825 resultados para Psychiatric consultation


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This is the River Lyn Salmon Action Plan Consultation document produced by the Environment Agency in 2003. The report pays attention on the external consultation of the River Lyn Salmon Action Plan (SAP). This approach to salmon management within the England and Wales introduces the concept of river-specific Conservation Limits as a method of assessing the status of the salmon stock. The River Lyn Salmon Action Plan follows the format of those completed for the Rivers Exe, Axe, Avon & Erme, Teign, Torridge, Taw and Dart. It is the last of eight action plans that have been produced for salmon rivers within Devon Area. The River Lyn Salmon Action Plan contains a description of the river catchment and highlights particular features that are relevant to the salmon population and the associated fishery. The Lyn salmon stock is judged to be meeting its Conservation Limit. However, this assessment is uncertain as it is based on an estimate of rod exploitation rate, which in itself is also uncertain.

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This is the River Taw Salmon Action Plan Consultation document produced by the Environment Agency in 2000. The report pays attention on the external consultation of the River Taw Salmon Action Plan (SAP). This approach to salmon management within the England and Wales introduces the concept of river-specific Conservation Limits as a method of assessing the status of the salmon stock. The River Taw Salmon Action Plan (SAP) includes a description of the current status of the rod and net fisheries and historical trends. The Taw salmon stock has declined since the 1960s and is currently failing to meet the spawning target. The decline in the spring fish component has accounted largely for the overall decrease in stocks. The reasons for the decline are unclear, but the spring fish problem is recognised as a national issue. The rate of survival over the marine phase has reduced in recent years for both the grilse and MSW components. This is undoubtedly a contributory factor, which may now constrain stocks to lower levels than have existed historically.

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This is the River Teign Salmon Action Plan Consultation document produced by the Environment Agency in 2003. The report pays attention on the external consultation of the River Teign Salmon Action Plan (SAP). This approach to salmon management within the England and Wales introduces the concept of river-specific Conservation Limits as a method of assessing the status of the salmon stock. The River Teign Salmon Action Plan follows the format of those completed for the Rivers Torridge, Taw and Dart. It is the fourth of eight action plans that will be produced for salmon rivers within the Devon Area Fisheries, Recreation and Biodiversity Team. The River Teign SAP contains a description of the river catchment and highlights particular features that are relevant to the salmon population and the associated fishery. The Teign salmon stock is currently failing to meet its conservation limit. This failure is largely attributed to the reduction in the survival rate during the marine phase of the salmon life cycle. This is likely to constrain stocks to lower levels than have existed historically. Still further catch controls may contribute to a reduction in exploitation rates and allow stocks to recover to meet their conservation limit. Other important actions include the continuation of habitat improvement works which aim to maximise spawning habitat utilisation, spawning success, and juvenile survival and production.

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Status papers on resources, livelihoods and ecosystem approach to fisheries in the Gulf of Mannar(GoM) were presented.Five priority initiatives were agreed: collaborative effort in conservation and management of charismatic species (e.g. dugong),capacity building and training,education and awareness building, strengthening of data collection and sharing of information.

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The objectives of the workshop were to; ensure shark catches were sustainable; assess threats to shark populations; identify vulnerable shark stocks; protect biodiversity; improve consultation involving stakeholders; minimize waste a discards and facilitate monitoring and landings data.

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The Chilika Health report Card is based on three categories: water quality, fisheries and biodiversity.

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Compared to the association between cigarette smoking and psychiatric disorders, relatively little is known about the relationship between smokeless tobacco use and psychiatric disorders. To identify the psychiatric correlates of smokeless tobacco use, the analysis used a national representative sample from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) wave 1. Smokeless tobacco use was classified as exclusive snuff use, exclusive chewing tobacco, and dual use of both snuff and chewing tobacco at some time in the smokeless tobacco user's life. Lifetime psychiatric disorders were obtained via structured diagnostic interviews. The results show that the prevalence of lifetime exclusive snuff use, exclusive chewing tobacco, and dual use of both snuff and chewing tobacco was 2.16%, 2.52%, and 2.79%, respectively. After controlling for sociodemographic variables and cigarette smoking, the odds of exclusive chewing tobacco in persons with panic disorder and specific phobia were 1.53 and 1.41 times the odds in persons without those disorders, respectively. The odds of exclusive snuff use, exclusive chewing tobacco, and dual use of both products for individuals with alcohol use disorder were 1.97, 2.01, and 2.99 times the odds for those without alcohol use disorder, respectively. Respondents with cannabis use disorder were 1.44 times more likely to use snuff exclusively than those without cannabis use disorder. Respondents with inhalant/solvent use disorder were associated with 3.33 times the odds of exclusive chewing tobacco. In conclusion, this study highlights the specific links of anxiety disorder, alcohol, cannabis, and inhalant/solvent use disorders with different types of smokeless tobacco use.

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OBJECTIVE: To assess potential diagnostic and practice barriers to successful management of massive postpartum hemorrhage (PPH), emphasizing recognition and management of contributing coagulation disorders. STUDY DESIGN: A quantitative survey was conducted to assess practice patterns of US obstetrician-gynecologists in managing massive PPH, including assessment of coagulation. RESULTS: Nearly all (98%) of the 50 obstetrician-gynecologists participating in the survey reported having encountered at least one patient with "massive" PPH in the past 5 years. Approximately half (52%) reported having previously discovered an underlying bleeding disorder in a patient with PPH, with disseminated intravascular coagulation (88%, n=23/26) being identified more often than von Willebrand disease (73%, n=19/26). All reported having used methylergonovine and packed red blood cells in managing massive PPH, while 90% reported performing a hysterectomy. A drop in blood pressure and ongoing visible bleeding were the most commonly accepted indications for rechecking a "stat" complete blood count and coagulation studies, respectively, in patients with PPH; however, 4% of respondents reported that they would not routinely order coagulation studies. Forty-two percent reported having never consulted a hematologist for massive PPH. CONCLUSION: The survey findings highlight potential areas for improved practice in managing massive PPH, including earlier and more consistent assessment, monitoring of coagulation studies, and consultation with a hematologist.

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Formative assessment was introduced in Rehabilitation Therapy students’ information literacy programs in Fall Term 2006 in the course OT/PT 892: Evidence-Based Practice. It was subsequently employed in the Winter Term 2008 and again in the Spring Term 2008. Formative assessment during student/librarian face-to-face consultations was one of a variety of teaching techniques used in the program. Other techniques included: a required reading; an interactive hands-on searching session; and a summative assessment of the final revised search strategy assignment (these techniques varied somewhat over the 3 classes). With the 2008 entrance class, this course content moved to OT/PT 898: Critical Enquiry, largely in Module 3: Reviewing the Literature. One of the Critical Enquiry’s learning objectives is: “recognize and reflect on the complexity of gathering evidence to inform decision-making.”

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OBJECTIVES: (1) Describe the population of mentally ill offenders over whom Ontario Review Board (ORB) held jurisdiction. (2) Assess the influences of psychopathology and criminal factors on criminal career. METHOD: This study was a retrospective case series design that reviewed all offenders who were court ordered for psychiatric evaluation at Mental Health Services Site of Providence Care in Kingston, Ontario from 1993 to 2007 (N=347). Eighty five subjects were found not criminally responsible on the account of mental disorder and were included in statistical analysis (n=85). Bivariate associations between five key variables and two outcome variables, seriousness of crime and recidivism, were examined. Logistic regressions were conducted to test the role of the predictor variables on the outcome variables. RESULTS: Age and change in principal psychiatric diagnosis over time were shown to be associated with seriousness of crime. Timing of psychiatric onset, early signs of deviance and change in diagnosis were shown to be associated with recidivism. On the whole, study population did not markedly vary in their distribution of variables by the outcome variables. Regression model included timing of psychiatric onset; psychiatric history; existence of criminal associate; child abuse history; and early signs of deviance. Recidivism was shown to be predicted by early signs of deviance (OR=8.154, p<0.05). Existence of criminal associates was shown to have substantial values of odds ratio at marginal significance (OR=7.577, p=0.13). CONCLUSION: Seriousness of crime is a complex factor that could not be sufficiently predicted by any one or combinations of study variables. Recidivism is better predicted by criminality factors than psychopathology. In the future, an exploratory analysis that more broadly examines the psychopathology and criminal factors in Canadian forensic population is needed. Findings from this study have important clinical and legal implications.