First Steps towards a National Approach for Radon Survey in Romanian Schools

Schools are a category of public buildings with a high radon exposure risk, due to their high occupancy factor. In Romania, the elaboration of a methodology for radon measurements in schools is a necessity imposed both by the European legislation and by the relatively high percentage (about 10%) of the mapped territory with a potential increased risk of exposure to the action of ionizing radiation emitted by radon. In order to optimize the design of a national survey aimed to evaluate radon exposure of children in Romanian schools, we conducted a pilot study in two schools in Cluj-Napoca, following the screening measurements carried out in 109 schools and kindergartens from five counties. The specific steps that must be followed were described, taking into account the international protocols and particularities of Romanian territory. The proposed approach could act as a guide for other large buildings and is implicit for the implementation of National Radon Action Plan, approved by HG no. 526/12 July 2018 in accordance with Council Directive 2013/59/EURATOM. The obtained results indicate that a high probability of annual radon concentration above the national reference level is to be expected in schools.

The influence of culture on ethnic women's use of microfinance for empowerment in Luang Namtha Province, Laos

<p>The empowerment of women is essential but remains challenging globally. It has been supported by microfinance projects, particularly in recent decades across poor countries. Yet the contribution of microfinance to women’s empowerment remains controversial given the complexity of empowerment itself. It is commonly acknowledged that empowerment starts from within individuals themselves. It is also acknowledged that culture plays a significant role in women’s empowerment. Despite these acknowledgements, the complexities remain unclear in the Lao context which is the target of this study. This study examines the contribution of microfinance to the empowerment of women in Laos with a focus on the elements of culture. It is based on a feminist perspective, with a focus on a personal empowerment conceptual framework which enables the core values of empowerment to be examined. The examination is undertaken by employing semistructured interviews and focus groups for data collection with three ethnic groups in northern Laos, namely Hmong, Khmu and Tai-Yuan, participating in the Access to Finance for the Poor (AFP) project. The results show that the approach of the AFP project tends to meet women’s practical needs rather than their strategic needs. This is because the project’s approach appears to be influenced by the national approach of Laos in which the provision of opportunities for women is emphasised. It is also because ethnic women’s participation in the project is driven by so many practical needs that it makes their strategic needs invisible. The results also revealed that the women’s strategic needs are diverse, due to their particular culture and traditions. The results showed several gaps in the empowerment of women in the country. If these gaps are to be closed, there is a need for efforts from many stakeholders, particularly in the education sector, as the gender agenda needs to be integrated into its national curriculum. Keywords: women’s empowerment, microfinance, village banks, culture, Laos</p>

The influence of culture on ethnic women's use of microfinance for empowerment in Luang Namtha Province, Laos

<p>The empowerment of women is essential but remains challenging globally. It has been supported by microfinance projects, particularly in recent decades across poor countries. Yet the contribution of microfinance to women’s empowerment remains controversial given the complexity of empowerment itself. It is commonly acknowledged that empowerment starts from within individuals themselves. It is also acknowledged that culture plays a significant role in women’s empowerment. Despite these acknowledgements, the complexities remain unclear in the Lao context which is the target of this study. This study examines the contribution of microfinance to the empowerment of women in Laos with a focus on the elements of culture. It is based on a feminist perspective, with a focus on a personal empowerment conceptual framework which enables the core values of empowerment to be examined. The examination is undertaken by employing semistructured interviews and focus groups for data collection with three ethnic groups in northern Laos, namely Hmong, Khmu and Tai-Yuan, participating in the Access to Finance for the Poor (AFP) project. The results show that the approach of the AFP project tends to meet women’s practical needs rather than their strategic needs. This is because the project’s approach appears to be influenced by the national approach of Laos in which the provision of opportunities for women is emphasised. It is also because ethnic women’s participation in the project is driven by so many practical needs that it makes their strategic needs invisible. The results also revealed that the women’s strategic needs are diverse, due to their particular culture and traditions. The results showed several gaps in the empowerment of women in the country. If these gaps are to be closed, there is a need for efforts from many stakeholders, particularly in the education sector, as the gender agenda needs to be integrated into its national curriculum. Keywords: women’s empowerment, microfinance, village banks, culture, Laos</p>

An Inconsistent Canadian Provincial and Territorial Response During the Early COVID-19 Pandemic

Objectives: According to the World Health Organization (WHO), an early and consistent international and national response is needed to control a pandemic's spread. In this analysis, we evaluate the coordination of Canada's early response to the coronavirus (COVID-19) pandemic in terms of public health interventions and policies implemented in each province and territory.Methods: Retrospective data was obtained from publicly accessible websites maintained by federal, provincial and territorial governmental agencies. Consistent with WHO's spreading of the disease pandemic action, individual and community-based public health interventions and policies were the focus. Time of intervention or policy, and COVID-19 cases per million at time of intervention was recorded for each province and territory.Results: Most public health interventions and policies demonstrated wide time ranges of implementation across individual provinces and territories. At time of implementation, there were also wide variations in the number of positive COVID-19 cases in these jurisdictions. Cases per million per implemented day were also not similar across interventions or policy, suggesting that other factors may have been preferentially considered.Conclusions: Whether an earlier and more structured national approach would have lessened the pandemic's burden is uncertain, calls for greater federal coordination and leadership should to examined.

Negotiating Gestational Diabetes Mellitus in India: A National Approach

The worldwide epidemic of diabetes mellitus and hyperglycemia in pregnancy (HIP) presents many challenges, some of which are country-specific. To address these specific problems, parochial resolutions are essential. In India, the government, by working in tandem with (a) national groups such as the Diabetes in Pregnancy Study Group of India, and (b) global organizations such as the International Diabetes Federation, has empowered the medical and paramedical staff throughout the country to manage HIP. Additionally, despite their academic university backgrounds, Indian health planners have provided practical guidelines for caregivers at the ground level, who look up to these experts for guidance. This multipronged process has helped to negotiate some of the multiple problems that are indigenous and exclusive to India. This review traces the Indian journey to manage and prevent HIP with simple, constructive, and pragmatic solutions.

228 Outcomes of Gallstone Complications During the COVID Pandemic

Background The Intercollegiate General Surgery Guidance on COVID-19 recommended either non-surgical management or cholecystostomy drains for the management of acute biliary disease replacing gold standard practice of early laparoscopic cholecystectomy within 1 week of index admission with drainage reserved for high-risk patients where surgery is not appropriate. Method This is the retrospective study presenting the impact of gallstone disease in our unit during five months of the COVID- 19 pandemic (March 2020-August 2020) compared with the equivalent period in 2019. Results Patients presenting to the HPB unit with a coded diagnosis of gallstones were included and during the study period 1447 patients presented compared with 1413 in 2019. In 2020 compared with 2019 there was a significant decrease in patients presenting with cholecystitis (240 vs 313; p = 0.031) but no significant difference in patients presenting due to gallbladder perforation (44 vs 51). Interestingly the numbers of cholecystostomies were comparable, with 11 in 2020 and 15 in 2019 representing significantly less than the 7.2% figure published by Peckham-Cooper et al. Conclusions In our study there was a decrease in patients with cholecystitis and perforation and there was an increase in patients with gallstone pancreatitis, increase waiting lists with increase in the incidence of serious complications. In our trust we currently have 656 patients awaiting cholecystectomy compared to 280 in august 2019. With the recent elevation of the alert level to 4 and increased government restrictions, a consistent National approach is required to mitigate these risks.

Medication Compliance Aids Unpackaged: A National Survey

Background: 64 million pharmacy filled multicompartment medication compliance aids (MCAs) are dispensed by pharmacies in England each year as a method to improve medication adherence. Despite the widespread use of MCAs and evidence that their use may be associated with harm there is no national consensus regarding MCA provision by acute hospital Trusts in England. Aim: To determine current practice for initiation and supply of MCAs in acute hospital Trusts in England and the potential consequences for patients and hospitals. Methods: A 26 item survey was distributed to all acute hospital Trusts in England. The questionnaire covered policy, initiation, supply and review of MCAs; alternatives offered; and pharmacy staffing and capacity related to MCAs. Results: 72 out of 138 (52%) Trusts responded to the survey. 60/70 (86%) had a policy for the provision of MCAs. 33/55 (60%) that supplied MCAs on discharge supplied a different prescription length for MCA vs. non-MCA prescriptions. 49/55 (89%) Trusts provided only one brand of MCA. 47/55 (85%) MCA-supplying Trusts identified frequent difficulties with MCAs and 13/55 (24%) reported employing staff specifically to complete MCAs. 30/35 (86%) MCA-initiating Trusts had an assessment process for initiation, with care agency request as the most common reason. Conclusion: There is a lack of a national approach to MCA provision and initiation by acute hospital Trusts in England. This leads to significant variation in care and has the potential to put MCA users at an increased risk of medication related harm.

IVAN IVANOVICH PRISOVSKYI ‒ PRIEST-PATRIOT, SCIENTIST-ENCYCLOPEDIST, EDUCATOR

The article deals with Ivan Ivanovych Prisovskyi, a priest of the village of Kopenkuvate, his enlightening, scientific, educational and religious activities in the second half of the XIX century in the Uman region. The source of the basic study was a series of articles in the journal “Kyiv Provincial Information” during 1853‒1858. We have not been able to find only fragmentary data from the biography of the priest-scientist, in particular, his articles confirm the high intellectual level of the author and active citizenship. His writings from various fields can show that he is a scientist-encyclopedist, researcher-practitioner, philosopher, naturalist, ethnographer, folklorist, philologist, educator, journalist and priest-patriot. In the wake of the national approach of the second half of the nineteenth century, in accordance with the requirements of the time and the soul of I. Prisovskyi conducts a stationary study of a village from the standpoint of historian-archaeologist, economist, naturalist, ethnographer, culturologist, folklorist, linguist, anthropologist, educator. The article focuses on the author’s credo: to present to the world, in his words, “noteworthy” riches of the spiritual and material culture of the native land. Ivan Prisovskyi’s writings trace his interest in the folklore and ethnographic material of the Uman region, mentioning local legends, proverbs and songs.The person of the priest-scientist I. Prisovskyi and his works deserve close attention of scientists.The author tried to bring back from oblivion the name of Ivan Ivanovich Prisovskyi, a priest-patriot, scientist-encyclopedist and educator. So, we consider it necessary: to continue the search in museums, archives, libraries in order to find his biographical data, photos; to study the ethnographic heritage of a priest-patriot; describe his educational activities; to find all the works of the scientist, compile them and publish; to popularize the name of I. Prisovskyi in Ukraine and abroad. Keywords: Ivan Prisovskyi, scientist-encyclopedist, philologist, educator, journalist, priest-patriot, enlightener, folklorist, ethnographer, “Kiev Provincial Information”.