932 resultados para APN Intensivists Initiatives


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This paper examines the potential benefits and challenges of regionally managed e-government development initiatives. It examines the current state of e-government in four Caribbean countries – Barbados, Jamaica, Saint Vincent and the Grenadines, and Trinidad and Tobago – in order to establish a broader understanding of the challenges that face e-government initiatives in the region. It also reviews a number of e-government initiatives that have been undertaken through projects managed at a regional level. Based on this analysis, it presents a set of best practices that are recommended to agencies engaged in the task of coordinating the implementation of regionally-based e-government initiatives.

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This special volume of the Journal of Cleaner Production is comprised of articles presented at the 3rd International Workshop Advances in Cleaner Production held in Sao Paulo, Brazil, in 2011. The content underscores the recognition of the pressing and inescapable need for making changes from unsustainable to sustainable production and consumption patterns. The 48 articles from 15 countries provide different, but complimentary approaches to help industrial and societal sectors in advancing on their paths towards sustainability. Initiatives and challenges are included, which systematically address problems affecting raw material changes, technological modifications, product and policy changes. The findings range from proposals for alternative uses of wastes, substitution of raw materials for environmentally friendlier substances, optimization of industrial processes by source reductions of wastes and emissions and documented economic and environmental advantages of a wide array of initiatives. The roles of operational and managerial practices are also stressed, highlighting the role of diverse stakeholders as promoters of implementation and internalization of innovative cleaner technologies within companies. Systemic assessment tools are employed and experimented with in order to more effectively evaluate the environmental performance of systems on the biosphere scale. The methodological procedures and proposals presented can help in the design and management of production systems, for governmental and corporate policy development, for implementing and monitoring CP Programs, prevention and mitigation strategies, and evaluation of the outcomes of CP initiatives in the production and service sectors. (C) 2013 Elsevier Ltd. All rights reserved.

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Direct legislation in the United States is a subject that has received a great deal of attention recently. A large proportion of this attention however has been focused on the potential for direct legislation to harm minority groups. An example of this negative potential can be seen in a group of ballot propositions that were presented to California voters in the 1990s. These initiatives can all be interpreted as targeting various minority groups in California. As California is the state which makes use of the ballot initiative more frequently than any other, this is a cause for concern. There are however several other factors that make it unclear whether direct legislation will more often lead to negative outcomes for minorities. There is also a noticeable effect of direct democracy generally on political participation. Several studies have found a positive correlation between the extent that a state uses ballot initiatives and referenda with political participation indexes such as voting rates. These findings complicate the negative attention that ballot initiatives have recently received.

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Abstract This paper analyzed the changing livelihood strategies in Kenya, and their cultural impacts via a literature review. I then combined this understanding with the data I collected while in Kenya to examine the opinions local people have of community conservation initiatives, based on their changing livelihood strategies. I expected to find that the following factors would have an affect on the opinions local community members have of community conservation initiatives: livelihood strategy, gender, ethnicity, whether or not they believe the distribution of benefits coming from wildlife conservation is equitable, what issues they would like to see improved within community conservation initiatives, and their overall satisfaction with community conservation initiatives. Through correlation tests done using SPSS (Statistical Package for Social Scientists) I found that all five of these factors do influence the perceptions local community members have of community conservation initiatives within the Amboseli region in Kenya.

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“In the next century, with anti-affirmative action measures on the rise, we may unconsciously be reverted back to the 1950’s and 1960’s, whereby our public schools were segregated by race. Didactical lessons for 21st century administrators will be to develop strategies that will keep schools accessible to everyone.”

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Primary immunodeficiency diseases (PIDD) are associated with significant morbidity and mortality and result in a significant public health burden. This is in part due to the lack of appropriate diagnosis and treatment of these patients. It is critical that governments become aware of this problem and provide necessary resources to reduce this impact on health care systems. Leading physicians in their respective countries must be supported by their own governments in order to implement tools and provide education and thus improve the diagnosis and treatment of PIDD. The Latin American Society of Primary Immunodeficiencies (LASID) has initiated a large number of activities aimed at achieving these goals, including the establishment of a PIDD registry, development of educational programmes and guidelines, and the introduction of a PIDD fellowship programme. These initiatives are positively impacting the identification and appropriate treatment of patients with PIDD in Latin America. Nevertheless, much remains to be done to ensure that every person with PIDD receives proper therapy. (C) 2011 SEICAP. Published by Elsevier Espana, S.L. All rights reserved.

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‘where the land is greener’ looks at soil and water conservation from a global perspective. In total, 42 soil and water conservation technologies and 28 approaches are described – each fully illustrated with photographs, graphs and line drawings – as applied in case studies in more than 20 countries around the world. This unique presentation of case studies draws on WOCAT’s extensive database, gathered in over 12 years of field experience. The book is intended as a prototype for national and regional compilations of sustainable land management practices a practical – instrument for making field knowledge available to decision makers. Various land use categories are covered, from crop farming to grazing and forestry. The technologies presented range from terrace-building to agroforestry systems; from rehabilitation of common pastures to conservation agriculture; from Vermiculture to water harvesting. Several of these technologies are already well-established successes – others are innovative, relatively unknown, but full of promise. Descriptions of the various technologies are complemented by studies of the ‘approaches’ that have underpinned their development and dissemination. Some of these approaches were developed specifically for individual projects; others developed and spread spontaneously in fascinating processes that offer a new perspective for development policy. In addition to the case studies, the book includes two analytical sections on the technologies and approaches under study. By identifying common elements of success, these analyses offer hope for productive conservation efforts at the local level with simultaneous global environmental benefits. Policy pointers for decision makers and donors offer a new impetus for further investment – to make the land greener.

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The climate change narrative has changed from one of mitigation to one of adaptation. Governments around the world have created climate change frameworks which address how the country can better cope with the expected and unexpected changes due to global climate change. In an effort to do so, federal governments of Canada and the United States, as well as some provinces and states within these countries, have created detailed documents which outline what steps must be taken to adapt to these changes. However, not much is mentioned about how these steps will be translated in to policy, and how that policy will eventually be implemented. To examine the ability of governments to acknowledge and incorporate the plethora of scientific information to policy, consideration must be made for policy capacity. This report focuses on three sectors: water supply and demand; drought and flood planning; and forest and grassland ecosystems, and the word ‘capacity’ as related to nine different forms of policy capacity acknowledged in these frameworks. Qualitative content analysis using NVivo was carried out on fifty four frameworks and the results obtained show that there is a greater consideration for managerial capacity compared to analytical or political capacity. The data also indicated that although there were more Canadian frameworks which referred to policy capacity, the frameworks from the United States actually considered policy capacity to a greater degree.