The Lidcombe Programme and Natural Recovery: Potential Choices of Initial Management Strategies for Early Stuttering

1999 ◽  
Vol 1 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Mark Onslow ◽  
Ann Packman
1998 ◽  
Vol 37 (6-7) ◽  
pp. 331-336 ◽  
Author(s):  
Stephen Garbaciak ◽  
Philip Spadaro ◽  
Todd Thornburg ◽  
Richard Fox

Sequential risk mitigation approaches the remediation of contaminated sediments in three phases designed to: (1) immediately reduce the ecological and human health risks associated with high levels of contamination, using methods such as the confinement or capping of high-risk materials; (2) reduce the risks associated with moderate levels of pollution to a minimum, on a less urgent schedule and at a lower cost; and (3) address areas of limited contamination through a combination of natural recovery and enhanced natural recovery (to aid or speed those natural processes). Natural recovery, the reduction of contaminant concentrations through natural processes, is based on the practical observation that overall ecosystem recovery appears to be largely a function of time. Sediment decomposition and the mixing of new and old sediments by bottom-dwelling organisms can both contribute to reduced contaminant concentrations. Knowledge of these processes--sediment decomposition, sediment mixing by bottom-dwelling organisms, and chemical residence time is critical in the development of appropriate ecosystem recovery and waste management strategies. Evaluations to support natural recovery predictions are designed to collect and evaluate information necessary to determine whether surface sediment chemical concentrations, with adequate source control, will reach the cleanup standards within a ten-year period.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalal Al Hasan ◽  
Ameen Yaseen ◽  
Mohammad Al Roudan ◽  
Lee Wallis

Abstract Background The objective of this study was to describe the epidemiology of severe hypoglycaemia in Kuwait, aiming to provide a preliminary background to update the current guidelines and improve patient management. Method This was a prospective analysis of severe hypoglycaemia cases retrieved from emergency medical services (EMS) archived data between 1 January and 30 June 2020. The severe hypoglycaemia cases were then sub-grouped based on EMS personal initial management and compared in terms of scene time, transportation rate, complications and outcomes. The primary outcomes were GCS within 10–30 min and normal random blood glucose (RBS) within 10–30 min. Results A total of 167 cases met the inclusion criteria. The incidence of severe hypoglycaemia in the national EMS was 11 per 100,000. Intramuscular glucagon was used on scene in 89% of the hypoglycaemic events. Most of the severe hypoglycaemia patients regained normal GCS on scene (76.5%). When we compared the two scene management strategies for severe hypoglycaemia cases, parenteral glucose administration prolonged the on-scene time (P = .002) but was associated with more favourable scene outcomes than intramuscular glucagon, with normal GCS within 10–30 min (P = .05) and normal RBS within 10–30 min (P = .006). Conclusion: Severe hypoglycaemia is not uncommon during EMS calls. Appropriate management by EMS personals is fruitful, resulting in favourable scene outcomes and reducing the hospital transportation rate. More research should be invested in improving and structuring the prehospital management of severe hypoglycaemia. One goal is to clarify the superiority of parenteral glucose over intramuscular glucagon in the prehospital setting.


2012 ◽  
Vol 1 (1) ◽  
pp. 35-45 ◽  
Author(s):  
Qiushi Chen ◽  
Turgay Ayer ◽  
Loretta J Nastoupil ◽  
Miray Seward ◽  
Hongzheng Zhang ◽  
...  

2017 ◽  
Vol 2017 (1) ◽  
pp. 2369-2388
Author(s):  
Abner P. Barnuevo ◽  
Resurreccion B. Sadaba

ABSTRACT The MT Solar I oil spill that released over 2 million liters of bunker C oil in Guimaras in August 2006 affected mangrove forest in varying degrees from acute damages, sublethal stresses and long term effects. Although the incident caused only <1 ha deforestation, large scale mangrove planting has been implemented as part of response initiatives without inference to scientific assessment of the natural recovery potential of the damaged habitat. The response and intervention in the aftermath of the oil spill primarily involved planting mangroves. This study assessed the mangrove recruitment and colonization in two deforested mangrove areas in Guimaras, Philippines and evaluated whether replanting was necessary as part of intervention. Results on reconstructed age extrapolated from the internodal index showed that recruitment started to take place one and two years after the spill in Site 1 (3.33% of tagged wildings) and Site 2 (11.67%) respectively. However, the wilding establishment in the former site was impaired in the succeeding years and maintained at very low numbers (0.07–0.15 m−2) whereas wilding establishment was high in Site 2 (2.19–3.31 per m−2). The difference between sites is statistically significant (P<0.0001). The marked difference between sites is attributed to the prevailing interventions and persistent disturbances. The extraction of dead trees and downed wood in Site 1 impaired the progress of recovery and was further compounded by persistent disturbances brought by the socioeconomic activities, whereas, non-intervention in Site 2 favored the progress of natural recovery. Eight years after the incident, the colonizers in Site 2 were already reproductively mature as some already developed flowers. This study highlighted the capacity of mangroves to recover from perturbations as long as the geomorphological features of the habitats are not altered. The large-scale mangrove planting implemented in the affected areas is deemed unnecessary given that one year after the incident recruitment started to progress. Thus, future oil spill responses and interventions should carefully assess the natural recovery processes of the impacted areas first, before proceeding to large scale mangrove planting programs. Otherwise, the good intentions of implementing faster recovery of mangroves and other impacted habitats may be considered a waste of public funds and a futile effort vis-à-vis practicality.


2018 ◽  
Author(s):  
Jose M. Fariñas-Franco ◽  
A. Louise Allcock ◽  
Dai Roberts

The horse mussel Modiolus modiolus (L.) is a large marine bivalve that aggregates to create complex habitats of high biodiversity. As a keystone species, M. modiolus is of great importance for the functioning of marine benthic ecosystems, forming biogenic habitats used to designate Marine Protected Areas (MPAs). The present study investigates the condition of M. modiolus beds historically subjected to intense scallop fishing using mobile fishing gears. The study, conducted seven years after the introduction of legislation banning all forms of fishing, aimed to establish whether natural habitat recovery occurs after protection measures are put in place. Lower biodiversity and up to 80% decline in densities of M. modiolus were recorded across the current dis- tributional range of the species in Strangford Lough, Northern Ireland. The decline in biodiversity in most areas surveyed was consistent with that observed in biogenic reefs impacted by mobile fishing gears elsewhere. Epifauna, including sponges, hydroids and tunicates, experienced the most substantial decline in biodiversity, with up to 64% fewer taxa recorded in 2010 compared with 2003. Higher variability in community composition and a shift towards faunal assemblages dominated by opportunistic infaunal species typical of softer substrata were also detected. Based on these observations we suggest that, for biogenic habitats, the designation of MPAs and the introduction of fishing bans alone may not be sufficient to reverse or halt the negative effects caused by past anthropogenic impacts. Direct intervention, including habitat restoration based on translocation of native keystone species, should be considered as part of management strategies for MPAs which host similar biogenic reef habitats where condition and natural recovery have been compromised.


Author(s):  
Brendan Delaney ◽  
Alex C Ford ◽  
David Forman ◽  
Paul Moayyedi ◽  
Michelle Qume

2000 ◽  
Vol 109 (3) ◽  
pp. 262-266 ◽  
Author(s):  
Alan A. Tan Lim ◽  
Antoine P. Washington ◽  
John H. Greinwald ◽  
Lorenz F. Lassen ◽  
Michael R. Holtel

Although most tympanic membrane perforations heal spontaneously, persistent perforations frequently require treatment by otolaryngologists. Initial management strategies include keeping the ear dry, ensuring aural hygiene, and using topical antibiotics. For persistent perforations, paper patching or myringoplasty may be required. Recently, agents such as hyaluronic acid and epidermal growth factor have been used to promote tympanic membrane healing. Similarly, pentoxifylline, a pharmaceutical agent with hemorrheological and antithrombotic properties, has been shown to increase perfusion and accelerate wound healing. This double-blinded prospective study attempts to examine the effect of pentoxifylline on tympanic membrane healing of 50 guinea pigs subjected to myringotomy. Serial examinations and histopathologic sectioning of the tympanic membranes revealed no significant difference in rate of healing or quality of repair between the pentoxifylline and control groups.


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