scholarly journals The inclusion of practical urology skills in intern induction: A pilot programme in the Dublin Mid Leinster Network

2021 ◽  
Vol 31 ◽  
pp. S19
Author(s):  
S. O’Meara ◽  
S. Connolly ◽  
N. Hegarty ◽  
K. O’Malley ◽  
D. Sadlier ◽  
...  
Keyword(s):  
Author(s):  
David Berridge ◽  
Nina Biehal ◽  
Eleanor Lutman ◽  
Lorna Henry ◽  
Manuel Palomares

2003 ◽  
Vol 154 (8) ◽  
pp. 305-313 ◽  
Author(s):  
Roman Eyholzer ◽  
Martin Baumann ◽  
Rolf Manser

Faced with the challenging task of balancing forest interests and wildlife, the Swiss Forest Agency initiated the pilot programme«Game and Forest», which is committed to a philosophy of goal-oriented management practice and a redesign of forestry subsidizing. Within this programme the diverse goals of forestry and hunting have been amalgamated to a superimposed goal and set out in a corresponding contract. The Game-Forest-Management-Tool (GFMT) has been divised to simulate the effect of various strategies to deal with the complex problems of forest-wildlife. Optimal contract-fulfilling procedures can be simulated on a PC using this technical tool. The efficiency of the measures suggested by simulations that were carried out are being tested in a study area within the pilot programme, «Game and Forest». Half way through this trial, after two years, we can say that there has been no significant increase of non-browsed areas. In 2004, after the collection of data for the entire study area, we will be able to tell whether applying this computer simulated strategy truly leads to an augmentation of non-browsed area and a decrease in bark-peeled forests in the pilot area.


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e050667
Author(s):  
Meaghan Lunney ◽  
Paul E Ronksley ◽  
Robert G Weaver ◽  
Lianne Barnieh ◽  
Norman Blue ◽  
...  

ObjectivesThis report estimates the risk of COVID-19 importation and secondary transmission associated with a modified quarantine programme in Canada.Design and participantsProspective analysis of international asymptomatic travellers entering Alberta, Canada.InterventionsAll participants were required to receive a PCR COVID-19 test on arrival. If negative, participants could leave quarantine but were required to have a second test 6 or 7 days after arrival. If the arrival test was positive, participants were required to remain in quarantine for 14 days.Main outcome measuresProportion and rate of participants testing positive for COVID-19; number of cases of secondary transmission.ResultsThe analysis included 9535 international travellers entering Alberta by air (N=8398) or land (N=1137) that voluntarily enrolled in the Alberta Border Testing Pilot Programme (a subset of all travellers); most (83.1%) were Canadian citizens. Among the 9310 participants who received at least one test, 200 (21.5 per 1000, 95% CI 18.6 to 24.6) tested positive. Sixty-nine per cent (138/200) of positive tests were detected on arrival (14.8 per 1000 travellers, 95% CI 12.5 to 17.5). 62 cases (6.7 per 1000 travellers, 95% CI 5.1 to 8.5; 31.0% of positive cases) were identified among participants that had been released from quarantine following a negative test result on arrival. Of 192 participants who developed symptoms, 51 (26.6%) tested positive after arrival. Among participants with positive tests, four (2.0%) were hospitalised for COVID-19; none required critical care or died. Contact tracing among participants who tested positive identified 200 contacts; of 88 contacts tested, 22 were cases of secondary transmission (14 from those testing positive on arrival and 8 from those testing positive thereafter). SARS-CoV-2 B.1.1.7 lineage was not detected in any of the 200 positive cases.Conclusions21.5 per 1000 international travellers tested positive for COVID-19. Most (69%) tested positive on arrival and 31% tested positive during follow-up. These findings suggest the need for ongoing vigilance in travellers testing negative on arrival and highlight the value of follow-up testing and contact tracing to monitor and limit secondary transmission where possible.


1990 ◽  
Vol 26 (6) ◽  
pp. 680-684 ◽  
Author(s):  
Trevor J. Powles ◽  
Colin R. Tillyer ◽  
Alison L. Jones ◽  
Susan E. Ashley ◽  
Jennifer Treleaven ◽  
...  

2021 ◽  
Vol 6 (9) ◽  
pp. e005519
Author(s):  
Jing Yuan ◽  
Z Kevin Lu ◽  
Xiaomo Xiong ◽  
Bin Jiang

To cope with the increasing healthcare costs brought about by the universal health insurance programme, national volume-based procurement (NVBP) was implemented in China to reduce drug prices. However, the impact of NVBP remains unknown. We reported the effects of the NVBP pilot programme on medication affordability and discussed the challenges and recommendations for further reforms. A total of 25 molecules won the bidding in the NVBP pilot programme, and price cuts ranged from 25% to 96%. Medication affordability was measured as the number of days’ wages needed to pay for a course of treatment, and the medication was identified as affordable if the cost of a treatment course was less than the average daily wage. After the NVBP, the proportion of affordable drugs increased from 33% to 67%, and the mean affordability improved from 8.2 days’ wages to 2.8 days’ wages. Specifically, for rural residents, the proportion of affordable drugs increased from 13% to 58%, and the mean affordability improved from 15.7 days’ wages to 5.3 days’ wages. For urban residents, the proportion of affordable drugs increased from 54% to 71%, and the mean affordability improved from 5.9 days’ wages to 2.0 days’ wages. Implementing the NVBP substantially improved medication affordability. In future reforms, a multifaceted approach addressing all issues in the health system is needed to enhance medicine access.


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