The role of municipal committees in the development of an integrated urban water policy in Belo Horizonte, Brazil.

This paper discusses the challenges involved in adopting an integrated approach to urban water policies and management, a particularly problematic issue in Brazil due to the incomplete nature of urbanization, defined as the lack of adequate and/or universalized access to infrastructure and services, informal housing and conflicts between environmental protection and social housing needs. In the last two decades strong social movements have influenced urban environmental policies from national to local levels. In Belo Horizonte since 1993, decision-making processes have involved important mechanisms of democratic inclusion, which have contributed to fairer urban policies. A brief discussion of the concept of governance follows, introducing the municipal urban policy within which drainage and sanitation policies have been implemented. This paper presents the constitutional and institutional role of the five municipal committees dealing with water governance issues, as they are important arenas for civil society participation. The main constraints to achieving integrated urban water governance at the local level and the extent to which such policies are able to reduce social inequalities and promote social environmental justice in the use and appropriation of urban water, are discussed. This paper is part of the SWITCH-Sustainable Water Management Improves Tomorrow's Cities' Health-research network.

Wall position and thickness estimation from sequences of echocardiographic images.

Presents a new method for endocardial (inner) and epicardial (outer) contour estimation from sequences of echocardiographic images. The framework herein introduced is fine-tuned for parasternal short axis views at the papillary muscle level. The underlying model is probabilistic; it captures the relevant features of the image generation physical mechanisms and of the heart morphology. Contour sequences are assumed to be two-dimensional noncausal first-order Markov random processes; each variable has a spatial index and a temporal index. The image pixels are modeled as Rayleigh distributed random variables with means depending on their positions (inside endocardium, between endocardium and pericardium, or outside pericardium). The complete probabilistic model is built under the Bayesian framework. As estimation criterion the maximum a posteriori (MAP) is adopted. To solve the optimization problem, one is led to (joint estimation of contours and distributions' parameters), the authors introduce an algorithm herein named iterative multigrid dynamic programming (IMDP). It is a fully data-driven scheme with no ad-hoc parameters. The method is implemented on an ordinary workstation, leading to computation times compatible with operational use. Experiments with simulated and real images are presented.

OR resuscitation for trauma patients.

1. The results of multiple studies have shown evidence that immediate access to the operating room has significantly contributed to improved outcome in several categories of trauma patients. 2. "Walk through" table top exercises were held in the OR suite to identify problems. These mock resuscitations were particularly helpful in solving logistical and equipment problems. 3. Prehospital care providers were given classes regarding triage criteria and operating room logistics. 4. Continuing education for OR and trauma nurses included videotape review and critique of ORR, trauma-specific inservice programs presented by the trauma coordinators and physicians, and attendance at weekly videotape review and trauma conference presented by the Division of Trauma. Easy recognition of individual team members, an important issue, required the use of name badges.