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1.
Glob Chang Biol ; 26(8): 4344-4356, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32500604

RESUMO

Leading up to the Convention on Biological Diversity Conference of the Parties 15, there is momentum around setting bold conservation targets. Yet, it remains unclear how much of Earth's land area remains without significant human influence and where this land is located. We compare four recent global maps of human influences across Earth's land, Anthromes, Global Human Modification, Human Footprint and Low Impact Areas, to answer these questions. Despite using various methodologies and data, these different spatial assessments independently estimate similar percentages of the Earth's terrestrial surface as having very low (20%-34%) and low (48%-56%) human influence. Three out of four spatial assessments agree on 46% of the non-permanent ice- or snow-covered land as having low human influence. However, much of the very low and low influence portions of the planet are comprised of cold (e.g., boreal forests, montane grasslands and tundra) or arid (e.g., deserts) landscapes. Only four biomes (boreal forests, deserts, temperate coniferous forests and tundra) have a majority of datasets agreeing that at least half of their area has very low human influence. More concerning, <1% of temperate grasslands, tropical coniferous forests and tropical dry forests have very low human influence across most datasets, and tropical grasslands, mangroves and montane grasslands also have <1% of land identified as very low influence across all datasets. These findings suggest that about half of Earth's terrestrial surface has relatively low human influence and offers opportunities for proactive conservation actions to retain the last intact ecosystems on the planet. However, though the relative abundance of ecosystem areas with low human influence varies widely by biome, conserving these last intact areas should be a high priority before they are completely lost.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Biodiversidade , Florestas , Humanos , Tundra
2.
Bioscience ; 67(6): 534-545, 2017 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-28608869

RESUMO

We assess progress toward the protection of 50% of the terrestrial biosphere to address the species-extinction crisis and conserve a global ecological heritage for future generations. Using a map of Earth's 846 terrestrial ecoregions, we show that 98 ecoregions (12%) exceed Half Protected; 313 ecoregions (37%) fall short of Half Protected but have sufficient unaltered habitat remaining to reach the target; and 207 ecoregions (24%) are in peril, where an average of only 4% of natural habitat remains. We propose a Global Deal for Nature-a companion to the Paris Climate Deal-to promote increased habitat protection and restoration, national- and ecoregion-scale conservation strategies, and the empowerment of indigenous peoples to protect their sovereign lands. The goal of such an accord would be to protect half the terrestrial realm by 2050 to halt the extinction crisis while sustaining human livelihoods.


Assuntos
Biodiversidade , Conservação dos Recursos Naturais , Clima , Ecologia , Ecossistema , Humanos
3.
Glob Ecol Biogeogr ; 23(1): 40-51, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26430385

RESUMO

AIM: Global-scale studies are required to identify broad-scale patterns in the distributions of species, to evaluate the processes that determine diversity and to determine how similar or different these patterns and processes are among different groups of freshwater species. Broad-scale patterns of spatial variation in species distribution are central to many fundamental questions in macroecology and conservation biology. We aimed to evaluate how congruent three commonly used metrics of diversity were among taxa for six groups of freshwater species. LOCATION: Global. METHODS: We compiled geographical range data on 7083 freshwater species of mammals, amphibians, reptiles, fishes, crabs and crayfish to evaluate how species richness, richness of threatened species and endemism are distributed across freshwater ecosystems. We evaluated how congruent these measures of diversity were among taxa at a global level for a grid cell size of just under 1°. RESULTS: We showed that although the risk of extinction faced by freshwater decapods is quite similar to that of freshwater vertebrates, there is a distinct lack of spatial congruence in geographical range between different taxonomic groups at this spatial scale, and a lack of congruence among three commonly used metrics of biodiversity. The risk of extinction for freshwater species was consistently higher than for their terrestrial counterparts. MAIN CONCLUSIONS: We demonstrate that broad-scale patterns of species richness, threatened-species richness and endemism lack congruence among the six freshwater taxonomic groups examined. Invertebrate species are seldom taken into account in conservation planning. Our study suggests that both the metric of biodiversity and the identity of the taxa on which conservation decisions are based require careful consideration. As geographical range information becomes available for further sets of species, further testing will be warranted into the extent to which geographical variation in the richness of these six freshwater groups reflects broader patterns of biodiversity in fresh water.

4.
Front Physiol ; 14: 1086050, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37007999

RESUMO

In the adult heart, acute adaptation of electrical and mechanical activity to changes in mechanical load occurs via feedback processes known as "mechano-electric coupling" and "mechano-mechanical coupling." Whether this occurs during cardiac development is ill-defined, as acutely altering the heart's mechanical load while measuring functional responses in traditional experimental models is difficult, as embryogenesis occurs in utero, making the heart inaccessible. These limitations can be overcome with zebrafish, as larvae develop in a dish and are nearly transparent, allowing for in vivo manipulation and measurement of cardiac structure and function. Here we present a novel approach for the in vivo study of mechano-electric and mechano-mechanical coupling in the developing zebrafish heart. This innovative methodology involves acute in vivo atrial dilation (i.e., increased atrial preload) in larval zebrafish by injection of a controlled volume into the venous circulation immediately upstream of the heart, combined with optical measurement of the acute electrical (change in heart rate) and mechanical (change in stroke area) response. In proof-of-concept experiments, we applied our new method to 48 h post-fertilisation zebrafish, which revealed differences between the electrical and mechanical response to atrial dilation. In response to an acute increase in atrial preload there is a large increase in atrial stroke area but no change in heart rate, demonstrating that in contrast to the fully developed heart, during early cardiac development mechano-mechanical coupling alone drives the adaptive increase in atrial output. Overall, in this methodological paper we present our new experimental approach for the study of mechano-electric and mechano-mechanical coupling during cardiac development and demonstrate its potential for understanding the essential adaptation of heart function to acute changes in mechanical load.

5.
Front Physiol ; 13: 818122, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35295582

RESUMO

Cardiac excitation originates in the sinoatrial node (SAN), due to the automaticity of this distinct region of the heart. SAN automaticity is the result of a gradual depolarisation of the membrane potential in diastole, driven by a coupled system of transarcolemmal ion currents and intracellular Ca2+ cycling. The frequency of SAN excitation determines heart rate and is under the control of extra- and intracardiac (extrinsic and intrinsic) factors, including neural inputs and responses to tissue stretch. While the structure, function, and control of the SAN have been extensively studied in mammals, and some critical aspects have been shown to be similar in zebrafish, the specific drivers of zebrafish SAN automaticity and the response of its excitation to vagal nerve stimulation and mechanical preload remain incompletely understood. As the zebrafish represents an important alternative experimental model for the study of cardiac (patho-) physiology, we sought to determine its drivers of SAN automaticity and the response to nerve stimulation and baseline stretch. Using a pharmacological approach mirroring classic mammalian experiments, along with electrical stimulation of intact cardiac vagal nerves and the application of mechanical preload to the SAN, we demonstrate that the principal components of the coupled membrane- Ca2+ pacemaker system that drives automaticity in mammals are also active in the zebrafish, and that the effects of extra- and intracardiac control of heart rate seen in mammals are also present. Overall, these results, combined with previously published work, support the utility of the zebrafish as a novel experimental model for studies of SAN (patho-) physiological function.

6.
Conserv Biol ; 25(1): 21-9, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21054525

RESUMO

The potential for conservation of individual species has been greatly advanced by the International Union for Conservation of Nature's (IUCN) development of objective, repeatable, and transparent criteria for assessing extinction risk that explicitly separate risk assessment from priority setting. At the IV World Conservation Congress in 2008, the process began to develop and implement comparable global standards for ecosystems. A working group established by the IUCN has begun formulating a system of quantitative categories and criteria, analogous to those used for species, for assigning levels of threat to ecosystems at local, regional, and global levels. A final system will require definitions of ecosystems; quantification of ecosystem status; identification of the stages of degradation and loss of ecosystems; proxy measures of risk (criteria); classification thresholds for these criteria; and standardized methods for performing assessments. The system will need to reflect the degree and rate of change in an ecosystem's extent, composition, structure, and function, and have its conceptual roots in ecological theory and empirical research. On the basis of these requirements and the hypothesis that ecosystem risk is a function of the risk of its component species, we propose a set of four criteria: recent declines in distribution or ecological function, historical total loss in distribution or ecological function, small distribution combined with decline, or very small distribution. Most work has focused on terrestrial ecosystems, but comparable thresholds and criteria for freshwater and marine ecosystems are also needed. These are the first steps in an international consultation process that will lead to a unified proposal to be presented at the next World Conservation Congress in 2012.


Assuntos
Conservação dos Recursos Naturais/métodos , Ecossistema , Espécies em Perigo de Extinção , Biodiversidade , Congressos como Assunto , Extinção Biológica , Medição de Risco/métodos
7.
Front Physiol ; 12: 748570, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35002753

RESUMO

Optogenetics, involving the optical measurement and manipulation of cellular activity with genetically encoded light-sensitive proteins ("reporters" and "actuators"), is a powerful experimental technique for probing (patho-)physiological function. Originally developed as a tool for neuroscience, it has now been utilized in cardiac research for over a decade, providing novel insight into the electrophysiology of the healthy and diseased heart. Among the pioneering cardiac applications of optogenetic actuators were studies in zebrafish, which first demonstrated their use for precise spatiotemporal control of cardiac activity. Zebrafish were also adopted early as an experimental model for the use of optogenetic reporters, including genetically encoded voltage- and calcium-sensitive indicators. Beyond optogenetic studies, zebrafish are becoming an increasingly important tool for cardiac research, as they combine many of the advantages of integrative and reduced experimental models. The zebrafish has striking genetic and functional cardiac similarities to that of mammals, its genome is fully sequenced and can be modified using standard techniques, it has been used to recapitulate a variety of cardiac diseases, and it allows for high-throughput investigations. For optogenetic studies, zebrafish provide additional advantages, as the whole zebrafish heart can be visualized and interrogated in vivo in the transparent, externally developing embryo, and the relatively small adult heart allows for in situ cell-specific observation and control not possible in mammals. With the advent of increasingly sophisticated fluorescence imaging approaches and methods for spatially-resolved light stimulation in the heart, the zebrafish represents an experimental model with unrealized potential for cardiac optogenetic studies. In this review we summarize the use of zebrafish for optogenetic investigations in the heart, highlighting their specific advantages and limitations, and their potential for future cardiac research.

8.
Conserv Biol ; 24(4): 1012-20, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20337689

RESUMO

Following creation of the 2010 Biodiversity Target under the Convention on Biological Diversity and adoption of the United Nations Millennium Development Goals, information on status and trends of biodiversity at the national level has become increasingly important to both science and policy. National red lists (NRLs) of threatened species may provide suitable data for reporting on progress toward these goals and for informing national conservation priority setting. This information will also become increasingly important for developing species- and ecosystem-based strategies for climate change adaptation. We conducted a thorough global review of NRLs in 109 countries and analyzed gaps in NRL coverage in terms of geography and taxonomy to determine priority regions and taxonomic groups for further investment. We then examined correlations between the NRL data set and gross domestic product (GDP) and vertebrate species richness. The largest geographic gap was in Oceania, followed by middle Africa, the Caribbean, and western Africa, whereas the largest taxonomic gaps were for invertebrates, fungi, and lichens. The comprehensiveness of NRL coverage within a given country was positively correlated with GDP and negatively correlated with total vertebrate richness and threatened vertebrate richness. This supports the assertion that regions with the greatest and most vulnerable biodiversity receive the least conservation attention and indicates that financial resources may be an integral limitation. To improve coverage of NRLs, we propose a combination of projects that target underrepresented taxa or regions and projects that provide the means for countries to create or update NRLs on their own. We recommend improvements in knowledge transfer within and across regions as a priority for future investment.


Assuntos
Biodiversidade , Conservação dos Recursos Naturais/métodos , Coleta de Dados/métodos , Espécies em Perigo de Extinção , Cooperação Internacional , Animais , Conservação dos Recursos Naturais/estatística & dados numéricos , Economia , Governo Federal , Geografia , Especificidade da Espécie
9.
Conserv Biol ; 23(2): 317-27, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19040654

RESUMO

The task of measuring the decline of global biodiversity and instituting changes to halt and reverse this downturn has been taken up in response to the Convention on Biological Diversity's 2010 target. It is an undertaking made more difficult by the complex nature of biodiversity and the consequent difficulty in accurately gauging its depletion. In the Living Planet Index, aggregated population trends among vertebrate species indicate the rate of change in the status of biodiversity, and this index can be used to address the question of whether or not the 2010 target has been achieved. We investigated the use of generalized additive models in aggregating large quantities of population trend data, evaluated potential bias that results from collation of existing trends, and explored the feasibility of disaggregating the data (e.g., geographically, taxonomically, regionally, and by thematic area). Our results show strengths in length and completeness of data, little evidence of bias toward threatened species, and the possibility of disaggregation into meaningful subsets. Limitations of the data set are still apparent, in particular the dominance of bird data and gaps in tropical-species population coverage. Population-trend data complement the longer-term, but more coarse-grained, perspectives gained by evaluating species-level extinction rates. To measure progress toward the 2010 target, indicators must be adapted and strategically supplemented with existing data to generate meaningful indicators in time. Beyond 2010, it is critical a strategy be set out for the future development of indicators that will deal with existing data gaps and that is intricately tied to the goals of future biodiversity targets.


Assuntos
Conservação dos Recursos Naturais/métodos , Monitoramento Ambiental/métodos , Vertebrados/fisiologia , Animais , Ecossistema , Extinção Biológica , Cooperação Internacional , Modelos Biológicos , Densidade Demográfica , Fatores de Tempo
10.
Sci Rep ; 9(1): 14179, 2019 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-31578431

RESUMO

Habitat loss and fragmentation due to human activities is the leading cause of the loss of biodiversity and ecosystem services. Protected areas are the primary response to this challenge and are the cornerstone of biodiversity conservation efforts. Roughly 15% of land is currently protected although there is momentum to dramatically raise protected area targets towards 50%. But, how much land remains in a natural state? We answer this critical question by using open-access, frequently updated data sets on terrestrial human impacts to create a new categorical map of global human influence ('Low Impact Areas') at a 1 km2 resolution. We found that 56% of the terrestrial surface, minus permanent ice and snow, currently has low human impact. This suggests that increased protected area targets could be met in areas minimally impacted by people, although there is substantial variation across ecoregions and biomes. While habitat loss is well documented, habitat fragmentation and differences in fragmentation rates between biomes has received little attention. Low Impact Areas uniquely enabled us to calculate global fragmentation rates across biomes, and we compared these to an idealized globe with no human-caused fragmentation. The land in Low Impact Areas is heavily fragmented, compromised by reduced patch size and core area, and exposed to edge effects. Tropical dry forests and temperate grasslands are the world's most impacted biomes. We demonstrate that when habitat fragmentation is considered in addition to habitat loss, the world's species, ecosystems and associated services are in worse condition than previously reported.


Assuntos
Conservação dos Recursos Naturais/métodos , Desenvolvimento Econômico/estatística & dados numéricos , Ecossistema , Conservação dos Recursos Naturais/economia , Monitorização de Parâmetros Ecológicos/métodos , Humanos , Clima Tropical
11.
Front Physiol ; 9: 1806, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30618818

RESUMO

During the last decade, optogenetics has emerged as a paradigm-shifting technique to monitor and steer the behavior of specific cell types in excitable tissues, including the heart. Activation of cation-conducting channelrhodopsins (ChR) leads to membrane depolarization, allowing one to effectively trigger action potentials (AP) in cardiomyocytes. In contrast, the quest for optogenetic tools for hyperpolarization-induced inhibition of AP generation has remained challenging. The green-light activated ChR from Guillardia theta (GtACR1) mediates Cl--driven photocurrents that have been shown to silence AP generation in different types of neurons. It has been suggested, therefore, to be a suitable tool for inhibition of cardiomyocyte activity. Using single-cell electrophysiological recordings and contraction tracking, as well as intracellular microelectrode recordings and in vivo optical recordings of whole hearts, we find that GtACR1 activation by prolonged illumination arrests cardiac cells in a depolarized state, thus inhibiting re-excitation. In line with this, GtACR1 activation by transient light pulses elicits AP in rabbit isolated cardiomyocytes and in spontaneously beating intact hearts of zebrafish. Our results show that GtACR1 inhibition of AP generation is caused by cell depolarization. While this does not address the need for optogenetic silencing through physiological means (i.e., hyperpolarization), GtACR1 is a potentially attractive tool for activating cardiomyocytes by transient light-induced depolarization.

12.
PLoS Biol ; 2(12): e383, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15510230

RESUMO

The rapid destruction of the planet's biodiversity has prompted the nations of the world to set a target of achieving a significant reduction in the rate of loss of biodiversity by 2010. However, we do not yet have an adequate way of monitoring progress towards achieving this target. Here we present a method for producing indices based on the IUCN Red List to chart the overall threat status (projected relative extinction risk) of all the world's bird species from 1988 to 2004. Red List Indices (RLIs) are based on the number of species in each Red List category, and on the number changing categories between assessments as a result of genuine improvement or deterioration in status. The RLI for all bird species shows that their overall threat status has continued to deteriorate since 1988. Disaggregated indices show that deteriorations have occurred worldwide and in all major ecosystems, but with particularly steep declines in the indices for Indo-Malayan birds (driven by intensifying deforestation of the Sundaic lowlands) and for albatrosses and petrels (driven by incidental mortality in commercial longline fisheries). RLIs complement indicators based on species population trends and habitat extent for quantifying global trends in the status of biodiversity. Their main weaknesses are that the resolution of status changes is fairly coarse and that delays may occur before some status changes are detected. Their greatest strength is that they are based on information from nearly all species in a taxonomic group worldwide, rather than a potentially biased subset. At present, suitable data are only available for birds, but indices for other taxonomic groups are in development, as is a sampled index based on a stratified sample from all major taxonomic groups.


Assuntos
Biodiversidade , Aves/fisiologia , Indexação e Redação de Resumos , Animais , Classificação , Conservação dos Recursos Naturais , Interpretação Estatística de Dados , Ecologia , Ecossistema , Meio Ambiente , Geografia , Modelos Estatísticos , Modelos Teóricos , Densidade Demográfica , Dinâmica Populacional , Projetos de Pesquisa
13.
Conserv Biol ; 21(6): 1406-13, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18173464

RESUMO

The 2010 biodiversity target adopted globally and in Europe is an important political commitment for improved biodiversity conservation and management. Whether or not it is achieved will be judged by a set of biodiversity indicators now under development. We reviewed the development of these indicators in Europe and globally, paying particular attention to the need to make the indicators relevant to the purpose; to distinguish between measures of pressure, state, and response; to design and validate the indicators in context; to ensure effective communication with relevant audiences; to turn lists of measures into simple or composite indicators; and to maximize the cost-effectiveness of the indicator process. We conclude that urgent steps are needed to complete the indicator set, reduce and refine the agreed measures, ensure that work is started soon so that reliable reporting occurs in 2010, and start soon on planning for subsequent assessments.


Assuntos
Biodiversidade , Conservação dos Recursos Naturais/métodos , Projetos de Pesquisa , Conservação dos Recursos Naturais/estatística & dados numéricos , Europa (Continente) , Política Pública
14.
Health Estate ; 70(1): 31-4, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26946576

RESUMO

With the backdrop of a 21st century healthcare landscape where a number of previous commissioning and provider organisations now no longer exist, and other new bodies have taken their place, 'The role of the Clinical Commissioning Group in determining the future of the NHS estate' was the title of a presentation by Helen Davis, a partner in the Healthcare Advisory team at Arcadis, on the second day of this year's Healthcare Estates conference. While acknowledging the part that CCGs could have in managing and running the estate, Helen Davis felt they not only needed to be better 'geared up' with estates-related knowledge and expertise to be able to make a valuable contribution, but that effective collaboration between all providers, commissioners, and users of the healthcare estate was vital to ensure optimal use of facilities in the future. HEJ editor, Jonathan Baillie, reports.


Assuntos
Comitês Consultivos/organização & administração , Governança Clínica/organização & administração , Serviço Hospitalar de Engenharia e Manutenção , Congressos como Assunto , Humanos , Propriedade , Medicina Estatal , Reino Unido
15.
Health Estate ; 70(3): 16-20, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27132300

RESUMO

The NHS in England could save £1 bn annually if all NHS acute Trustsachieved the median level of estates and facilities running costs, the second (and 'final') report by Lord Carter and his team into the 'productivity and efficiency' of acute NHS Trusts across England, published on 5 February,suggests. As HEJ, editor, Jonathan Baillie reports, Lord Carter's team'songoing recent discussions with senior personnel working in a range of disciplines at 32 NHS Trusts--which followed dialogue with an initial 22 Trusts--identified 'unwarranted variation' in the use of resources ranging from staff to land and buildings on such a scale that effectively addressing this 'variation' could, the DH-commissioned team says, potentially reduce by £5 bn annually the NHS in England's costs.


Assuntos
Redução de Custos , Eficiência Organizacional , Serviço Hospitalar de Engenharia e Manutenção/economia , Serviço Hospitalar de Engenharia e Manutenção/normas , Melhoria de Qualidade , Hospitais Públicos/organização & administração , Medicina Estatal/economia
16.
Health Estate ; 70(3): 33-6, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27132303

RESUMO

The quality of the care environment within a new 16-bedded modular-built ward, the Gilwern Assessment Unit, at Hereford County Hopsital, has won widespread praise from the clinicians and nurses staffing it--many of whom were recruited specially to work in it. The impressive new single-storey assessment unit for frail, older patients--which admitted its first patients just before Christmas--is formed from 14 separate modules erected offsite, delivered individually on low-loaders, craned into position, and then finished and fitted out to an extremely high standard, by off-site building specialist, MTX. The new ward was completed on budget to an extremely tight schedule, met--thanks to excellent teamwork--despite the added complication of the unit being built over a former burial ground.


Assuntos
Arquitetura Hospitalar/métodos , Unidades Hospitalares , Idoso , Avaliação Geriátrica , Hospitais Públicos , Humanos , Objetivos Organizacionais
17.
Health Estate ; 70(3): 59-64, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27132307

RESUMO

Giving the opening keynote speech at last year's Healthcare Estates conference, Mike Hobbs, managing director of Carillion Health, drew on his 25 years' experience to discuss how innovation can help drive the greater efficiency and productivity that the NHS is charged with delivering, in the process cutting costs at a time when the service faces the tightest economic pressures in its history. He argued that as we enter a new world of 'Big data', the availability of accurate, comprehensive data on which to base key decisions will be the major enabler for the design and construction of high quality healthcare facilities in the future. It will equally be key, he said, to their efficient, low-cost, and optimal utilisation to provide the higher 'productivity' the Government says is essential.


Assuntos
Mineração de Dados , Difusão de Inovações , Controle de Custos , Eficiência Organizacional , Medicina Estatal/economia , Reino Unido
18.
Health Estate ; 70(2): 51-4, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27017660

RESUMO

Speaking at a Legionella Control Association Open Day on 9 October last year in Tamworth, Mike Quest, an LCA director and Committee Member who is an independent water hygiene and safety consultant and an NHS Authorising Engineer, presented his standpoint on effective risk assessment and monitoring of complex hot and cold water systems. He also focused on some of the challenges for engineering and estates teams in maintaining water temperatures within 'safe limits' in modern buildings, with reference to the complications he had seen in a hospital project he has recently been working on.


Assuntos
Temperatura Baixa , Hospitais Públicos , Temperatura Alta , Abastecimento de Água , Congressos como Assunto , Legionella/crescimento & desenvolvimento , Doença dos Legionários/prevenção & controle , Serviço Hospitalar de Engenharia e Manutenção , Microbiologia da Água
19.
Health Estate ; 70(7): 33-6, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-29498500

RESUMO

Prior to the start of the second day of April's Hospital Innovations 2016 show at Olympia, London, and immediately before Lord Carter gave an address at the event updating conference delegates on progress with he and his team's review of the 'productivity and efficiency' of English NHS acute hospitals, IHEEM held an 'invitation only' Chief Executives' Breakfast Briefing, at which senior personnel from both the NHS and private sector discussed some of their key concerns against today's difficult economic backdrop for the sector. HEJ editor, Jonathan Baillie, reports.


Assuntos
Serviço Hospitalar de Engenharia e Manutenção , Congressos como Assunto , Conservação dos Recursos Naturais , Eficiência Organizacional , Humanos , Londres , Medicina Estatal
20.
Health Estate ; 70(6): 19-23, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-29498813

RESUMO

'Efficient productivity through innovation' was the theme of the first ever Hospital Innovations conference and exhibition at Olympia, London in late April. At the two-day event--supported by organisations including IHEEM, the Legionella Control Association, the Water Management Society, the BRE, and a sizeable number of English NHS Trusts--the Day Two keynote address by Lord Carter very much reflected this theme. Following his address at Healthcare Estates 2015, the Labour Peer focused further in London on his team's recent review of the 'productivity and efficiency' of English NHS Trusts, and explained how the initiative would progress in coming months. One of his key conclusions was that while the NHS consistently rates as one of the world's most efficient public health systems, innovation and good practice are rarely sufficiently shared or widely replicated service-wide, resulting in a considerable 'gap' between the best and worst-performing Trusts. HEJ editor, Jonathan Baillie, reports.


Assuntos
Administração Hospitalar , Qualidade da Assistência à Saúde , Medicina Estatal/organização & administração , Congressos como Assunto , Eficiência Organizacional , Humanos , Londres , Sociedades
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