Evaluation the impact of the transition period on some hematobiochemical and hormonal parameters in Native sheep in Algabal Alakhdar governorate in Libya

AbstractThe Common Market for Eastern and Southern Africa (COMESA) is a Free Trade Area (FTA) regional trade agreement in Africa. Currently, Ethiopia is negotiating to join COMESA FTA. This study assesses the impact of three regional trade arrangements, COMESA FTA, customs unions, and the European Partnership Agreement (EPA) on the economy of Ethiopia. The analysis is based on a static Global Trade Analysis Project (GTAP) model, version 9 database. Unlike previous studies, the customs union scenarios are designed at the detailed Harmonized System (HS) level. COMESA FTA (scenario 1) with standard GTAP model results in a welfare loss for Ethiopia due to negative terms of trade and investment-saving effect, but with unemployment closure (scenario 2); Ethiopia enjoys a welfare gain mainly due to endowment effect. In scenario 3 (COMESA customs union) and scenario 4 (European Partnership Agreement), Ethiopia loses due to negative terms of trade and investment-saving effect. There is a large increase in demand for unskilled labor force in Ethiopia by around US$23 million, US$112 million, and US$43 million for scenario 2, 3, and 4 respectively. Moreover, there is a positive output effect for oilseeds, leather, and basic metals across all scenarios. The world, as a whole, enjoys welfare gains with COMESA FTA (scenario 1 and 2). However, with scenario 3 and 4, there is an overall welfare loss. There is no strong reason for Ethiopia to move to the customs union, and the EPA in the short run. Therefore, a transition period is necessary, but it is recommended for Ethiopia to join COMESA FTA.

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Determinants of participation and quality of life of young adults with cerebral palsy: longitudinal approach and comparison with the general population – SPARCLE 3 study protocol

BMC Neurology ◽

10.1186/s12883-021-02263-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Catherine Arnaud ◽

Carine Duffaut ◽

Jérôme Fauconnier ◽

Silke Schmidt ◽

Kate Himmelmann ◽

...

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Cerebral Palsy ◽

Young People ◽

General Population ◽

Transition Period ◽

Well Being ◽

Personal Factors ◽

The Impact

Abstract Background Effective inclusion in society for young people with disabilities is increasingly seen as generating opportunities for self-development, and improving well-being. However, significant barriers remain in the vast majority of activities meaningful for young adults. Research argues that various personal (disabilities, health) and environmental (access to the resources needed, accessible environment, discrimination, lack of personal economic independence) factors contribute to limited participation. However, previous studies conducted in young people with cerebral palsy (CP) mainly investigated the transition period to adulthood, and did not fully consider the whole range of impairment severity profiles or environmental barriers. In this study, we will use the follow-up of the SPARCLE cohort and a comparison group from the general population (1) to investigate the impact of the environment on participation and quality of life of young adults with CP, (2) to determine predictors of a successful young adulthood in educational, professional, health and social fields, (3) to compare quality of life and frequency of participation in social, work and recreational activities with the general population, (4) to document on participation and quality of life in those with severe disabilities. Methods The SPARCLE3 study has a combined longitudinal and cross-sectional design. Young adults with CP aged 22 to 27 years in 6 European regions previously enrolled in the SPARCLE cohort or newly recruited will be invited to self-complete a comprehensive set of questionnaires exploring participation (daily life and discretionary activities), health-related quality of life, body function, personal factors (health, personal resources), and contextual factors (availability of needed environmental items, family environment, services provision) during home visits supervised by trained researchers. Proxy-reports or adapted questionnaires will be used for those with the most severe impairments. The recruitment of a large group from the general population (online survey) will enable to identify life areas where the discrepancies between young people with CP and their able-bodied peers are the most significant. Discussion This study will help identify to what extent disabilities and barriers in environment negatively affect participation and quality of life, and how previous valued experiences during childhood or adolescence might modulate these effects.

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Adoption of Enhanced Surgical Recovery (ESR) Protocol for Lumbar Fusion Decreases In-Hospital Postoperative Opioid Consumption

Global Spine Journal ◽

10.1177/21925682211015652 ◽

2021 ◽

pp. 219256822110156

Author(s):

Ehsan Jazini ◽

Alexandra E. Thomson ◽

Andre D. Sabet ◽

Leah Y. Carreon ◽

Rita Roy ◽

...

Keyword(s):

Regression Analysis ◽

Length Of Stay ◽

Transition Period ◽

Urinary Catheter ◽

Lumbar Fusion ◽

Secondary Analysis ◽

Opioid Consumption ◽

Catheter Removal ◽

Pain Scores ◽

The Impact

Study Design: Retrospective observational cohort. Objectives: We sought to evaluate the impact of ESR on in-hospital and 90-day postoperative opioid consumption, length of stay, urinary catheter removal and postoperative ambulation after lumbar fusion for degenerative conditions. Methods: We evaluated patients undergoing lumbar fusion surgery at a single, multi-surgeon center in the transition period prior to (N = 174) and after (N = 116) adoption of ESR, comparing in-hospital and 90-day postoperative opioid consumption. Regression analysis was used to control for confounders. Secondary analysis was preformed to evaluate the association between ESR and length of stay, urinary catheter removal and ambulation after surgery. Results: Mean age study participants was 52.6 years with 62 (47%) females. Demographic characteristics were similar between the Pre-ESR and ESR groups. ESR patients had better 3-month pain scores, ambulated earlier, had urinary catheters removed earlier and decreased in-hospital opioid consumption compared to Pre-ESR patients. There was no difference in 90-day opioid consumption between the 2 groups. Regression analysis showed that ESR was strongly associated with in-hospital opioid consumption, accounting for 30% of the variability in Morphine Milligram Equivalents (MME). In-hospital opioid consumption was also associated with preoperative pain scores, number of surgical levels, and insurance type (private vs government). Pre-op pain sores were associated with 90-day opioid consumption. Secondary analysis showed that ESR was associated with a shorter length of stay and earlier ambulation. Conclusions: This study showed ESR has the potential to improve recovery after lumbar fusion for degenerative conditions with reduced in-hospital opioid consumption and improved postoperative pain scores.

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Experiences of newly qualified midwives working in clinical practice during their transition period

British Journal of Midwifery ◽

10.12968/bjom.2021.29.9.524 ◽

2021 ◽

Vol 29 (9) ◽

pp. 524-530

Author(s):

Heather Watson ◽

Donna Brown

Keyword(s):

Clinical Practice ◽

Professional Growth ◽

Transition Period ◽

Learning Opportunities ◽

Qualitative Approach ◽

Clinical Environment ◽

Structured Interviews ◽

Clinical Area ◽

Care Environment ◽

The Impact

Background With greater numbers of midwives being trained to counteract the predicted shortages, it seems that it is now more vital than ever to explore how newly qualified midwives (NQMs) describe their experiences in the clinical environment, the support they have received, and identify barriers to their development during the transition period. Aim The aim of this study was to explore NQMs experiences of working clinically during the transition from student to qualified midwife. Method Using a qualitative approach, eight NQMs participated in semi-structured interviews. Findings The findings revealed four key themes that sum up the NQMs experiences: expectations and realities of the role; creating conditions for professional growth; the impact of the care environment; and limitations to creating a healthful culture. Conclusions The clearly articulated journey that has been described by the NQMs demonstrated that there is both a need and desire to change, improve and develop the transition period for all new midwives working in clinical practice. Consideration needs to be given to more robust guidance, with some ideas for development, such as support forums for NQMs to meet up on a regular basis; advanced planned rotation with flexibility; a named preceptor/‘buddy’ in each clinical area; and a shared online forum to allow the NQMs to discuss and share experiences, and to signpost to any useful information or learning opportunities available.

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Parameter Sensitivity Analysis of a Cooperative Dynamic Bus Lane System With Connected Vehicles

Transportation Research Record Journal of the Transportation Research Board ◽

10.1177/03611981211035758 ◽

2021 ◽

pp. 036119812110357

Author(s):

Meng Xie ◽

Michael Winsor ◽

Tao Ma ◽

Andreas Rau ◽

Fritz Busch ◽

...

Keyword(s):

Travel Time ◽

Transition Period ◽

Penetration Rate ◽

Simulation Models ◽

Driving Behavior ◽

Connected Vehicles ◽

Microscopic Simulation ◽

Communication Range ◽

Bus Lane ◽

The Impact

This paper aims to evaluate the sensitivity of the proposed cooperative dynamic bus lane system with microscopic traffic simulation models. The system creates a flexible bus priority lane that is only activated on demand at an appropriate time with advanced information and communication technologies, which can maximize the use of road space. A decentralized multi-lane cooperative algorithm is developed and implemented in a microscopic simulation environment to coordinate lane changing, gap acceptance, and car-following driving behavior for the connected vehicles (CVs) on the bus lane and the adjacent lanes. The key parameters for the sensitivity study include the penetration rate and communication range of CVs, considering the transition period and gradual uptake of CVs. Multiple scenarios are developed and compared to analyze the impact of key parameters on the system’s performance, such as total saved travel time of all passengers and travel time variation among buses and private vehicles. The microscopic simulation models showed that the cooperative dynamic bus lane system is significantly sensitive to the variations of the penetration rate and the communication range in a congested traffic state. With a CV system and a communication range of 150 m, buses obtain maximum benefits with minimal impacts on private vehicles in the study simulation. The safety concerns induced by cooperative driving behavior are also discussed in this paper.

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Abrupt mortality of marine invertebrates at the Younger Dryas-Holocene transition in a shallow inlet of the Goldthwait Sea

The Holocene ◽

10.1177/0959683618798130 ◽

2018 ◽

Vol 28 (12) ◽

pp. 1894-1908

Author(s):

Andréanne Bourgeois-Roy ◽

Hugo Crites ◽

Pascal Bernatchez ◽

Denis Lacelle ◽

André Martel

Keyword(s):

Mytilus Edulis ◽

Marine Invertebrates ◽

Transition Period ◽

Marine Invertebrate ◽

Laurentide Ice Sheet ◽

The North ◽

Invertebrate Diversity ◽

Shell Deposit ◽

The Impact ◽

Rapid Environmental Change

The late Pleistocene–early Holocene transition period was characterized by rapid environmental change. Here, we investigate the impact of these changes on the marine invertebrates living in a shallow inlet of the post-glacial Goldthwait Sea. The site is located near Baie-Comeau (QC, Canada), where a number of remarkably well-preserved shell deposits are found along the Rivière aux Anglais Valley on the north shore of the St. Lawrence maritime estuary. Seven phyla of marine invertebrates with a minimum of 25 species or taxa were inventoried in a shell deposit, dominated by a community of Hiatella arctica with Mytilus edulis and barnacles composing the subcommunity. The majority of taxa identified in the shell deposit are boreal and sub-Arctic species; however, temperate species that exist today in the St. Lawrence maritime estuary have not been found. Based on marine invertebrate diversity and δ18O(CaCO3) of Mytilus edulis, the water in the shallow inlet of the Goldthwait Sea must have been cold and saline. The range of AMS 14C ages from 15 Mytilus edulis, constrained to 10,900 and 10,690 cal. yr BP, and exceptional state of preservation of adult and juvenile molluscan specimens suggest the abrupt mortality of entire invertebrate communities due to changing hydrodynamic conditions that included the combined effect of freshwater discharge from the receding Laurentide Ice Sheet and rapid isostatic uplift.

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Promoting Antimicrobial Stewardship Education Among Pediatricians Through a Maintenance of Certification Part 4 Quality Impro

Antimicrobial Stewardship & Healthcare Epidemiology ◽

10.1017/ash.2021.53 ◽

2021 ◽

Vol 1 (S1) ◽

pp. s29-s29

Author(s):

Prachi Singh ◽

Brian Lee ◽

Jenna Holmen

Keyword(s):

Antimicrobial Stewardship ◽

Transition Period ◽

Surgical Patients ◽

Antimicrobial Use ◽

Maintenance Of Certification ◽

Stewardship Program ◽

Surgical Antibiotic Prophylaxis ◽

Baseline Knowledge ◽

Initial Survey ◽

The Impact

Background: The rise of antimicrobial resistance has made it critical for clinicians to understand antimicrobial stewardship principles. We sought to determine whether the opportunity to participate in an American Board of Pediatrics Maintenance of Certification Part 4 (MOC4) quality improvement (QI) project would engage pediatricians and improve their knowledge about antimicrobial stewardship. Methods: In August 2019, a new clinical algorithm for acute appendicitis, spearheaded by the antimicrobial stewardship program (ASP), was implemented at UCSF Benioff Children’s Hospital Oakland to standardize care and optimize antimicrobial use. Medical staff were invited to participate in a QI project evaluating the impact of this algorithm. Data were collected for the 2 quarters preceding implementation (baseline), for the quarter of implementation (transition period), and for the quarter after implementation. Participants were offered MOC4 credit for reviewing these 3 cycles of data and associated materials highlighting information about antimicrobial stewardship. An initial survey was given to participants to assess their baseline knowledge via 4 questions about antimicrobial use in surgical patients (Table 1). At the conclusion of the QI project, another survey was conducted to reassess participant knowledge and to evaluate overall satisfaction with the project. Results: In total, 150 clinicians completed the initial survey. Of these, 44% were general pediatricians and 56% were pediatric subspecialists. Based on years out of training, their levels of experience varied: >20 years in 24%, 11–20 years in 32.7%, 0–10 years in 34.7%, and currently in training in 8.7%. Of the 150 initial participants, 133 (89%) completed the QI project and the second survey. Between surveys, there was significant improvement in knowledge about the appropriate timing and duration of surgical antibiotic prophylaxis (Table 1). Moreover, 88% of participants responded that the QI project was extremely effective in helping them learn about antimicrobial stewardship principles and about ASP interventions. Conclusions: Participation in this MOC4 QI project resulted in significant improvement in knowledge about antimicrobial use in surgical patients, and the activity was perceived as a highly effective way to learn about antimicrobial stewardship. QI projects that leverage MOC4 credit can be a powerful tool for engaging pediatricians and disseminating education about antimicrobial stewardship.Funding: NoDisclosures: None

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Plant Phenology and Its Anthropogenic and Natural Influencing Factors in Densely Populated Areas During the Economic Transition Period of China

Frontiers in Environmental Science ◽

10.3389/fenvs.2021.792918 ◽

2022 ◽

Vol 9 ◽

Author(s):

Peijun Ju ◽

Wenchao Yan ◽

Jianliang Liu ◽

Xinwei Liu ◽

Liangfeng Liu ◽

...

Keyword(s):

Climate Change ◽

Economic Transition ◽

Transition Period ◽

Growing Season ◽

Plant Phenology ◽

Future Research ◽

Urban Management ◽

Climate Factors ◽

Natural Ecosystems ◽

The Impact

As a sensitive, observable, and comprehensive indicator of climate change, plant phenology has become a vital topic of global change. Studies about plant phenology and its responses to climate change in natural ecosystems have drawn attention to the effects of human activities on phenology in/around urban regions. The key factors and mechanisms of phenological and human factors in the process of urbanization are still unclear. In this study, we analyzed variations in xylophyta phenology in densely populated cities during the fast urbanization period of China (from 1963 to 1988). We assessed the length of the growing season affected by the temperature and precipitation. Temperature increased the length of the growing season in most regions, while precipitation had the opposite effect. Moreover, the plant-growing season is more sensitive to preseason climate factors than to annual average climate factors. The increased population reduced the length of the growing season, while the growing GDP increased the length of the growing season in most regions (8 out of 13). By analyzing the impact of the industry ratio, we found that the correlation between the urban management of emerging cities (e.g., Chongqing, Zhejiang, and Guizhou) and the growing season is more significant, and the impact is substantial. In contrast, urban management in most areas with vigorously developed heavy industry (e.g., Heilongjiang, Liaoning, and Beijing) has a weak and insignificant effect on plant phenology. These results indicate that different urban development patterns can influence urban plant phenology. Our results provide some support and new thoughts for future research on urban plant phenology.

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Brexit and Private International Law

Cofola International 2020 ◽

10.5817/cz.muni.p210-9801-2020-4 ◽

2020 ◽

Author(s):

Kristina Salibová

Keyword(s):

European Union ◽

Transition Period ◽

Private International Law ◽

The European Union ◽

Applicable Law ◽

The United Kingdom ◽

English Law ◽

Energy Community ◽

The Impact

My contribution deals with the issue concerning the question arising on the applicable law in and after the transition period set in the Agreement on the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic Energy Community. The aim of this contribution is to analyze how the English and European laws simultaneously influence one another. This analyzation will lead to the prognosis of the impact Brexit will have on the applicable English law before English courts and the courts of the states of the European Union. The main key question is the role of lex fori in English law. Will English law tend to return to common law rules post-Brexit, and prefer the lex fori?

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4. EU legislative powers

EU Law in the UK ◽

10.1093/he/9780198805922.003.0004 ◽

2020 ◽

pp. 88-122

Author(s):

Sylvia de Mars

Keyword(s):

Transition Period ◽

International Agreements ◽

Soft Law ◽

Eu Law ◽

Principle Of Proportionality ◽

The Uk ◽

The Impact ◽

Legislative Processes ◽

Domestic Law ◽

The Eu

This chapter examines the sources of EU law. As with domestic law, there are two overarching categories of EU law: primary law and secondary law. EU primary law includes the EU Treaties and the general principles of EU law. Meanwhile, EU secondary law includes regulations, directives, decisions, international agreements, and ‘soft law’. The chapter then looks at the legislative processes that are used to adopt secondary legislation, and assesses when, or in what policy areas, the EU can make law. It also considers two mechanisms that aim to prevent the EU from extending its legislative power beyond what the Treaties have granted it: the principle of subsidiarity and the principle of proportionality. Finally, the chapter addresses the impact of Brexit on EU law, assessing what will happen to EU law in the UK during the Withdrawal Agreement's transition period.

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