Gotowa bibliografia na temat „New Canadian (Vancouver, B.C.)”

In North America, why and how municipalities in large metropolitan areas cooperate is a pressing question. Both in Canada and the United States, the literature has been greatly influenced by the public choice views that rational actors have very limited rational or economic incentives to cooperate unless the state steps in to rule cooperation. But beyond the ideological debate, these views are about issues of regional cooperation public choice (polycentrism); (3) metropolitan governance (new regionalism); and (4) rescaling and re-territorialization, which are tightly linked to value systems where: a) metropolitan government centers on monocentric efficiency; b) public choice on polycentric efficiency; c) metropolitan governance on equity and competitiveness; and d) rescaling and re-territorialization centers on global competitiveness. These discussions set the stage for this paper's main argument: in North America, the Greater Vancouver Regional District is an exemplary commitment to metropolitan cooperation.Spanish En Norteamérica esta emergiendo una pregunta urgente: ¿por qué y cómo cooperan los municipios de las grandes áreas metropolitanas? En Canadá y Estados Unidos, la literatura ha sido fuertemente influenciada por la teoría del public choice, según la cuál los actores racionales tienen muy escasos incentivos racionales o económicos para cooperar, a menos que el estado intervenga y ordene la cooperación. Obviamente, más allá del debate ideológico, estas visiones abordan asuntos de cooperación regional desde varias perspectivas normativas: (1) el gobierno metropolitano (antiguo regionalismo); (2) public choice (policentrismo); (3) gobierno metropolitano (nuevo regionalismo); y (4) reorganización escalar y re-territorialización, transformaciones que se conectan estrechamente al sistema de valores donde: a) el gobierno metropolitano se centra en la eficiencia monocéntrica, b) la public choice sobre la eficiencia policéntrica, c) la gobernanza metropolitana en la equidad y la competitividad, y d) la reorganizacion escalar y reterritorialización se enfoca sobre competitividad global. Estas discusiones preparan el escenario para el principal argumento de este artículo: en Norteamérica, el Gran Distrito Regional de Vancouver es probablemente un compromiso ejemplar de cooperación metropolitana.French En Amérique du Nord une question pressante se pose, à savoir pourquoi et comment les municipalités des grandes métropoles coopèrent. Tant au Canada qu'aux États-Unis la li érature a été fortement influencée par la théorie du choix public, selon laquelle les acteurs rationnels ne trouvent que très peu d'incitations rationnelles ou économiques qui les incitent à coopérer, à moins que l'État n'intervienne pour ordonner la coopération. Il est toutefois évident que, derrière le débat idéologique, ces débats abordent les questions de coopération régionale à partir de différentes perspectives normatives, (1) le gouvernement métropolitain (ancien régionalisme), (2) le choix public (polycentrisme), (3) la gouvernance métropolitaine (nouveau régionalisme), et (4) la réorganisation scalaire et la reterritorialisation, des transformations qu'elles relient étroitement à des systèmes de valeurs, où : a) le gouvernement métropolitain se centre sur l'efficacité monocentriste, b) le choix public sur l'efficacité polycentriste, c) la gouvernance métropolitaine sur l'équité et la compétitivité, et d) la réorganisation scalaire et la reterritorialisation se focalisent sur la compétitivité globale. Ces discussions forment la toile de fond du principal sujet de cet article : en Amérique du Nord, le Greater Vancouver Regional District constitue probablement un compromis exemplaire en matière de coopération métropolitaine.

Abstract Rapid urban expansion, increased traffic, ageing infrastructure, greater climatic variability, and the need for enhanced sustainability of urban water resources pose significant challenges to conventional stormwater management. Innovative approaches are needed in order to mitigate the risk of flooding, pollution, and aquatic ecosystem degradation, and enhance beneficial uses of urban waters. To examine such approaches, a series of three regional conferences on innovative stormwater management were held in Vancouver, Calgary, and Toronto during 2007 to 2008 under the sponsorship of the Canadian Water Network (CWN) and the Canadian Mortgage and Housing Corporation (CMHC). Authors of selected conference papers providing information on innovative approaches to mitigating the risk of flooding and reducing pollution impacts at the property, neighbourhood, and watershed scales were then invited to submit journal papers, and those accepted in the review process were included in this Special Issue of the Water Quality Research Journal of Canada. An overview of the selected papers indicates that no single innovative measure is adequate under all circumstances,and a multibarrier approach is deemed to be most effective. Examples of innovations at the property level include harvesting roof runoff and reusing water, managing rainwater by infiltration in swales and into soils in bioretention areas, minimizing impervious surfaces, and using pervious pavement. At the neighbourhood level, runoff impacts are mitigated by designing roads without curbs, gutters, and drain pipes, and diverting runoff into infiltration channels, swales, and wetlands. Creating roads and parking lots with pervious pavement and draining runoff from such surfaces into infiltration basins is also discussed. Among stormwater quality source controls, potential effects of street sweeping on runoff quality enhancement were assessed. New innovations at the watershed scale include: (a) the creation of wide riparian buffer zones that can detain water, remove sediments, and mitigate nutrient export and other pollutant effects, (b) the minimization of channelization of streams and rivers, and (c) the designation of floodwater storage areas. A new water balance model that is linked to a global information system (GIS) and works at all the three scales offers the best option to conceptualize stormwater problems, and their mitigation, in urban watersheds. Finally, the aim of this Special Issue is to promote examples of successful innovative approaches to improving stormwater management in Canadian cities, hoping that other practitioners will build on this experience and bring stormwater management practice to the next higher level.

In November 2013, a group of international experts in animal research policy (n = 11) gathered in Vancouver, Canada, to discuss openness and accountability in animal research. The primary objective was to bring together participants from various jurisdictions (United States, Sweden, Australia, New Zealand, Germany, Canada and the United Kingdom) to share practices regarding the governance of animals used in research, testing and education, with emphasis on the governance process followed, the methods of community engagement, and the balance of openness versus confidentiality. During the forum, participants came to a broad consensus on the need for: (a) evidence-based metrics to allow a “virtuous feedback” system for evaluation and quality assurance of animal research, (b) the need for increased public access to information, together with opportunities for stakeholder dialogue about animal research, (c) a greater diversity of views to be represented on decision-making committees to allow for greater balance and (d) a standardized and robust ethical decision-making process that incorporates some sort of societal input. These recommendations encourage aspirations beyond merely imparting information and towards a genuine dialogue that represents a shared agenda surrounding laboratory animal use.

Background and objective East Asians exposed to the urate-lowering drug allopurinol have a predilection for severe cutaneous drug reactions such as drug-induced hypersensitivity syndrome or drug reaction with eosinophilia and systemic symptoms (DRESS) and Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN). Screening is recommended in patients of East Asian descent for the presence of HLA-B*58:01 prior to allopurinol initiation to avoid these complications. Utilization rates of the HLA-B*58:01 predictive screening test within the Greater Vancouver area, which has a population composed of 40.1% people of East Asian descent, are unknown. Measures We identified cases of DRESS or SJS/TEN due to allopurinol using the Vancouver General Hospital dermatology consult service database. We next compared the frequency in which the HLA-B*58:01 screening test was ordered since 2012 to the estimated frequency of new prescriptions for allopurinol prescribed for the management of gout among the East Asians. Results We report 5 cases of East Asian patients exposed to allopurinol for management of gout between 2012 and 2016, who developed DRESS (4 patients) or SJS/TEN (1 patient). All were of HLA-B*58:01 genotype, representing preventable cases. The HLA-B*58:01 test was ordered 6 times in 2012, whereas the estimated number of new cases of allopurinol-prescribed gout among patients of East Asian descent during that time period was 13. For 2012, testing was ordered for only 46% of at-risk patients. Conclusion We continue to observe cases of severe cutaneous drug reactions among high-risk individuals due to allopurinol exposure. The HLA-B*58:01 screening test for allopurinol hypersensitivity is underutilized in our geographic area.

Abstract DiBacco, C., Humphrey, D. B., Nasmith, L. E., and Levings, C. D. 2012. Ballast water transport of non-indigenous zooplankton to Canadian ports. – ICES Journal of Marine Science, 69: 483–491. Ballast water is one of the primary transport vectors for the transfer and introduction of non-indigenous zooplankton (NIZ). Regulations require vessels from overseas to conduct mid-ocean exchange before discharging ballast in Canadian ports. Intracoastal vessels from nearby ports may be exempt from exchange, whereas intracoastal vessels from more distant ports are required to exchange. Zooplankton in the ballast water of transoceanic exchanged (TOE), intracoastal exchanged (ICE), and intracoastal unexchanged (ICU) vessels arriving at Canada's west (WC) and east (EC) coasts were examined. NIZ density, propagule pressure, taxon richness, and community composition were compared among the three shipping classes. The WC ports received greater densities of NIZ and had greater NIZ propagule pressure than EC ports. Within WC vessels, NIZ propagule pressure and density were significantly greater in ICU vessels. TOE vessels on the EC had the greatest NIZ propagule pressure and density. ICU vessels entering Vancouver ports represented the greatest invasion risk to Canadian waters. These vessels likely mediate secondary invasions by facilitating the transport of unexchanged ballast directly from ports previously invaded, whereas short ICU voyage duration enhances organism survivorship and vessels transport NIZ over natural dispersal barriers.

In 2016, the World Health Organization released a plan to eliminate viral hepatitis as a public health threat by 2030. For Canada to achieve the recommended decreases in HBV- and HCV-related new diagnoses and deaths, an increase in services is urgently required. Identifying those at risk of, or who have acquired HBV and HCV, remains a challenge, especially with the emergence of new priority populations such as pregnant persons and children. Importantly, prenatal, and pediatric care are times when individuals are often already engaged with the healthcare system, leading to the potential for opportunistic or co-localized care and interventions. At present, Canada may not be maximizing all available virologic tools that could lead to increases in prevention, identification, improved management, or even cure. Here, we describe the continuum of care that includes preconception, prenatal, postpartum, and pediatric stages; and identify current global and Canadian recommendations, findings, and opportunities for improvement.

Introduction: We sought to determine if the exposure to pediatric urologic procedures by graduates of Canadian urological programs is congruent with the objectives of training (OTR) put forward by the Royal College of Physicians and Surgeons of Canada (RCPSC).Methods: The Canadian T-Res (Resiliance Software Inc., Vancouver, BC) database for pediatric surgical procedures logged from 2003 to 2009 was interrogated. The number of cases logged for each of the A, B and C lists of procedures (least complex to most complex) as outlined in the RCPSC OTR in Urology were recorded for the 6 participating programs across the country.Results: A total of 48 residents submitted data to T-Res from the 6 participating programs. Of the A-list procedures, Canadian urology residents (PGY 1-5) from the 6 participating programs participated in an annual average of 53 hypospadias repairs, 30 orchidopexies for inguinal testes, 26 circumcisions, 7 hernia/hydrocele repairs, 7 pyeloplasties, 7 ureteral reimplants, 6 endoscopic injections for vesicoureteral reflux, 3 meatoplasties/meatotomies, 1 transurethral incision of ureterocele, 2 endoscopic procedures for stone management, and 1 transurethral incision of ureterocele, during the years in question. Of the B-list procedures, residents participated in an annual average of 1 transurethral resection of a posterior urethral valve, 3 continent diversions, 2 augmentation cystoplasties and 1 vesicostomy. Of the data available for the C-list procedures, residents participated in an annual average of less than 1 exstrophy repair and less than 1 pediatric renal transplant.Conclusions: The RCPSC objectives set out by the specialty committee are a useful framework for guiding graduating residents on which procedures they might reasonably perform once they enter practice. Ongoing revisions to these objectives, which reflect changing trends in the management of core pediatric urology procedures, are supported by our study based on the number of cases in which residents participate. Improvements in the assessment of trainee surgical experience and competence, as it relates to the objectives of training in pediatric urology, are required as we migrate towards a competency-based model of postgraduate medical education.

Kröbel, R., Smith, W. N., Grant, B. B., Desjardins, R. L., Campbell, C. A., Tremblay, N., Li, C. S., Zentner, R. P. and McConkey, B. G. 2011. Development and evaluation of a new Canadian spring wheat sub-model for DNDC. Can. J. Soil Sci. 91: 503–520. In this paper, the ability of the DNDC model (version 93) to predict biomass production, grain yield and plant nitrogen content was assessed using data from experiments at Swift Current, Saskatchewan, and St-Blaise, Quebec, Canada. While predicting wheat grain yields reasonably well, the model overestimated the growth of above-ground plant biomass and nitrogen uptake during the first half of the growing season. A new spring wheat sub-model (DNDC-CSW) was introduced with a modified plant biomass growth curve, dynamic plant C/N ratios and modified plant biomass fractioning curves. DNDC-CSW performed considerably better in simulating plant biomass [modeling efficiency (EF): 0.75, average relative error (ARE): 6.0%] and plant nitrogen content (EF: 0.61, ARE: −2.7%) at Swift Current and St-Blaise (EF of 0.75 and ARE of 2.3%), compared with DNDC 93 (biomass SC: EF 0.49, ARE 17.1%, SB: EF 0.02 ARE 33.4%). In comparison with DNDC 93, DNDC-CSW better captured inter-annual variations in crop growth for a range of wheat rotations, increasing the EF from 0.32 to 0.52 for grain and from 0.35 to 0.39 for straw yields. DNDC-CSW also performed considerably better than DNDC 93 in estimating soil carbon changes at Swift Current. Hence, DNDC-CSW has the potential to improve the performance of DNDC 93 in simulating wheat biomass, plant nitrogen, yield and soil carbon at various Canadian sites.

Several government and nongovernment organizations held a consensus conference on the management of acute and chronic viral hepatitis to update previous management recommendations. The conference became necessary because of the introduction of new forms of therapy for both hepatitis B and hepatitis C. The conference issued recommendations on the investigation and management of chronic hepatitis B, including the use of lamivudine, adefovir and interferon. The treatment of hepatitis B in several special situations was also discussed. There were also recommendations on the investigation and treatment of chronic hepatitis C and hepatitis C-HIV coinfection. In addition, the document makes some recommendations about the provision of services by provincial governments to facilitate the delivery of care to patients with hepatitis virus infection. The present document is meant to be used by practitioners and other health care providers, including public health staff and others not directly involved in patient care.

Several government and nongovernment organizations held a consensus conference on the management of acute and chronic viral hepatitis to update previous management recommendations. The conference became necessary because of the introduction of new forms of therapy for both hepatitis B and hepatitis C. The conference issued recommendations on the investigation and management of chronic hepatitis B, including the use of lamivudine, adefovir and interferon. The treatment of hepatitis B in several special situations was also discussed. There were also recommendations on the investigation and treatment of chronic hepatitis C and hepatitis C-HIV coinfection. In addition, the document makes some recommendations about the provision of services by provincial governments to facilitate the delivery of care to patients with hepatitis virus infection. The present document is meant to be used by practitioners and other health care providers, including public health staff and others not directly involved in patient care.