993 resultados para ILL Survey


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Sampling was concentrated on the North Moor region and the series of ditches which drained this area to the Bristol Channel. Although most ditches were not deep the mud substratum precluded sampling from within the habitat. All samples were taken with a pond net from the banks. Efforts were made to sample each part of the habitat although in some ditches the macrophyte growth was so intense as to make sampling difficult particularly of the sediments. Organisms were identified on the 10 sampling sites.

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Trata-se de estudo multicêntrico, com revisão retrospectiva de prontuário, que teve como objeto a associação entre o aprazamento de medicações intravenosas realizadas por enfermeiros e as potenciais interações medicamentosas (PIM) graves, encontradas em prescrições de pacientes críticos adultos hospitalizados. Os objetivos foram: a) apresentar os grupos medicamentosos e medicamentos prevalentes em cada Unidade de Tratamento Intensivo (UTI) pesquisada; b) descrever o perfil do aprazamento dos medicamentos intravenosos em cada UTI pesquisada; e, c) analisar a frequência das potenciais interações medicamentosas graves favorecidas pelo aprazamento feito por enfermeiros. Para coleta de dados foi utilizado um instrumento que contemplou o nome do medicamento, a dose, a via, a frequência de administração e os horários aprazados pelo enfermeiro, dando origem a um imenso banco de dados. Os dados foram coletados em 3 UTIs conveniadas ao SUS e pertencentes à Rede Sentinela. O levantamento das PIM foi feito de prescrição a prescrição, pareando-se todos os medicamentos intravenosos conforme critérios de inclusão, obtendo-se assim uma lista com as interações encontradas. As PIM foram identificadas nas bases Micromedex Drugs-Reax System.12 e Drugs.com. Foi encontrada uma chance quase três vezes maior (OR: 2,96) de PIM em prescrições com mais de 5 medicamentos. Às 6h foi encontrada nas UTIs A e B a maior chance de PIM. Na UTI C não foi encontrada prevalência nem OR significativa, assim como o número de doses comprometidas com PIM foi o menor entre todas as UTIs. Houve predomínio de medicamentos que atuam no sistema digestivo (31,99%), com destaque para ranitidina (44,08%). As UTI A e B seguem um mesmo padrão no que diz respeito a acumular o aprazamento, preferencialmente em quatro horários: 14h, 18h, 22h e 6h. A UTI C distribui seu aprazamento por nove horários, inclusive no horário de visitas (16h) e no início de plantão (08h e 20h). Na UTI A e B predominaram aprazamentos noturnos; na UTI C foram tarde e noite, sugerindo uma rotina organizada de acordo com o processo de trabalho de médicos, enfermagem e farmácia. Foram encontrados 47 PIM graves nos horários prevalentes. A UTI A apresentou o maior número de PIM graves (n=32). Destacam-se cinco medicamentos que, repetidamente, foram aprazados associados em PIM grave: haloperidol, metoclopramida, tramadol, furosemida e prometazina. Conclui-se que a rotina de atividades na UTI favorece o aprazamento padronizado e concentrado em poucos horários, logo a ocorrência de PIM graves, desconsiderando assim os aspectos farmacocinéticos e farmacodinâmicos dos medicamentos em uso concomitante.

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A autoavaliação do estado de saúde (AAS) é um indicador de saúde amplamente utilizado e influenciado por uma grande variedade de fatores. Em particular, existem evidências crescentes de que a discriminação racial é um importante fator de risco para eventos mórbidos em saúde e seu impacto na saúde da população brasileira ainda é pouco explorado. No primeiro artigo, o objetivo principal é investigar a associação entre AAS e fatores sociodemográficos, comportamentais e de morbidade. No segundo artigo, o objetivo é estimar a associação entre discriminação racial e diferentes desfechos em saúde, a saber, AAS, morbidade física e depressão ajustando por variáveis sociodemográficas, comportamentos relacionados à saúde e Índice de Massa Corporal, na população de pretos e pardos. O presente estudo possui delineamento seccional, baseado nos dados do inquérito de abrangência nacional Pesquisa Dimensão Social das Desigualdades. Os entrevistados responderam a questionários estruturados e suas medidas antropométricas foram aferidas. No primeiro artigo, foram avaliados 12.324 indivíduos, entre chefes de família e cônjuges, com idade maior ou igual a 20 anos. No segundo artigo, foram avaliados 3.863 chefes de família que responderam a pergunta sobre discriminação racial e que se classificaram como pretos e pardos. AAS foi avaliada por meio de pergunta obtida do instrumento de qualidade de vida SF-36 e, para o primeiro artigo, foi analisada de forma dicotômica em AAS boa (categorias de resposta excelente, muito boa e boa) e AAS ruim (categorias de resposta razoável e ruim). No segundo artigo, esse desfecho foi analisado utilizando-se as 5 categorias de resposta. As análises foram realizadas utilizando-se modelos de regressão logística uni e multivariados, para dados binários (artigo 1) ou ordinais (artigo 2). Os resultados foram apresentados na forma de Odds Ratios com os respectivos intervalos de 95% de confiança. Maior faixa etária, analfabetismo, tabagismo, obesidade e doenças crônicas estiveram associados a maior chance de AAS ruim. Para cada incremento na faixa de renda, observou-se uma redução de 20% na chance de relatar AAS ruim. Atividade física esteve associada a menor chance de AAS ruim. No segundo artigo, exposição à discriminação racial esteve associada com aumento na chance de relato de pior AAS, de morbidade física e de depressão. O presente estudo identificou a influência de diversos fatores sociais, demográficos, comportamentos relacionados à saúde e morbidade física na AAS. O estudo demonstrou ainda que a discriminação racial está associada negativamente aos três desfechos em saúde avaliados (AAS, morbidade física e depressão). Esses resultados podem traçar um perfil de subgrupos populacionais mais vulneráveis, ou seja, com maior risco de contrair doenças ou de procurar o serviço de saúde por uma doença já existente, auxiliando na definição de populações-alvo para o adequado planejamento de políticas e de programas de promoção de saúde.

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In the past stock assessment surveys were generally reactive in response to a particular problem e.g. a pollution incident and as such were limited in the information they provided. A programme of strategic stock assessment would be more beneficial, providing up to date information on the status and composition of the stock. On a national level this could reveal trends in population dynamics and enable comparisons to be made between key rivers and between regions. The Stock Assessment Task Group (1991) has recommended annual strategic surveys for juvenile salmonids and triennial strategic surveys for coarse fish and non- migratory salmonids. The aim of this pilot study was to gain information on species distribution and their relative abundance within the River Lune catchment, and to compare the findings with the surveys carried out between 1981-1985. This would provide valuable information on the current status of the stock and provide an indication of the resources required to conduct such strategic surveys on other river catchments in the North West Region of the National Rivers Authority.

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A survey of the River Lune using River Habitat Survey (RHS) was carried out at 103 sections in February/March 99, to which were added 37 sites surveyed between 1994 -1996. Summary statistics were produced on the distribution and extent of flow features (e.g. riffles, pools, rapids etc.), substrate types, tree and associated features and bank profiles. Information on land-use and management was also included in the analyses. A Habitat Modification Score (HMS) describing the level of habitat modification was derived for each site and compared to the whole reference network and to rivers of similar types in Britain. The HMS shows that more than 70% of the sites on the catchment are predominantly unmodified and very few sites are significantly modified. Highly modified sites are concentrated in the urban areas and on the tributaries.

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The River Tawd is a tributary of the River Douglas catchment. The Tawd is approximately 8km in length from its source, to the south of Skelmersdale, to its confluence with the River Douglas at Snipe Hall farm. The aim of this study was to determine whether the water quality of the River Tawd had improved sufficiently to allow a mixed coarse fish population to establish itself on the river after the stocking of juvenile Roach (Rutilus rutilus), Dace (Leucisus leucisus) and Chub (Leucisus cephalus) in 1997. This report will consider the survival of the stocked fish. If the stocking was successful, other potential stocking sites will be recommended for future stocking with a view to developing the River Tawd fishery.

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This report presents the first attempt at a national assessment of an Environmental Quality Standard (EQS) for dissolved oxygen (DO) in estuaries with the objective of allowing the passage of migratory salmonids. Under the Control of Pollution Act, Water Authorities and River Purification Boards have powers to control discharges to estuaries and need to define an EQS for the calculation of consent conditions. The object of any such standards is to permit the existence of good quality salmonid fisheries with only very occasional restrictions to the passage of fish. The report gives brief summaries of the DO regime in estuaries, the oxygen requirements of salmonids, and of tentative standards proposed by various authorities. These standards are then compared with DO and fishery data from UK estuaries, provided by the appropriate regulatory authorities. It concludes that a minimum annual lower 95-percentile of 5.0 mg/1 will meet the objective in most estuaries, and that a lower value of 3.0 mg/1 will permit the establishment of a more restricted fishery. However, more stringent standards may be needed in estuaries containing high concentrations of toxic pollutants. containing high concentrations of toxic pollutants.

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Swanside Beck is formed from a number of minor tributaries which rise in the Middop area to the west of Barnoldswick. The Beck is approximately 10 km long from the source of its longest tributary (SD. 850445) to the confluence with the River Ribble (SD. 769455). Swanside Beck has one major tributary, Ings Beck, which rises from a number of sources on Twiston Moor and is approximately 6km in length from the source of its longest tributary (SD. 812418) to the confluence with Swanside Beck (SD. 785453). Both Swanside and Ings Becks are important spawning and nursery areas for salmon and sea trout from the River Ribble. In recent years a perceived decline in the migratory fish population of the becks has been reported. This decline has been reported in terms of both adult returns and juvenile production and has been particularly noted in Swanside Beck. The aim of this survey was to assess the likely benefits to Fisheries and Conservation interests of the adoption of a set aside policy for agricultural land adjacent to Swanside Beck. The survey also formed part of an on-going Fisheries study of factors limiting juvenile migratory salmonid production in Swanside Beck. This section of the report deals with the Fisheries aspects of the survey.

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Although geographically the River Wyre lies between two rivers containing major migrations of adult salmon and sea trout, its rod & line fisheries have for a number of years produced exceptionally low catches. In order to determine the causes of this the Wyre Salmon and Sea trout Restoration Group (WSSRG) was conceived in 1994 as a partnership between the then National Rivers Authority (now Environment Agency), local landowners, angling clubs and interested parties. Two studies of 1994 and 1995 stated that there is a shortage of useable spawning gravels on the river. This is compounded by Abbeystead Reservoir acting as a gravel trap, the siltation of gravels on several side becks and problems with access to available gravels by returning adults. There was also perceived to be a need for accurate fishery data from the river encompassing redd counts, catch data and surveys of fry populations. The 1995 report suggested a number of management proposals which might be adopted in order to improve and create available spawning habitat for migratory salmonids. Funding was made available to create three spawning gravels on each of two side becks (Grizedale Beck and Joshua's Beck) and the addition of gravels to a site oh the main river below Abbeystead Reservoir. Modifications were also made to the fish pass at Abbeystead to allow easier passage of fish. These improvements were made in the autumn of 1995. Salmonid spawning redd counting was undertaken on the whole Wyre catchment in 1995/1996 and specific surveys by electric fishing on the gravel enhancement sites in the summer of 1996. This report details the current state of the improvement works that were undertaken and presents the results of electric fishing surveys in September 1996. A number of lessons have been learnt which will be of great benefit to the Fisheries Function in other parts of the Wyre catchment and the Central Area in general.

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The findings are presented of a survey conducted on Lake Kariba in order to update the basic statistics of the inshore fishery from a previous survey conducted in 1993 and also to collect some socioeconomic data regarding the artisanal fishery. The 1998 frame survey provided information on fishers both for the whole fishery and per village and changes in numbers; socio-economic characteristics as well as the number of fishing units and gear are included.

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Two types of fishermen have been identified along the lake shore: contract fishermen and independent fishermen. Independent fishermen move from their fishing grounds to other grounds in search for more fish and also to communal lands for farming during the rains. The fish from Kariba are marketed to a large part of the country creating a very large market potential. Profits accruing to the fishermen are not very attractive and could be the reason for the migratory behaviour of the fishermen. The fishermen population is rural with a characteristic expansive pyramid.

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An electrofishing survey was undertaken in the period April 24th - 28th as part of the detailed biological study of the Calder Catchment being carried out by this department in early 1978. The sites to be fished were selected to indicate broadly the fishing status of the major sections of the main river and its larger tributaries and by no means intended to describe the fishing status of the whole catchment in detail. The results on the distributions of fish species are discussed, in general, in relation to the major polluting influences on the catchment. The results of the second survey are given and discussed separately in Appendix I.

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As a follow up survey, the report assesses Skirden and Swanside Beck (North West England) in order to determine: 1. The status of these systems as salmonid nursery streams. 2. The success of planting with salmon fry and parr, carried our earlier in the year. The report gives methods, results, a summary and the author's recommendations.