risk of psychosis when duplicated. In line with the association of the duplication with reduced body mass index (BMI), rs4583255[T] is also associated with lower BMI (P = 0.0039 in the public GIANT consortium dataset; P = 0.00047 in 22,651 additional Icelanders).