scholarly journals The Emerging Global Tobacco Treatment Workforce: Characteristics of Tobacco Treatment Specialists Trained in Council-Accredited Training Programs from 2017 to 2019

2021 ◽  
Vol 18 (5) ◽  
pp. 2416
Author(s):  
Christine E. Sheffer ◽  
Abdulmohsen Al-Zalabani ◽  
Andrée Aubrey ◽  
Rasha Bader ◽  
Claribel Beltrez ◽  
...  
Keyword(s):  
North America ◽  
Tobacco Use ◽  
Training Programs ◽  
Systems Of Care ◽  
Eastern Mediterranean ◽  
Annual Number ◽  
Treatment Services ◽  
Tobacco Treatment ◽  
The World ◽  
Academic Settings

Tobacco use is projected to kill 1 billion people in the 21st century. Tobacco Use Disorder (TUD) is one of the most common substance use disorders in the world. Evidence-based treatment of TUD is effective, but treatment accessibility remains very low. A dearth of specially trained clinicians is a significant barrier to treatment accessibility, even within systems of care that implement brief intervention models. The treatment of TUD is becoming more complex and tailoring treatment to address new and traditional tobacco products is needed. The Council for Tobacco Treatment Training Programs (Council) is the accrediting body for Tobacco Treatment Specialist (TTS) training programs. Between 2016 and 2019, n = 7761 trainees completed Council-accredited TTS training programs. Trainees were primarily from North America (92.6%) and the Eastern Mediterranean (6.1%) and were trained via in-person group workshops in medical and academic settings. From 2016 to 2019, the number of Council-accredited training programs increased from 14 to 22 and annual number of trainees increased by 28.5%. Trainees have diverse professional backgrounds and work in diverse settings but were primarily White (69.1%) and female (78.7%) located in North America. Nearly two-thirds intended to implement tobacco treatment services in their setting; two-thirds had been providing tobacco treatment for 1 year or less; and 20% were sent to training by their employers. These findings suggest that the training programs are contributing to the development of a new workforce of TTSs as well as the development of new programmatic tobacco treatment services in diverse settings. Developing strategies to support attendance from demographically and geographically diverse professionals might increase the proportion of trainees from marginalized groups and regions of the world with significant tobacco-related inequities.

scholarly journals Implementing State Tobacco Treatment Services

2011 ◽  
Vol 12 (6) ◽  
pp. 802-810 ◽  
Author(s):  
Lori Pbert ◽  
Jane Zapka ◽  
Denise G. Jolicoeur ◽  
Mary Jo White ◽  
Karin Valentine Goins ◽  
...  
Keyword(s):  
Community Health ◽  
Tobacco Use ◽  
Underserved Populations ◽  
Control Program ◽  
Treatment Programs ◽  
Treatment Services ◽  
Tobacco Control Program ◽  
Tobacco Treatment

This case study was conducted between 2000 and 2003 to examine the implementation of community based tobacco treatment programs funded by the Massachusetts Department of Public Health Tobacco Control Program (MTCP). Four dimensions of implementation, drawn from several models of program evaluation are explored: (a) quantity of services, (b) quality of services, (c) implementation/use of systems, and (d) sustainability. The quantity of services delivered was high, reflecting MTCP’s focus on increasing availability of services, particularly in underserved populations. The quality of physician-delivered tobacco intervention did not meet national benchmarks for delivery of all 5As (Ask, Advise, Assess, Assist, Arrange follow-up) and only about half of organizations reported routine systems for auditing tobacco use documentation. Implementation of systems to identify tobacco users and deliver tobacco treatment varied widely by community health settings, with low rates of tobacco use documentation found. Finally, in an era of greater competition for scarce prevention dollars, sustainability of services over time must be planned for from the outset, as indicated by the success of programs that sustained services by proactively and creatively incorporating tobacco treatment into their organizations. This case study can inform states’ policies in their design of tobacco treatment services in community health settings.

Westward Palaearctic range expansion of Papilio demoleus Linnaeus, 1758 (Lepidoptera: Papilionidae) and its arrival at Mediterranean coastal regions of Turkey and Syria

2020 ◽  
Vol 71 (4) ◽  
pp. 257-272
Author(s):  
Onat Başbay ◽  
Mudar Salimeh ◽  
Eddie John
Keyword(s):  
Eastern Mediterranean ◽  
Economic Importance ◽  
Invasive Pest ◽  
Pest Species ◽  
Coastal Regions ◽  
The North ◽  
North Eastern ◽  
The World ◽  
Invasive Pest Species ◽  
Papilio Demoleus

We review the continuing and extensive spread of Papilio demoleus in south-eastern Turkey and in regions of Turkey and Syria adjacent to the north-eastern Mediterranean. Since the authors documented the arrival of this attractive but potentially destructive papilionid species at coastal areas of Syria in 2019, regular monitoring has confirmed successful overwintering there, as well as in Turkey. As previously indicated, P. demoleus is widely recognized as an invasive pest species in Citrus-growing areas of the world and hence its arrival is of potential economic importance to a region in which citrus is widely grown.

Satellite image atlas of glaciers of the world -- North America

2002 ◽  
Author(s):  
Richard S. Williams ◽  
Jane G. Ferrigno
Keyword(s):  
North America ◽  
Satellite Image ◽  
The World

scholarly journals Are Countries of the Eastern Mediterranean Region on Track towards Meeting the World Health Assembly Target for Anemia? A Review of Evidence

2021 ◽  
Vol 18 (5) ◽  
pp. 2449
Author(s):  
Ayoub Al-Jawaldeh ◽  
Mandy Taktouk ◽  
Radhouene Doggui ◽  
Zahra Abdollahi ◽  
Baseer Achakzai ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Reproductive Age ◽  
World Health ◽  
Deficiency Anemia ◽  
Micronutrient Deficiencies ◽  
World Health Assembly ◽  
The World

Anemia is a multifactorial condition, with a complex etiology that involves nutritional and non-nutritional factors. The misconception that iron deficiency is equivalent to anemia may mask the need to address other potential causative factors. This review paper aims to (1) assess the burden of anemia vs. iron deficiency anemia (IDA) amongst women of reproductive age (WRA), pregnant women (PW), and children under five years old (underfive children, U5C) in the Eastern Mediterranean region (EMR); (2) evaluate trends in anemia prevalence and whether countries are on track towards meeting the World Health Assembly (WHA) target for 2025; and (3) characterize anemia reduction efforts and provide a road map for future programs. A search of pertinent literature and databases was conducted. Anemia prevalence in the EMR ranged between 22.6% and 63% amongst PW, 27% and 69.6% amongst WRA, and 23.8% and 83.5% amongst U5C. Data showed that the EMR is not on course towards meeting the WHA target. The contribution of IDA to anemia was found to be less than half. Other potential contributors to anemia in the region were identified, including micronutrient deficiencies, parasitic infestations, and poor sanitation. A framework of action was proposed as a roadmap to meet the targets set by the WHA.

Notes on Power Operated Controls for Large Aircraft

1945 ◽  
Vol 49 (410) ◽  
pp. 51-54
Author(s):  
A. Gouge
Keyword(s):  
North America ◽  
North Atlantic ◽  
The North ◽  
The World ◽  
The North Atlantic ◽  
Large Aircraft

A Study of the air routes of the world brings out almost at once the fact that some of the most difficult route are also the most attractive. For instance, the North Atlantic route which couples North America with Europe is certainly one of the most difficult in the world, but also by the fact that it couples two of the most densely populated, as well as the most wealthy groups of people in the world, one of the most attractive.

scholarly journals The duration of the active phase on surge-type glaciers: contrasts between Svalbard and other regions

1991 ◽  
Vol 37 (127) ◽  
pp. 388-400 ◽  
Author(s):  
Julian A. Dowdeswell ◽  
Gordon S. Hamilton ◽  
Jon Ove Hagen
Keyword(s):  
Time Series ◽  
North America ◽  
Active Phase ◽  
Aerial Photographs ◽  
Polar Ice ◽  
Phase Duration ◽  
Field Surveys ◽  
The World ◽  
Glacier Surges ◽  
Fast Motion

AbstractMany glaciers in Svalbard and in other glacierized areas of the world are known to surge. However, the time series of observations required to assess the duration of fast motion is very restricted. Data on active-phase duration in Svalbard come from aerial photographs, satellite imagery, field surveys and airborne reconnaissance. Evidence on surge duration is available for eight Svalbard ice masses varying from 3 to 1250 km2. Worldwide, active-phase duration is recorded for less than 50 glaciers. Few observations are available on high polar ice masses. The duration of the active phase is significantly longer for Svalbard glaciers than for surge-type glaciers in other areas from which data are available. In Svalbard, the active phase may last from 3 to 10 years. By contrast, a surge duration of 1–2 years is more typical of ice masses in northwest North America, Iceland and the Pamirs. Ice velocities during the protracted active phase on Svalbard glaciers are considerably lower than those for many surge-type glaciers in these other regions. Mass is transferred down-glacier more slowly but over a considerably longer period. Svalbard surge-type glaciers do not exhibit the very abrupt termination of the active phase, over periods of a few days, observed for several Alaskan glaciers. The duration of the active phase in Svalbard is not dependent on parameters related to glacier size. The quiescent phase is also relatively long (50–500 years) for Svalbard ice masses. Detailed field monitoring of changing basal conditions through the surge cycle is required from surge-type glaciers in Svalbard in order to explain the significantly longer length of the active phase for glaciers in the archipelago, which may also typify other high polar ice masses. The finding that surge behaviour, in the form of active-phase duration, shows systematic differences between different regions and their environments has important implications for understanding the processes responsible for glacier surges.

scholarly journals An Interdisciplinary Response to a Tobacco Cessation Case Vignette

2016 ◽  
Vol 12 (3) ◽  
pp. 153-164
Author(s):  
Chad D. Morris ◽  
Donna L. Richardson ◽  
Jill M. Loewen ◽  
Laura C. Vanheest ◽  
Angela Brumley-Shelton ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Tobacco Cessation ◽  
Interdisciplinary Approach ◽  
Chronic Illnesses ◽  
Mental Illnesses ◽  
Case Vignette ◽  
Care Needs ◽  
Healthcare Settings ◽  
Tobacco Treatment ◽  
Complex Care Needs

Introduction:Tobacco use is a chronic, relapsing condition. While there are proven cessation medications and counselling treatments, uptake of available aids is poor and smokers often do not have access to evidence-based services.Aims:The Association for the Treatment of Tobacco Use and Dependence (ATTUD) is an organisation of tobacco treatment specialists (TTSs) representing a wide array of disciplines and healthcare settings. This case vignette was intended to provide a clinical example of an interdisciplinary approach to tobacco use treatment.Methods:ATTUD Interdisciplinary Committee members representing tobacco-cessation experts from five professions were asked to respond to the same composite case vignette detailing key areas of clinical consideration and treatment.Results/Findings:While there were common treatment themes across professions, each provider also offered a unique treatment perspective addressing different facets of the patient's complex care needs, including attention to other chronic illnesses, mental illnesses, and preventive services. Expert responses highlighted that different treatment approaches across a continuum of healthcare settings are complementary.Conclusions:Responses to this vignette support the need to address tobacco use from an interdisciplinary approach. Existing chronic care and patient-centred models should be utilised to ensure that tobacco users receive a sufficient range of cessation services.

The Shari’a Approach to Contemporary Problems of Mass Surveillance

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Sattam Eid Almutairi
Keyword(s):  
North America ◽  
Personal Data ◽  
Legal Systems ◽  
Legal Norms ◽  
Muslim Countries ◽  
Norms And Values ◽  
The World ◽  
State Surveillance ◽  
Mass Surveillance ◽  
Do So

AbstractThe phenomenon of mass surveillance has confronted legal systems throughout the world with significant challenges to their fundamental norms and values. These dilemmas have been most extensively studied and discussed in relation to the kind of privacy cultures that exist in Europe and North America. Although mass surveillance creates the same kinds of challenges in Muslim countries, the phenomenon has rarely been discussed from the perspective of Shari’a. This article seeks to demonstrate that this neglect of mass surveillance and other similar phenomena by Shari’a scholars is unjustified. Firstly, the article will address objections that Shari’a does not contain legal norms that are relevant to the modern practice of state surveillance and that, if these exist, they are not binding on rulers and will also seek to show that, whatever terminology is employed, significant aspects of the protection of privacy and personal data that exists in other legal systems is also be found deeply-rooted in Shari’a. Secondly, it will assess the specific requirements that it makes in relation to such intrusion on private spaces and private conduct and how far it can benefit from an exception to the general prohibition on spying. Finally, it is concluded that mass surveillance is unlikely to meet these Shari’a requirements and that only targeted surveillance can generally do so.

GCT Review: The Spy's Adventures around the World: North America

1989 ◽  
Vol 12 (3) ◽  
pp. 41-41
Author(s):  
Debbie Darkis
Keyword(s):  
North America ◽  
The World
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