scholarly journals Canadian wildlife health surveillance—patterns, challenges and opportunities identified by a scoping review

FACETS ◽  
2022 ◽  
Vol 7 ◽  
pp. 25-44
Author(s):  
Jolene A. Giacinti ◽  
E. Jane Parmley ◽  
Mark Reist ◽  
Daniel Bayley ◽  
David L. Pearl ◽  
...  

The protection and promotion of healthy wildlife populations is emerging as a shared goal among stakeholders in the face of unprecedented environmental threats. Accordingly, there are growing demands for the generation of actionable wildlife health information. Wildlife health surveillance is a connected system of knowledge that generates data on a range of factors that influence health. Canada recently approved the Pan-Canadian Approach to Wildlife Health that describes challenges facing wildlife health programs and provides a path forward for modernizing our approach. This scoping review was undertaken to describe the range of peer-reviewed Canadian wildlife health surveillance literature within the context of the challenges facing wildlife health programs and to provide a quantitative synthesis of evidence to establish baselines, identify gaps, and inform areas for growth. This review describes patterns related to species, location, authorship/funding, objectives, and methodology. Five areas are identified that have the potential to propel the field of wildlife health: representativeness, expanded/diversified collaboration, community engagement, harmonization, and a shift to a solutions-focused and One Health mindset. This scoping review provides a synopsis of 10 years of Canadian wildlife health surveillance, challenges us to envision the future of successful wildlife health surveillance, and provides a benchmark from which we can measure change.

2021 ◽  
Vol 13 (15) ◽  
pp. 8246
Author(s):  
Marta Gemma Nel-lo Andreu ◽  
Alba Font-Barnet ◽  
Marc Espasa Roca

Following a long history of using various strategies and policies for diversification and seasonal adjustment in the face of the challenges of achieving economic, social, and environmental sustainability, sun and beach destinations should also consider targeting the wellness tourism market as a post pandemic opportunity and long-term solution. Salou is a mature sun and beach destination in the Mediterranean, but one which, for some time, has had an increasing commitment to family and sports tourism as a result of a strategic renewal process. Now, with the impact of the coronavirus pandemic, the destination management organization is considering the evolution of the model, the internalization of sustainability as a fundamental value, and the impact of different markets. In this study, we examined the challenges the Salou Tourist Board has faced during the development of a post pandemic model for sustainable tourism and what strategies it has adopted in response. We also considered the opportunities and competitive advantages that Salou has in the field of wellness tourism. The results obtained should encourage the continuation of work that promotes the environmental axis of sustainability and adds value to the natural resources on which it depends, including the sea and the landscape, while maintaining the environmental quality of the resources.


2012 ◽  
Vol 2 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Alexis K. Schaink ◽  
Kerry Kuluski ◽  
Renée F. Lyons ◽  
Martin Fortin ◽  
Alejandro R. Jadad ◽  
...  

The path to improving healthcare quality for individuals with complex health conditions is complicated by a lack of common understanding of complexity. Modern medicine, together with social and environmental factors, has extended life, leading to a growing population of patients with chronic conditions. In many cases, there are social and psychological factors that impact treatment, health outcomes, and quality of life. This is the face of complexity. Care challenges, burden, and cost have positioned complexity as an important health issue. Complex chronic conditions are now being discussed by clinicians, researchers, and policy-makers around such issues as quantification, payment schemes, transitions, management models, clinical practice, and improved patient experience. We conducted a scoping review of the literature for definitions and descriptions of complexity. We provide an overview of complex chronic conditions, and what is known about complexity, and describe variations in how it is understood. We developed a Complexity Framework from these findings to guide our approach to understanding patient complexity. It is critical to use common vernacular and conceptualization of complexity to improve service and outcomes for patients with complex chronic conditions. Many questions still persist about how to develop this work with a health and social care lens; our framework offers a foundation to structure thinking about complex patients. Further insight into patient complexity can inform treatment models and goals of care, and identify required services and barriers to the management of complexity.


Author(s):  
Felix Holl ◽  
Jennifer Kircher ◽  
Walter J. Swoboda ◽  
Johannes Schobel

In the face of demographic change and constantly increasing health care costs, health care system decision-makers face ever greater challenges. Mobile health applications (mHealth apps) have the potential to combat this trend. However, in order to integrate mHealth apps into care structures, an evaluation of such apps is needed. In this paper, we focus on the criteria and methods of evaluating mHealth apps for cardiovascular disease and the implications for developing a widely applicable evaluation framework for mHealth interventions. Our aim is to derive substantiated patterns and starting points for future research by conducting a quasi-systematic scoping review of relevant peer-reviewed literature published in English or German between 2000 and 2021. We screened 4066 articles and identified n = 38 studies that met our inclusion criteria. The results of the data derived from these studies show that usability, motivation, and user experience were evaluated primarily using standardized questionnaires. Usage protocols and clinical outcomes were assessed primarily via laboratory diagnostics and quality-of-life questionnaires, and cost effectiveness was tested primarily based on economic measures. Based on these findings, we propose important considerations and elements for the development of a common evaluation framework for professional mHealth apps, including study designs, data collection tools, and perspectives.


2019 ◽  
pp. 1-4
Author(s):  
Michal Bula

The American Century began in 1941 and ended on January 20, 2017. While the United States remains a military giant and is still an economic powerhouse, it no longer dominates the world economy or geopolitics as it once did. The current turn toward nationalism and “America first” unilateralism in foreign policy will not make America great. Instead, it represents the abdication of our responsibilities in the face of severe environmental threats, political upheaval, mass migration, and other global challenges.In this incisive and forceful book, Jeffrey D. Sachs provides the blueprint for a new foreign policy that embraces global cooperation, international law, and aspirations for worldwide prosperity―not nationalism and gauzy dreams of past glory. He argues that America’s approach to the world must shift from military might and wars of choice to a commitment to shared objectives of sustainable development. Our pursuit of primacy has embroiled us in unwise and unwinnable wars, and it is time to shift from making war to making peace and time to embrace the opportunities that international cooperation offers. A New Foreign Policy explores both the danger of the “America first” mindset and the possibilities for a new way forward, proposing timely and achievable plans to foster global economic growth, reconfigure the United Nations for the twenty-first century, and build a multipolar world that is prosperous, peaceful, fair, and resilient.


Dementia ◽  
2022 ◽  
pp. 147130122110653
Author(s):  
Isaac A Adedeji ◽  
Adesola Ogunniyi ◽  
David C Henderson ◽  
Nadia A Sam-Agudu

Background The increasing awareness and diagnosis of dementia in Africa necessitate documentation of caregiving practices to understand local patterns and improve the quality of care. Caregiving in African communities is rooted in informal-communal social organization. This scoping review analyses caregiver characteristics and experiences, and practices of caregiving for persons living with dementia in Africa. Methods A total of 152 references were retrieved, with 64 references obtained from PubMed, 85 from AJOL, and three from Scopus. Based on the relevance of titles, 83 references were further retained from PubMed (64), AJOL (16), and Scopus (3). A rapid review of abstracts was done in Distiller SR, and finally, six relevant articles were content-analyzed using Atlas ti 8.4 qualitative analysis software. Results All six included studies were published between 2003 and 2018. Four themes were identified: article characteristics, caregiver characteristics, caregiver in context, and caregiver potentialities (challenges and opportunities). Studies reported findings from research conducted in four African countries: three from Nigeria, and one each from South Africa, Egypt, and Tanzania. Caregivers of persons living with dementia typically had eight years or less of formal education, were unpaid, and spent a daily average of 13 hours in caregiving. Cultural thresholds and individual caregiver differences underlie the interpretation of stressors across cultures. Caregivers lack the right training and information as well as support systems to improve their role performance and reduce accumulated stress. Conclusion In African countries, informational and educational platforms are essential for improved individual dementia caregiving, vis-à-vis strengthened roles of governments, and religious/traditional leaders and organizations.


Author(s):  
Erkan Özdemir ◽  
Mine Yılmaz

Technological developments, changes in consumer behavior and intense competition are the most important threats of today, affecting many sectors as well as the retail industry. Innovative retailers, in the face of with these threats, have embraced and implemented the omni-channel retailing approach, which is the next step in multi-channel. However, other players in the retail industry lag behind this change. The aim of this chapter is to establish the experiences of innovative retailers that have adopted omni-channel retailing in the context of risks, challenges and opportunities. The research data were obtained using questionnaire method from the retailers in Turkey, one of the developing countries. As a result of the study, it was found that retailers who would adopt the omni-channel retailing would have the opportunities to be able to dominate all channels, provide better services to the customers, increase customer satisfaction and loyalty, keep in constant contact with the customers, get better customer recognition and increase sales volume.


2020 ◽  
Vol 3 (3) ◽  
pp. 197-209 ◽  
Author(s):  
Donald Blondin ◽  
Arjen Boin

Abstract The nation state is discovering the limits of its crisis management capacities. The Ebola and Zika outbreaks, the financial crisis, the downing of flight MH17 over Ukraine, sinking ships overfilled with refugees, cyber-attacks, urban terrorism and existential environmental threats serve as strong reminders of the complex origins and transboundary dimensions of many contemporary crises and disasters. As these transboundary aspects of modern crises become increasingly manifest, the need for international, collaborative responses appears ever clearer. But that collaboration does not always emerge in time (or at all). Even in the European Union, which has various transboundary crisis management mechanisms in place, the willingness to initiate joint crisis responses varies. This observation prompted our research question: Why do states collaborate in response to some transboundary crises but not others? We bring together the crisis and collective action literatures to formulate a theoretical framework that can help answer this question. This article identifies crucial factors that facilitate a possible pathway toward a joint response.


CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S109-S110 ◽  
Author(s):  
T. Suryavanshi ◽  
S. Lambert ◽  
T. Chan

Introduction: Today's emergency department sees healthcare system pressures manifest through longer wait times, increased costs, and provider burnout. In the face of questionable sustainability, there is a greater role for training future innovators and entrepreneurs in healthcare. However, there is currently little formal education or mentorship in these areas. The aim of this scoping review was to identify the current and ideal educational practices to foster innovative and entrepreneurial mindsets, with specific interest amongst emergency medicine trainees. Methods: Using a scoping review methodology, the relationship between healthcare and entrepreneurship was explored. OVID, PubMed and Google Scholar were searched using the keywords “entrepreneurship”, “health education” and “health personnel”, on March 8th, 2018. Results were screened by title, abstract and full text by a team of three calibrated researchers, based upon pre-defined exclusion and inclusion criteria. The final list of papers was reviewed using an extraction tool to identify demographics, details of the paper, and its attitudes and perceptions towards entrepreneurship and innovation. Results: After screening, 59 papers were identified for qualitative analysis. These papers ranged from 1970-2018, mainly from the USA (n = 36). Most papers were commentaries/opinions (n = 35); 11 papers described specific innovations. Entrepreneurship was viewed positively in 45 papers, negatively in 2 papers, and mixed in 12 papers. Common specialties discussed were surgery (n = 9), internal medicine (n = 3), and not specified (n = 44). Emergency medicine was described in one paper. Major themes were: entrepreneurial environment (n = 29), funding and capital (n = 12), idea generation (n = 9), and teaching entrepreneurship (n = 6). Of the 11 innovation papers, the discussion was focused on educational (n = 6) or system (n = 5) innovations. These innovations related to surgery (n = 1), public health (n = 1) and palliative care (n = 1). None of these innovations were specific to emergency medicine. Conclusion: This review indicates a small number of programs focused on promoting innovation and entrepreneurship amongst trainees, but no programs specific to the emergency department. There may be benefit for educators in emergency medicine to consider how to foster a greater innovative spirit in our speciality, so our next generation of physicians can help tackle problems affecting patient care.


2011 ◽  
Vol 11 (4) ◽  
pp. 775-802 ◽  
Author(s):  
Solange Mouthaan

AbstractThe ICC statute incorporates a mandate to implement gender-sensitive measures in its structures and procedures, but trials in progress at present demonstrate that the ICC faces considerable challenges in tackling gender-based crimes consistently. The current Article discusses the fact that gender-based crimes are still under-investigated, under-prosecuted and remain the least condemned crime. In the face of considerable difficulties, not least the absence of guidance on the implementation of its statute in this regard and its limited resources, the ICC must make a firm commitment to the prosecution of gender-based crimes. The Article concludes with an analysis of three specific areas: (i) the necessity for the establishment of institutional arrangements for decision-making about prosecutions and investigations; (ii) the necessity for Member States to demonstrate commitment that such crimes will not be tolerated and (iii) the necessity for gender-based crimes to be expressly identified as international crimes.


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