A lower BMI has been reported among consumers of organic foods, but this relationship has never been examined in a prospective design study. Our aim was to prospectively investigate the association between frequency of organic food consumption and weight change. For sixteen products, participants reported their consumption frequency of labelled organic foods never, occasionally, most of the time. An organic score OS with a maximum of thirty-two points was computed. An increase in the OS was associated with a lower risk of overweight and obesity among non-overweight and non-obese participants at inclusion: OR for Q4 v.
Concerning obesity risk, the association was stronger among participants with higher adherence to nutritional guidelines. This study supports a strong protective role of consumption frequency of organic foods with regard to the risk of overweight and obesity that depends on overall dietary quality. Upon confirmation, these results may contribute to fine-tune nutritional guidelines by accounting for farming practices in food production. Background To date, no consensus has emerged on the most appropriate front-of-pack FOP nutrition label to help consumers in making informed choices.
Results The 5-CNL was viewed as the easiest label to identify and as the one requiring the lowest amount of effort and time to understand. Ultra-processed foods UPF consumption has increased over the last decades and is raising concerns about potential adverse health effects.
Participants included in the analysis were mainly women UPF accounted for Lifestyle, dietary patterns and nutritional status of organic food consumers have rarely been described, while interest for a sustainable diet is markedly increasing. Cluster analysis was performed to identify behaviors associated with organic product consumption. Socio-demographic characteristics, food consumption and nutrient intake across clusters are provided.
Five clusters were identified: RCOP were more highly educated and physically active than other clusters. They also exhibited dietary patterns that included more plant foods and less sweet and alcoholic beverages, processed meat or milk. Their nutrient intake profiles fatty acids, most minerals and vitamins, fibers were healthier and they more closely adhered to dietary guidelines. In this paper seventeenth century gilded paintings from the crypt of Sant Benet de Bages, a medieval monastery in the Catalonia region of Spain, near Barcelona, have been studied. Cross sections from two different gilded decorations were studied by means of optical microscopy and electron microscopy and EDS to determine the statigraphy and elemental composition, and by means of FTIR coupled to a microscope to determine the binding media associated to each layer.
These preliminary results demonstrated that gilded decorations were made by the application of a gold foil on a mordant substrate on a gypsum base, while the mouldings of the vaults seem to be gilded on a bol with a glaze on top of the gold leaf. It is interesting to notice that the first remained unaltered, while the gilded vault mouldings look almost black, due to the darkening of the organic material. High brightness and small spot working conditions revealed the development and distribution of calcium oxalates in the binding media, which seem to be responsible for the darkening.
Background In spite of the growing literature in the field of e-epidemiology, clear evidence about computer literacy or attitudes toward respondent burden among e-cohort participants is largely lacking. Methods Self-reported data from 43, e-cohort participants were collected in via a Web-based questionnaire. We employed unconditional logistic and linear regression analyses.
Results Approximately one-quarter of participants Background Lifestyle, dietary patterns and nutritional status of organic food consumers have rarely been described, while interest for a sustainable diet is markedly increasing. Results Five clusters were identified: Background Dementia is a major public health problem, and repeated cognitive data from large epidemiological studies could help to develop efficient measures of early prevention. Methods The test battery included four tests, measuring, among others aspects, psychomotor speed, attention, executive function, episodic memory, working memory, and associative memory.
Results Agreement between both versions varied according to the investigated cognitive task and outcome variable. Conclusions The self-administered version of the Web-based NutriCog cognitive test battery provided similar information as the supervised version. The immigrant population IP is visiting neurology departments on an increasingly more frequent basis.
Research has still not made it clear whether there are geographical differences in the prevalence of primary headaches and the possible influence of emigration. We conducted a retrospective 12 months and prospective study 18 months of the first visits to the Headache Unit at the Hospital de la Santa Creu i Sant Pau. Data collected included the country of birth, time parameters of the headache and of the immigration, diagnoses according to the criteria of the IHS and treatments that had been used.
Related headaches were considered to be those that began within one year of having immigrated. The IP represents Immigrants came mostly from Latin America Headaches began after immigration in The distribution of the diagnoses of headache is similar to those of the local population, the most frequent being migraine On comparing treatments prior to and following immigration, we find differences in the use of triptans 2. Emigration is neither a precipitating nor an aggravating factor for headaches in our series. There is a significant difference in symptomatic and preventive treatment between the period prior to immigration and afterwards.
Stratigraphic and structural controls on groundwater flow in an outcropping fossil fan delta: Hydrogeological models of mountain regions present the opportunity to understand the role of geological factors on groundwater resources. A comprehensive analysis of data portrays the massif as a single unit, constituted by different compartments determined by specific layers and sets of fractures. Two distinct flow systems—local and regional—are identified based on pumping test analysis as well as hydrochemical and isotopic data.
Drawdown curves derived from pumping tests indicate that the behavior of the saturated layers, whose main porosity is given by the fracture network, corresponds to a confined aquifer. Pumping tests also reflect a double porosity within the system and the occurrence of impervious boundaries that support a compartmentalized model for the whole aquifer system.
Hydrochemical data and associated spatial evolution show the result of water-rock interaction along the flow lines. Concentration of magnesium, derived from dolomite dissolution, is a tracer of the flow-path along distinct stratigraphic units. The hydrogeological analysis of this outcropping system provides a methodology for the conceptualization of groundwater flow in similar buried systems where logging and hydrogeological information are scarce.
A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children ages attending early childcare centres: Childhood obesity is a growing concern for public health. This study follows a cluster randomized controlled trial design in which the childcare centers are randomly assigned to receive the intervention or serve as usual care controls.
The intervention period, spanning months, is preceded and followed by data collections. Participants are recruited from 61 childcare centers in two Canadian provinces, New Brunswick and Saskatchewan. Centers eligible for this study have to prepare and provide meals for lunch and have at least 20 children between the ages of 3 and 5.
Centers are excluded if they have previously received a physical activity or nutrition promoting intervention. Eligible centers are stratified by province, geographical location urban or rural and language English or French , then recruited and randomized using a one to one protocol for each stratum. Data collection is ongoing. The primary study outcomes are assessed using accelerometers physical activity levels , the Test of Gross Motor. Promoting physical activity, healthy eating and gross motor skills development among preschoolers attending childcare centers: Quantitative data were collected through director questionnaires at 10 months and 2 years after the initial training and analyzed using descriptive statistics.
Qualitative data were collected throughout the intervention. The intervention was successful in reaching a large number of childcare centres and engaging both rural and urban communities across Saskatchewan and New Brunswick. Centres reported increasing opportunities for physical activity and healthy eating, which were generally low-cost, easy and quick to implement. However, these changes were rarely transformed into formal written policies.
Implementation fidelity of the initial training was high. Key challenges to implementation and sustainability identified during the evaluation were consistent among all of the REAIM elements. These challenges included lack of time, lack of support from childcare staff and low parental engagement. Findings from this study suggest the implementation of. Far away from populated areas, ELL site acts as a remote site, but it is also responding to discrete events as snow melting, summer cattle breeding on pastures and trekking frequentation.
In the long term, these measurements show the mountain ecosystems contribution and geomorphologic influence on the CO2 budget of the air masses crossing a mountain range.
Méthodes de travail. UE 6.1: Guide pratique à l'usage des étudiants infirmiers (French Edition)
A pilot study of a multilevel intervention to increase physical activity, fundamental movement skills and healthy eating in rural childcare centres. The objective of the current study was to evaluate the impact of a multimodal physical activity and healthy eating intervention on educators' provision of opportunities for children to improve their physical activity levels, fundamental movement skills and healthy eating behaviours.
Six childcare centres three Francophone and three Anglophone located in five different rural and semi-rural communities in Saskatchewan participated in this intervention. A total of 69 children with a mean age of 4 years 9 months, and 19 female early childhood educators. Guided by an ecological framework, we implemented a population health controlled intervention, using a wait list control design 48 weeks delayed intervention , and evaluated its impact in rural childcare centres. Mixed methods were employed to determine the effectiveness of the intervention. Overall, educators felt that the intervention supported the provision of physical activity and healthy eating opportunities for children.
Increases in children's physical activity levels were reported following the intervention. Seeking health- and nutrition-related information on the Internet in a large population of French adults: The Internet has become a major source of health and nutrition information. Little is known about the type of consulted websites institutional v.
The aim of this cross-sectional study was to investigate health- and nutrition-related Internet use in a large French population-based study. Only one institutional website was present in the top This large population-based study showed that institutional websites were infrequently accessed and that a few participants discussed the information found online with their HCP. This particular trend was especially visible among individuals who were more vulnerable regarding misleading information. Participant profiles according to recruitment source in a large Web-based prospective study: Interest in Internet-based epidemiologic research is growing given the logistic and cost advantages.
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Cohort recruitment to maximally diversify the sociodemographic profiles of participants, however, remains a contentious issue. The aim of the study was to characterize the sociodemographic profiles according to the recruitment mode of adult volunteers enrolled in a Web-based cohort. Recruitment is ongoing and largely relies on recurrent multimedia campaigns. Among the 88, participants enrolled through the end of , 30, Sociodemographic profiles were various, with 14, There is a growing trend for vegetarian and vegan diets in many Western countries.
Epidemiological evidence suggesting that such diets may help in maintaining good health is rising. However, dietary and sociodemographic characteristics of vegetarians and vegans are not well known. Participants were asked if they were following a specific diet.
They were then classified into three self-reported diet groups: Dietary data were collected using three repeated h dietary records. Multivariable polytomic logistic regression models were perfomed to assess the association between the sociodemographic characteristics and type of diet. The prevalence of nutrient intake inadequacy was estimated, by sex and age for micronutrients, as well as by type of self-reported diet.
Compared with meat-eaters, vegetarians were more likely to have a higher educational level, whereas vegans had a lower education level. Compared with meat-eaters, vegetarians were more likely to be women, younger individuals, and to be self-employed or never employed rather than managerial staff. Vegetarians and vegans substituted animal protein-dense products with a higher consumption of plant protein-dense products e.
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Vegetarians had the most balanced diets in terms of macronutrients, but also had a better adherence to French dietary guidelines. Vegetarians exhibited a lower estimated prevalence of inadequacies for micronutrients such as antioxidant vitamins e. Dietary intake is pointed as one of the major determinants in hypertension development. Data in the area are mostly obtained from cross-sectional studies. We aimed to investigate the prospective association between 1 individual nutritional factors and 2 adherence to the Dietary Approach to Stop Hypertension and the risk of incident hypertension in a large cohort study.
Self-reported sociodemographic, lifestyle health questionnaires and dietary consumption assessed by three hour records were completed at baseline and yearly thereafter. Associations between quartiles Q of nutrients and food groups and adherence to Dietary Approach to Stop Hypertension diet and hypertension risk were assessed by multivariable Cox proportional hazards models. During a mean follow-up of 3.
Dietary intakes of sodium Q4 versus Q1: Besides, adherence to the Dietary Approach to Stop Hypertension was strongly inversely associated with incident hypertension: Our results confirmed the association of several nutritional factors intake and incident hypertension and highlighted that adopting a global healthy diet could strongly contribute to the prevention of hypertension. The Sant Corneli Anticline is a well-exposed example of a fault-cored fold whose hydrologic evolution and structural development are directly linked.
The fold's core of fractured carbonates contains a variety of west dipping normal faults with meter to decameter scale displacement and abundant calcite fill. This carbonate unit is capped by a marl unit with low angle, calcite filled normal faults. The marl unit is overlain by clastic syn-tectonic strata whose sedimentary architecture records limb rotation during the evolution of the fold.
The syn-tectonic strata contain a variety of joint sets that record the stresses before, during, and possibly after fold growth. Faulting in the marl and calcite-filled joints in the syn-tectonic strata suggest that normal faults within the carbonate core of the fold eventually breached the overlying marl unit. This breach may have connected the joints of the syn-tectonic strata to the underlying carbonate reservoir and eliminated previous compartmentalization of fluids. Furthermore, breaching of the marl units probably enhanced joint formation in the overlying syn-tectonic strata. Future geochemical studies of calcite compositions in the three units will address this hypothesis.
Preliminary mapping of joint sets in the syn-tectonic strata reveal a multistage history of jointing. Early bed-perpendicular joints healed by calcite strike NE-SW, parallel to normal faults in the underlying carbonates, and may be related to an early regional extensional event. Decameter scale, bed perpendicular, unfilled fractures that are sub-parallel to strike probably represent small joints. Contexte Alberta et Ontario. Trauma-related disorders are disabling affections of which epidemiological data change according to the country, population and measuring instruments.
The prevalence of posttraumatic stress disorder PTSD appears to have increased over the past 15 years, but one cannot tell whether it has indeed increased or whether the standardized procedure has improved. Moreover, very few epidemiologic studies among the general population have been conducted in Europe, notably in France. Multi-varied analyses were performed on PTSD-related variables and comorbid disorders. The instantaneous prevalence past month of PTSD was of 0. There was a high rate of comorbidity among PTSD individuals, notably with mood disorders, anxiety disorders and addictive behaviour.
There was an obvious relationship with suicidal behaviour, with fold more suicide attempts during the past month among the PTSD population. This survey analysed the consequences of a psychic traumatism over and above complete PTSD according to DSM-IV criteria, observing for instance the consequences for people exposed both to a trauma and suffering from at least one psychopathological symptom since the trauma. Those who suffered from a psychotraumatic syndrome, according to our enlarged definition, represented 5.
Then, we compared those psychotraumatic syndromes to complete PTSD from a sociodemographic, functional and type of care point of view. To this end, along with other sources, it analyzes interviews that had been conducted with professionals who worked at the hospital in that era, sourced from the facility's Center for Documentation and Research.
The goal was to problematize these testimonies, examining the texture of the accounts and approaching them as memories that weave a history of the hospital through recollections marked by suffering. Within this proposed framework, suffering is understood as a historical event that can give rise to new social arrangements. Objective To document the reliability and construct validity of the Family Violence Scale FVS in the older adult population aged 65 years and older.
Family violence was defined as a latent variable, coming from a spouse and from children. A model with 2 indicators of violence; that is, psychological and financial violence, and physical violence, adequately fitted the observed data. The reliability of the FVS was 0. Older adults, aged 75 years and older, reported less violence than those aged between 65 and 74 years. Our results lead us to conclude that family violence against older adults is common and warrants greater public health and political attention. General practitioners could play an active role in the detection of violence among older adults.
Biological Differences, Ergonomics, and Occupational Health: Researchers involved in this program worked in partnership with union women's and health and safety committees for more than twenty years. Not all studies succeeded in improving women's working conditions. One joint project involved observational studies of tasks done by health-care workers, complemented by interviews and questionnaires.
However, issues of pay equity, spending on health care, and contracting-out of "ancillary work" were salient. Researchers learned that in the absence of changes in power relationships in the workplace, women may be disadvantaged by denial as well as by exaggeration of female-male differences. Men may also be at risk when their gender is invisible. We suggest some feminist approaches to workplace solutions and some pathways for research. Accidental exposure to hot water steam is a potential risk in the French Navy, and particularly on nuclear submarines or ships.
Direct human exposure to this extreme environment during an accident leads to death in a short time. A set of tools was developed to study the effects of exposure to hot water steam atmospheres on human physiology and on the protective capacities of textile fabrics and equipment. A testing device allows the quantification of the protective capacities of fabrics under steam stresses. A thermal manikin and a steam climatic chamber allow the evaluation of the protective capacities of equipment.
The tests on fabrics and on garments were in good agreement. Water vapour impermeable fabrics and garments provide greater protection in steamy conditions. Moreover, the thicker the sample or garment, the higher the protection it gives. Care should be taken to verify that fabrics keep their thermal characteristics under steam stress. These characteristics, measured under standard comfortable conditions, are not always indicative of the protective abilities of the fabrics under steamy conditions. Malnourishment can be caused by either a lack of food or an excess of low-nutrient foods. Due to several factors, this predisposes children to academic failure.
The objective of this study is to estimate the prevalence of school children with eating problems, study their nutrition level, food quality in the diet, and level of physical activity. The study involved the school children between 3 months and Personal, age, nutrition and physical activity data were collected for the descriptive and bivariate analyses. A total of 1, children were included, of which were under 3 years of age 8.
Obesity was recorded in 2. The remaining 1, children were over 3 years of age Adherence to the Mediterranean diet decreased significantly with increasing age. The maintenance of body weight was significantly correlated to the consumption of carbohydrates for breakfast before going to school, daily fruit consumption, and not having a need for care from the social services.
The differences in physical activity and a sedentary lifestyle proved significant between males and females. Being underweight and overweight are factors related to eating habits and dependency upon the social services. The literature shows substantial differences in occupational exposures between men and women, both between and within occupations, but remains very sparse on whether interventions are tailored to gender differences in the workplace.
Our objective was to determine whether gender differences are taken into account when designing prevention interventions. This study is part of a project on the evaluation of interventions implemented in the framework of the "Healthy Enterprise" standard in Quebec organizations. Three sets of quantitative and qualitative data were collected in seven organizations and triangulated. Our results show that in the process of elaborating and implementing activities, the main objectives were to reach a maximum number of workers and meet the needs identified in a health and risk diagnosis.
Activities were not tailored to the needs of specific subgroups of employees, such as gender or age. Not distinguishing men's and women's situations in this diagnosis may play a role in intervention design. Le changement comme tradition dans la recherche et la formation a la recherche en biotechnologie et en peripherie Etude de cas en sciences de la sante , sciences naturelles et genie.
Le champ de la recherche scientifique et de la formation a la recherche est traverse depuis quelques dizaines d'annees par plusieurs courants et discours associes au changement, mais peu de travaux empiriques permettent de comprendre ce qui change concretement. C'est la contribution originale de cette these au champ de l'education, plus specifiquement a l'etude sociologique de l'enseignement superieur ou sont concentrees les activites liees a la triade thematique du programme doctoral dans lequel elle a ete produite: L'enquete-terrain a ete realisee en et aupres de repondants affilies a 60 etablissements au Quebec et a produit un vaste materiau de nature mixte donnees quantitatives et qualitatives.
Un portrait de la nebuleuse biotechnologique qui touche les secteurs des sciences de la sante , des sciences naturelles et du genie a ete realise. Ce domaine concerne des dizaines de disciplines et se revele de nature transdisciplinaire, mais les pratiques n'y sont pas davantage marquees par le changement que celles d'autres domaines connexes. Les dynamiques sociales ont fait l'objet d'analyses comparatives dans quatre contextes: Les resultats indiquent que les echanges entre les agents traditionnellement situes au coeur des activites de recherche dominent ces dynamiques dans tous les contextes etudies.
L'etude des representations au fondement des pratiques a revele l'existence de trois ecoles de pensee qui coexistent dans le champ scientifique: Ces ecoles permettent de categoriser les agents en fonction des zones de fractures qui marquent leurs oppositions tout en identifiant ce qu'ils ont en commun. Les representations et les pratiques liees a la formation temoignent d'un habitus plutot homogene, alors que les contradictions semblent plus souvent ancrees dans des.
Participation in daily physical activity and consuming a balanced diet high in fruits and vegetables and low in processed foods are behaviours associated with positive health outcomes during all stages of life. Previous literature suggests that the earlier these behaviours are established the greater the health benefits.
As such, early learning settings have been shown to provide an effective avenue for exploring and influencing the physical activity and healthy eating behaviours of children before school entry. However, in addition to improving individual level health of children, such interventions may also result in a number of social benefits for the society. In fact, research among adult populations has shown that sufficient participation in physical activity can significantly lower hospital stays and physician visits, in turn leading to positive economic outcomes.
To our knowledge there is very limited literature about economic evaluations of interventions implemented in early learning centers to increase physical activity and healthy eating behaviours among children. In doing so, implementation cost is estimated to complete the first phase of a social return on investment analysis of this intervention. In order to carry out this evaluation the first step was to identify the inputs and costs needed to implement the intervention, along with the corresponding outputs. With stakeholder interviews and using existing database, we estimated the implementation cost by measuring, valuing and monetizing each individual input.
Dr Wassef; H6pital belong to Dr Said; Cabinet Medical: Adel; Dispensaire de Randa: Redefining the "Normal" Worker: While the need to reconcile work and family life has been recognized in discrete ways in legislation and policy over the years, there has not been a substantial shift away from the archetype of the "unencumbered" male worker to a new model of the "normal" worker. In Canada and elsewhere, legislative protection does not allow women or men to effectively reconcile work and family responsibilities over the life cycle.
This paper examines the different ways in which work-family balance is regulated, with a focus on the Canadian federal jurisdiction and the province of Quebec, and underlines the need for coherent labor and social policy. The paper also explores the development of multi-stakeholder initiatives on work-family balance, including the development of voluntary standards and a proposal for a work-family "framework" law to ensure coherence among different laws and programs affecting work-family balance. The paper concludes by confirming the need to move away from an individualized approach toward a more mainstreamed and collectivized approach to work-family balance.
In Quebec Canada , the Work-Oriented Training Path, a work-study program, prepares students who are having difficulty at school for the job market. Occupational health and safety is an important part of their training. This article aims to analyze the impact of gender on the interpersonal dynamics among teachers, trainees, and key actors from the businesses involved. This article also looks at the influence of gender on teachers' strategies and capacity to act regarding occupational health and safety.
Using a work activity analysis lens, a multiple case-study analysis of teachers' work activity was carried out. The findings show that gendered social relationships create a specific supervisory context that influences occupational health and safety training. Solutions aimed at reducing the negative impact of gender-associated prejudice on work injury prevention include training for teachers, attention to work organization at the schools, and the creation of cohesive teachers' work teams.
La formation des enseignant. Value of a national administrative database to guide public decisions: These data, based on almost 66 million inhabitants in , have already been the subject of numerous international publications on various topics: SNIIRAM comprises individual information on the sociodemographic and medical characteristics of beneficiaries and all hospital care and office medicine reimbursements, coded according to various systems. Access to data is controlled by permissions dependent on the type of data requested or used, their temporality and the researcher's status.
In general, data can be analyzed by accredited agencies over a period covering the last three years plus the current year, and specific requests can be submitted to extract data over longer periods. The EGB is an open cohort, which includes new beneficiaries and newborn infants. In parallel, the modalities of data access and protection systems. Interactive Visualization of Network Dynamics Visualisation interactive de la dynamique des reseaux. Des informations analogues, telles que le titre est la date International overview of hospital procurement. An analysis of these methods showed that there was a general trend towards group purchasing, with some common aims in terms of costs and performance and some differences in legislation competition , size of the public sector and centralization or decentralization.
Background Health-related quality of life HRQoL assessment, encompassing the adolescents' perceptions of their mental, physical, and social health and well-being is increasingly considered an important outcome to be used to identify population health needs and to provide targeted medical care. Although validated instruments are essential for accurately assessing HRQoL outcomes, there are few cross-culturally adapted tools for use in Brazil, and none designed exclusively for use among adolescents.
Methods The VSP-A was translated following a well-validated forward-backward process leading to the Brazilian version. The internal construct validity was assessed through confirmatory factor analysis CFA , multi-trait scaling analyses, Rasch analysis evaluating unidimensionality of each scale and Cronbach's alpha coefficients. The reproducibility was evaluated by intra-class correlation coefficients ICC. Zumbo's ordinal logistic regression analysis was used to detect differential item functioning DIF between the Brazilian and the French items.
External construct validity was investigated testing expected differences between groups using one-way analysis of variance ANOVA , Mann-Whitney tests and the univariate general regression linear model. Current process and future path for health economic assessment of pharmaceuticals in France. This article provides an in-depth description of the CEESP's structure and working methods, and analyses the impact of health economic assessment on market access of drugs in France. It also points out the areas of uncertainty and the conflicting rules following the introduction of the health economic assessment in France.
The authors also provide their personal opinion on the likely future of health economic assessment of drugs in France, including the possible merge of the CEESP and the Transparency Committee, the implementation of a French threshold, and the extension of health economic assessment to a larger number of products. La Croissance des depenses publiques d'education en Allemagne: The downturn in the economic situation in the early s gave rise to new work on long-term "Kondratieff" cycles. Given the atypical fluctuation in some variables prices, production, etc.
To explain the original features of the structural crisis that was developing, it has become necessary to put forward and test new hypotheses. The results of work carried out by the research group on Quantitative History and Long-Term Theories at the University of Montpellier I meet this requirement. They introduce a relationship between expenditure on human development wages, education, health, etc. Limited information exists on the status of hygiene and probable sources of microbial contamination in Orange Fleshed Sweet Potato OFSP puree processing.
Intensive observation and interviews using a structured GMPs checklist, environmental sampling, and microbial analysis by standard microbiological methods were used in data collection. Microbial counts on food equipment surfaces, installations, and personnel hands and in packaged OFSP puree were above the recommended microbial safety and quality legal limits. In conclusion, equipment surfaces, personnel hands, and processing water were major sources of contamination in OFSP puree processing and handling.
Plant hygiene inspection, environmental monitoring, and food safety trainings are recommended to improve hygiene, microbial quality, and safety of OFSP puree. Le syndrome des enfants battus: La maltraitance physique des enfants ou le syndrome des enfants battus est responsable de plus de Fracture, maltraitance, enfant, neuro-radiologie PMID: Malaria elimination in Haiti by the year Haiti and the Dominican Republic, which share the island of Hispaniola, are the last locations in the Caribbean where malaria still persists.
Malaria is an important public health concern in Haiti with 17, reported cases in Further, on January 12, , a record earthquake devastated densely populated areas in Haiti including many healthcare and laboratory facilities. Weakened infrastructure provided fertile reservoirs for uncontrolled transmission of infectious pathogens. This situation results in unique challenges for malaria epidemiology and elimination efforts. The meeting brought together laboratory personnel, researchers, clinicians, academics, public health professionals, and other stakeholders to discuss main stakes and perspectives on malaria elimination.
Several themes and recommendations emerged during discussions at this meeting. First, more information and research on malaria transmission in Haiti are needed including information from active surveillance of cases and vectors. Second, many healthcare personnel need additional training and critical resources on how to properly identify malaria cases so as to improve accurate and timely case reporting. Third, it is necessary to continue studies genotyping strains of Plasmodium falciparum in different sites with active transmission to evaluate for drug resistance and impacts on health.
Fourth, elimination strategies outlined in this report will continue to incorporate use of primaquine in addition to chloroquine and active surveillance of cases. Temperament, personality, and the mood and anxiety disorders, Journal of Abnormal Psychology , , pp. Medically Unexplained Physical Symptoms in Military Health Symptomes physiques medicalement inexpliques dans la sante militaire. This article discusses the functioning of a health-oriented development project pursued in an emergency situation and its impacts beyond its stated goals.
The tripartite project between Brazil, Haiti, and Cuba was designed to strengthen Haiti's health and epidemiologic surveillance system, introduced in as part of the aid effort after the earthquake. An essentially ethnographic perspective is taken, with a focus on describing the practices and perspectives of the agents involved in the program.
The networks of agents were mapped out, paying particular attention to translators, drivers, and journalists, who were understood as being "cooperation brokers". Finally, the article discusses the project's position in the broader context of international health initiatives in Haiti. Despite the fact that, in most of the series published, cancer is the most frequent base pathology for the indication of home parenteral nutrition HPN , the use of this technique in terminally-ill patients is still a controversial issue.
Our goal has been to review the evolution of cancer patients with HPN treatment from "La Paz" Hospital with a view to studying the indication, evolution and complications. We review a total of 9 terminal oncological patients who had been treated with HPN between January and December , with a mean age of Catheter infection was the most frequent complication with 1. Although HPN is one more therapeutic resource, which may or may not be used in some terminal oncological patients, we must refine the indication as much as possible to take into account a series of "systematic guarantees" including fulfilment of pertinent clinical criteria, informed consent and the adoption of a collective decision with the involvement of all the professionals monitoring the patient.
We propose an action algorithm to help in improving the decision-taking process in these patients. Le cannabis et les enfants et adolescents canadiens. The latter would meet nearly a half of the RDA of vitamin A for pregnant and lactating women. This kit is comprised of bilingual resources for child caregivers related to nourishing and nurturing a child's brain for optimal neurodevelopmental health. The kit is the result of a month project to synthesize research on brain development and to develop resources in support of excellent caregiver practice in Canada.
The kit contains the…. Inspired by the Hygienist Movement, which associates good health with regular, moderate exercise, the National Health and Nutrition Program identifies a lack of physical activity as a risk factor for many chronic diseases. As such, the Program encourages people to take care of their bodies by inciting a moral obligation to develop a physically active lifestyle and follow a healthy diet.
With the overall goal of improving the health of the population by acting on nutrition, the Program focuses on primary prevention, screening and early treatment of conditions like heart disease, cancer, obesity, osteoporosis and diabetes. As an incentive program developed in keeping with the biopolitical views of the s that saw education as an alternative means to hospitals for achieving good health, the Program is also a good public action tool for controlling costs.
Dans le domaine du Psychological Aspects of Deployment and Health Behaviours Aspects psychologiques de la projection operationnelle et comportements lies a la sante. In high-income countries, alcohol use is second only to smoking among purely behavioural risk factors in its. The third binary system Ag-Te has been investigated in detail by our group. Integration de la planification familiale aux services nationaux de sante. After independence in the s, most African government inherited health structures that were curative oriented, costly, and directed toward the urban population.
Primary health care, oriented toward prevention, promotion, improvement of the environment, cure, and rehabilitation, has since been adopteed as a better approach to health in Africa. This approach aims to integrate health care with thee activities of other seectors and places relicance on available community resources. An unexpected change has been the transformation of social and political attitudes toward family planning as a basic human right, a concomitant to heealth, and an integral part of socioeconomic development.
Family planning is gradually being integrated into the maternal and child health services of all countries in Sub-Saharan Africa. In some cases, the government has assumed service delivery responsibilities previously carried out by family planning associations, thereby changing the association's role to that of education and motivation. Other countries have faced duplication of services and wastage of resources as a result of integration. There is a need for an overall evaluation of the integrated family planning-maternal and child heath services to determine future priorities and strategies.
Problems so far encountered have included coverage, acceptability, accessibility, quality and continuity of care, data collection, and limited resources. However, cost factors, the shortage of trained manpower, the lack of facilities, and prevailing cultural and religious attitudes suggest the advisibility of integrated rather than vertical health programs in Africa.
For both planning and administrative purposes, it is necessary to have a central Maternal and Child Health-Family Planning unit within the Ministry of Health as well as regional and district units. This study focuses on the establishment of in vitro tuberization of Chlorophytum borivilianum using solid and liquid culture systems.
For optimization of in vitro tuber production,a comparison between solid, stationary liquid and shake liquid culture was carried out. Liquid culture with shaking at 80 r. To characterize the potential transmission sites of sleeping sickness in Kinshasa, two entomologic surveys were carried out during the dry and the rainy seasons in rural and periurban areas of Kinshasa in About pyramidal traps were set up, and Glossina fuscipes quanzensis were captured.
Environmental and biologic factors were reported, and relationships between these factors were evaluated using logistic regression and multiple correspondence analysis. The biologic factors the presence of tsetse flies, human blood meals, and teneral flies were progressively accumulated at each capture site to permit the characterization of the sleeping sickness transmission risk. The dry season was found to be a more favorable period for the disease transmission than the rainy season.
Moreover, the landscapes characterized by the presence of argillaceous soils, raised ground cover with forest residues and rivers, were identified as types of environments with greater risk of sleeping sickness transmission. Pig breeding appeared as an important factor increasing the disease transmission.
If vector control is continuously performed along rivers segments at high risk, the transmission of sleeping sickness in rural and periurban areas of Kinshasa will considerably decrease. The commodities and deposit types represented include: Raw data not in the public domain may be obtained from the Ministry of Petroleum, Energy, and Mines in Nouakchott, Mauritania.
Queer kinship practices in non-western contexts: French Polynesia is an overseas collectivity of France whose kinship practices accommodate transgender parenting through the involvement of gender-variant mahu people in childrearing, including as adoptive parents in customary faamu adoption. While the existence and visibility of gender-variant people in French Polynesia is well documented, there is no literature on their involvement in parenting, reflecting a more general dearth of research on LGBT parenting in non-Western contexts.
Drawing on the author's fieldwork in French Polynesia, this article fills this gap. The article also discusses the negative implications of France's ambivalence towards LGBT parenting for French Polynesian gender-variant parents and the children they raise.
Procede d'expression et de persuasion en communication publique Indirection: Process of Expression and Persuasion in Public Communication. Focuses on the indirection process presented in Searle's and Vanderveken's theory of speech acts: Discusses indirection mechanisms used in advertising and in political communication.
The article argues that a number of psychosocial factors need to be studied in order to understand this issue fully.
Fix Central
By analysing responses gathered from 20 parent-child units, the authors reveal: Is carpal tunnel syndrome related to computer exposure at work? A review and meta-analysis. A meta-analysis on epidemiological studies was undertaken to assess association between carpal tunnel syndrome CTS and computer work. We included recent studies, original epidemiological studies for which the association was assessed with blind reviewing with control group. Relevant associations were extracted, and a metarisk was calculated using the generic variance approach meta-odds ratio [meta-OR].
Six studies met the criteria for inclusion. Results are contradictory because of heterogeneous work exposure. The meta-OR for computer use was 1. The meta-OR for keyboarding was 1. It was not possible to show an association between computer use and CTS, although some particular work circumstances may be associated with CTS. These projects explored different methods of fighting UHIs by greening cities in a participative and mobilizing approach led mainly by non-governmental organizations and municipalities. An assessment of quality of life showed that projects were positively received by users, especially by those living in vulnerable situations.
A lifecycle analysis showed that from the environmental perspective, UHI mitigation measures that do not require fertilization or maintenance are preferable. Finally, communication efforts that raise awareness of UHI and mitigation are of significant importance to program success. Summary Background Consensus-based studies are increasingly used as decision-making methods, for they have lower production cost than other methods observation, experimentation, modelling and provide results more rapidly.
Keywords, headings and qualifiers corresponding to a list of terms and expressions related to the consensus methods were searched in the thesauri, and used in the literature search. A search with the same terms and expressions was performed on Internet using the website Google Scholar. Results All methods, precisely described in the literature, are based on common basic principles such as definition of subject, selection of experts, and direct or remote interaction processes. They sometimes use quantitative assessment for ranking items.
Numerous variants of these methods have been described. Few validation studies have been implemented. Not implementing these basic principles and failing to describe the methods used to reach the consensus were both frequent reasons contributing to raise suspicion regarding the validity of consensus methods.
Conclusion When it is applied to a new domain with important consequences in terms of decision making, a consensus method should be first validated. Daily consumption of orange-fleshed sweet potato with added fat tends to increase total body vitamin A pool size in vitamin A depleted Bangladeshi women. We assessed the affect of daily consumption of orange-fleshed sweet potato OFSP , with or without added fat, on the total body vitamin A VA pool size of Bangladeshi women with low initial VA status.
The goal of neurosurgery for cerebral intraparenchymal neoplasms of the eloquent areas is maximal resection with the preservation of normal functions, and minimizing operative risk and postoperative morbidity. Currently, modern technological advances in neuroradiological tools, neuronavigation, and intraoperative magnetic resonance imaging MRI have produced great improvements in postoperative morbidity after the surgery of cerebral eloquent areas. The integration of preoperative functional MRI fMRI , intraoperative MRI volumetric and diffusion tensor imaging [DTI] , and neuronavigation, defined as "functional neuronavigation" has improved the intraoperative detection of the eloquent areas.
We reviewed patients operated between and for intraparenchymal neoplasms involving or close to one or more major white matter tracts corticospinal tract [CST], arcuate fasciculus [AF], optic radiation. The patients underwent MRI and DTI during surgery after dural opening, after the gross total resection close to the white matter tracts, and at the end of the procedure. We evaluated the impact of fMRI on surgical planning and on the selection of the entry point on the cortical surface.
We also evaluated the impact of preoperative and intraoperative DTI, in order to modify the surgical approach, to define the borders of resection, and to correlate this modality with subcortical neurophysiological monitoring. We evaluated the impact of the preoperative fMRI by intraoperative neurophysiological monitoring, performing "neuronavigational" brain mapping, following its data to localize the previously elicited areas after brain shift correction by intraoperative MRI.
The integration of tractographic data into the volumetric dataset for neuronavigation was technically possible in all cases. Tri et conditionnement 1. Manuel de formation en gestion de la Circonscription Sanitaire 79 5. Il lui est adjoint une fiche de renseignements. Gestion des ressources logistiques et informationnelles 82 - Immeuble par destination: Manuel de formation en gestion de la Circonscription Sanitaire 83 5. Cette liste doit faire ressortir les indications suivantes: Manuel de formation en gestion de la Circonscription Sanitaire 85 D.
Gestion des ressources logistiques et informationnelles 86 4. Gestion des ressources logistiques et informationnelles 88 C. Les autres outils sont: Manuel de formation en gestion de la Circonscription Sanitaire 93 B. Ce qui permettra de: Manuel de formation en gestion de la Circonscription Sanitaire E. Types et approches du tableau de bord TdB: Manuel de formation en gestion de la Circonscription Sanitaire G. Recherche de solutions en commun: Ainsi, le projet de communication de la Circonscription Sanitaire permettra de: Manuel de formation en gestion de la Circonscription Sanitaire Quand?
- Carol Day - Jack Slingsby.
- Cereals: 3 (Handbook of Plant Breeding).
- Romance in Land Titles.
- Cow (Animal).
- The shrinking ray.
- Tapas para vagos: Más cocina para vagosTapas para vagos (Spanish Edition).
Plan de communication 1. La participation communautaire A. La participation communautaire Selon Rifkin et al. Suivi et Evaluation 1. Identi cation de projets communautaires 4. Manuel de formation en gestion de la Circonscription Sanitaire 3. La jugent-ils importante ou non?
Il doit ajouter de la valeur aux situations, aux services et aux produits respectifs de chaque partenaire. Manuel de formation en gestion de la Circonscription Sanitaire B. Offre de soins 1.
Are You an Author?
Manuel de formation en gestion de la Circonscription Sanitaire 2. Quel est le risque? Dans quelles conditions ou circonstances? Programme national de lutte antituberculeuse 2. Programme de lutte anti-paludique 6. Programme national de lutte contre les leishmanioses 7. Programme de lutte contre la schistosomiase 8. Programme de lutte contre les vecteurs Programme national de lutte contre le tabagisme Programme national de lutte contre la toxicomanie Manuel de formation en gestion de la Circonscription Sanitaire