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Professor, New York Medical College
Identify drivers of caribou fitness traits (body condition will antibiotics for uti help kidney infection effective cefixime 100mg, survival and recruitment): Use long-term and newly collected data on collared individuals to quantify the effects of annual variation in summer and winter forage conditions (vegetation type yeast infection 8 weeks pregnant cheap cefixime online mastercard, nutritional condition) xelent antibiotic order cefixime american express, weather (phenology antibiotics uti cheap 100mg cefixime visa, snow depth and density, icing events), predator abundance, population density, insect harassment and human activity on caribou body condition, survival and recruitment; Estimated cost: $200,000 annually for 5 years. This information will be needed to differentiate potential effects of displacement from variation due to natural causes, to evaluate mitigation measures that are applied, and to develop improved mitigation strategies. Project future changes in distribution and demography: With an improved understanding of the factors that influence the behavior and demography of Porcupine caribou (see previous needed studies), the influence of development within the 1002 Area on the herd can be projected, along with expected future changes in other key factors. We discussed that decisions affecting/involving coastal resources would include the following resource development issues: sea ice roads, sea ice airstrips, barge access, coastal infrastructure. Coastal water quality and chemistry What information is currently available to address the information needs for subjects Sea Ice Dynamics: Understanding the timing and duration of sea ice may affect seasonal access. Open-access Synthetic Aperture Radar from the Sentinel-1a satellite will be used to monitor ice formation and breakup conditions throughout the Alaska Beaufort Coast. Mapping and Characterization of Recurring Spring Leads and Landfast Ice in the Beaufort Sea to understand the spatial and temporal distribution of sea ice and leads in support of coastal access and wildlife habitat. Mapping and Characterization of Recurring Spring Leads and Landfast Ice in the Beaufort and Chukchi Seas. Coastal erosion: Coastal erosion will affect lands available for leasing, infrastructure siting, and potentially access from land to sea and vice versa. Lidar along entire coast was acquired between 2009-2012, and are incorporated into an updated report i. Coastal & Barrier Island geomorphology: Understanding the coastline will be important if access to the refuge from offshore ice or waters is desired and to inform erosion modeling. Barrier islands take the brunt of storm impacts and erosion, especially at inlets. Overall, elevational data for the coastline is sufficient; however morphology data could be better and is the focus of several ongoing and newly initiated projects. Historical shoreline change rates dating back to 1947 and computed from T-sheets, satellite imagery, and airborne lidar were used to assess the stability of the mainland shores and Arey Island. In order to evaluate future stability and the ability of Arey Island to mitigate wave energy delivery to the lagoon, hindcast (probable past conditions: 1981-2010) and future coastal storm conditions (2011-2100) were simulated with a suite of numerical models. Model simulations were further used to quantify anticipated changes in flood frequency, duration, and extent of Arey Island and coastal wet sedge areas along the mainland shores of Arey Lagoon. Annually for each lagoon and once every 5 years for the entire Beaufort Sea Coast, coastline and barrier island position and morphology will be digitized from high spatial resolution pansharpened orthorectified WorldView2 satellite imagery acquired at no cost from the Polar Geospatial Center. Coastal bathymetry: this information is needed to understand seafloor morphology/depth, gravel deposits and identify habitat for coastal species out to approximately 20m water depth. Coastal habitats: Impacts of coastal activities, desalinization/discharge could affect coastal ecosystems, including habitats that Threatened and Endangered Species depend on as well as fish and migratory birds. Benthic and water column biota assessments; microbes; fish surveys; community subsistence catch sampling. Samples will be collected during ~2 week field campaigns during (a) the ice-covered period in April, (b) during and immediately following ice break-up in June, and (c) during the open-water period in July/August. The season-specific data from these field campaigns will be complemented by continuous data streams for select parameters measured with sensors. In-situ sensors (moorings), Continuous monitoring of pH, temperature, salinity, water level (wave height and sea level), velocity. Need more information on substrates, including ice content/permafrost, sediment composition, grainsize, etc. Given the importance of barrier islands in protecting the erodible coast, a better understanding of barrier islands is needed to understand how they will change in a warmer, ice-free environment. Some have a thick tundra core, others may be entirely sediments; process is that they roll inland and are dynamic at a decadal scale now, but how will that change with altered runoff and increased storms Coastal bathymetry this information is needed to understand seafloor, gravel deposits and identify habitat for coastal species out to about 20m water depth.
Factorsinfluencingdisposition However antibiotic ointment for babies purchase cefixime from india, many other factors need to be considered in the disposition decision (Box 1 antibiotics for back acne cheap cefixime online visa. Oneneedstoassessinanon-judgmental fashiontheabilityoftheparentstocarryoutanyongoingtreatmentandconsider admission if there appears to be a need for ongoing support bacteria lab generic 100 mg cefixime visa. Ongoing management and monitoring of the patient are important roles of medicalandnursingstaffafterthisdecisionhasbeenmade virus research buy cefixime with paypal,particularlyifthere is a delay in the transfer process. The development of unstable vital signs or other evidence of severe illness requiresanappropriateescalationintreatment,includingactivationofamedical emergencyteamorarranginginter-hospitaltransfer. Parents can often be reassured during this period of observation in hospital that their child has remained well and will respond to managementstrategiesthatsubsequentlycanbecontinuedathome. Studies have shown that many children admitted to hospital only require a limitedperiodofin-patienttherapyandaredischargedinlessthan24hours. Conditions suitable for consideration of an observation ward admission will varywithlocalresourcesandmayincludeasthma,croup,gastroenteritis,febrile convulsion,presumptiveviralillnesses,non-surgicalabdominalpain,minorhead injuries and other trauma, post-sedation recovery or ingestions. Theunwell febrile child needs to have serious diagnoses such as meningitis considered, before making a diagnosis of viral illness. Many children without a clear diagnosis can be managed expectantly and safely discharged home with organisedreviewbyalocaldoctororpaediatricianorreturntothedepartment. Givingtheparentsclearinstructionstoreturnshouldthestateoftheirchildnot follow an expected course is essential. Children are often seen early in the naturalhistoryoftheirillness,andadiagnosiswillonlybecomeclearwithtime. Itisimportanttocommunicateclearly,verballyorinwriting,withthedoctor who will be following up the child. Oneshouldalwaysrespecttheconcerns raised by a referring local doctor who usually has the advantage of familiarity withthechildandfamily. It is this continuity of care and ongoingrelationshipwithafamilythatareinvaluableinassessingandtriaging presenting medical conditions in children and their subsequent management. This is particularly important when caring for the health of children, who are oftenseenintheearlyprodromalphaseofseriousillnesses. This may involve attaching importance to red flag symptoms or signs or heeding the warning signs reported by an anxious yet appropriately worried parent. The natural history of illness and convalescencearedynamicprocesseswhichwillvaryfrompatienttopatientand may require vigilant monitoring. This is most likely to be successful if the discharge plan is well communicated to the family doctor. Second, medical practitioners continue to accumulate knowledge and expertise throughout their careers so that reflective and sensitive feedback concerning outcomes of their referred patients is useful. Thisis particularly so in the case of paediatrics as recognising the potentially unwell childcansometimesbeasmuchartasscience. Itshould be presented in a clear concise form with a structured plan of management. Computer-generated letters are often more legible than hand-written ones and reduce the chance of miscommunication in the discharge process. Some specific behaviours, such as stranger anxiety in a 12-month-old, may challenge assessment,soitisimportanttoadaptanapproachtotheseexpectedbehaviours. Standardised percentile growth charts are useful to confirm suspicion of failuretothriveordiscrepancyinlinearorcranialgrowth. Thetrendofgrowth plotted on a growth chart over time is more important than a single measurement. Following the expected initial weightloss,termbabiesshouldnormallyregaintheirbirthweightbytheendof the first week. Appropriate neonatal weight gain is an important index of wellness and can be tracked on the growth or centile charts that all babies receiveafterbirth. Despite immunisation, children may still acquire these diseases but usuallymanifestamodifiedformoftheseinfections. In children who are found to be incompletely or non-immunised, it is opportunistic to respectfully provide information regarding the normal vaccination schedule and refer to the local doctor or appropriate community facility for follow-up (Table1. Being disrespectful or rude about parental choicetonotvaccinatetheirchildrisksthelossofanytherapeuticrelationship withthefamily.
His professional experience includes mixeduse develop ments antibiotic ear infection discount cefixime generic, affordable housing - virus doctor sa600cb order cefixime with visa, hotels antibiotics for canine ear infection buy cefixime 100mg with amex, highend residences can antibiotics for uti cause yeast infection safe 100 mg cefixime, and restaurants. Lanet is the principal of a collaborative architectural design firm specializing in custom residential designs. Starting with the development of a design concept, students learn how to develop a space while incorporating the ele ments of ergonomics and human factors. Prerequisite(s): All Level 1 courses in the Certificate in Interior Design (see curriculum sequence) or consent of program advisor. Additional topics are the fundamentals of creating textures, defining materials, using architectural dimensioning, using perspective and isometric views, creating sections, and editing text. Students pre pare worksets, room schedules, walkthroughs, and solar studies and utilize other advanced drawing features. A student version of the AutoDesk software will be provided for free upon proof of student status. This course is designed to give students a deep understanding of both the aca demic and practical aspects of historical decorative arts. Students will not only gain mastery of vocabulary and an understanding of styles, but also learn about the social forces and technological developments that shaped the history of design. He taught architectural history, deco rative arts, and art history at various colleges in the Los Angeles area since 1979. Developed for the conceptual stages of design, this "pencil of digital design" is powerful yet easy to learn. Students use an existing floor plan to design a project that incorporates 3D interiors and various types of renderings. This course is designed to provide the necessary skills to thoroughly develop a model for presentation and construction purposes. SketchUp Layout, a fantastic tool for translating a model into working drawings, is also introduced. This course is ideal for the designer looking to maximize his or her skills with this powerful design communication software. A realistic residential situation is considered, as stu dents design a small singlefamily residence with full code compliance and learn to create environments that relate the atmospheric qualities of individual rooms to an overall concept of movement through space. The course will emphasize practical applications of these historical concepts in contemporary interior design. This course is separate from and not dependent on Contem porary Applications of Historical Design, Part I. This course is designed to give students a deep understand ing of both the academic and practical aspects of his torical decorative arts. Other practical applications that the course will teach include a) incorporating antiques into con temporary interiors, b) using reproductions of past Enroll at uclaextension. The diversity of roles also multiplies the number of potential legal perils that interior designers face. This course traces the architecture, landscape architecture, furniture, art, and decorative arts from the Italian Renaissance to the beginning of the nineteenth century in France, England, and America. Periods covered include the Renaissance, Mannerist, Baroque, Rococo, and Neoclassic. Instruc tion focuses on the manbuilt environment influenced by geographical location and the social, religious, economic, and political forces of history. Major monu ments are discussed in terms of function, symbolism, methods of fabrication, style, use of color, ornament, and significance. Illustrated lectures, readings, and student projects develop an appreciation of the rich cultural heritage of the Western world. Students learn how to utilize library and museum resources and rec ognize and evaluate significant environmental design movements. Intended to establish an understanding of the achievements of the past in order to more fully understand the present. She worked for the director and animator Chuck Jones, along with an art appraiser in San Francisco. Professional Development For information on enrollment, location, and space availability call (800) 825-9971. Subjects cov ered include Viennese Secessionism, Art Deco, Roman tic Revivalism, De Stijl, Bauhaus, International Style, MidCentury Modernism, Postmodernism, and Contem porary. Instruction focuses on the built environment influenced by geographical location and the social, religious, economic, and political forces of history.
Focusing on count antibiotic diarrhea treatment generic cefixime 100 mg without a prescription, place values antibiotic resistance gmo cheap cefixime 100 mg fast delivery, multiplicative thinking antibiotic jaundice buy generic cefixime 100 mg online, partitioning antibiotics good or bad buy cefixime visa, and proportional reasoning. Developing a framework which allows for problem-solving to be included in many areas of teaching and learning. Additionally, and concerning a science curriculum framework, it is recommended that developers consider: 2f. The importance of ensuring a common understanding and the related risk of promoting misconceptions 177 should be recognised. Key definitions should be provided within the framework in order to ensure any translations are accurate. Although the value of practical demonstration and experimentation is clear, their availability cannot be assumed given displacement contexts. Therefore, although the framework should emphasise their importance, decisions regarding what is possible should be made at the contextualisation stage, and in collaboration with local educators. Guidance for cultural and contextual adaptation of the context-neutral programme areas across the Learning Passport. That incorporating play, play-based pedagogies, and other evidencebased learner-centred pedagogies in multiple modalities will increase programme effectiveness and benefits for learners and youth. We recommend that implementations of the Learning Passport evaluate what summative or formative forms of assessment (including what combinations of forms) are suitable in any given context, and that implementing entities and practitioners understand sufficiently the differences in their purpose, application, and outcomes. We recommend that the Learning Passport contains protocols by which the purpose and value of any assessment is explained to test takers, those who administer tests, and those who use the test results. Accreditation, typically of a high-stakes examination, is one of the most vexed issues in EiE. Certain forms of accreditation (for example, a certificate) may be recognised in one territory, but not another; or there may be a lack of clarity about equivalency. The Cambridge team has therefore approached the question of accreditation with caution. Working with existing accreditation bodies, we recommend investigating more flexible accreditation alternatives to formal examinations in Phase 2. Certifications and accreditations arrived at through these processes should prioritise alignment and equivalency with qualifications (or other forms of recognition) that will allow displaced students to continue their education within national education systems, or to enter employment/civil society. In our opinion it is not for any one education stakeholder to develop a tracking solution. As with many other components of the Learning Passport, teacher or educator involvement and capacity are essential for assessment, whether formative or summative, to take place. We have a number of Specific Recommendations regarding their involvement in assessment. In general, close liaison with government and education partners is essential before decisions are made, as is consideration of the links in the textbook chain. Choice of media and materials should reflect durability, usage, storage, and dissemination needs regarding the specific context. In general, specialist advice should be taken on all aspects of printing, publishing, and distribution, as expensive mistakes can be made. The smart-mobile telephone is the most commonly available digital device in displacement contexts; however, attempts to utilise them for education should be aware of their limitations. Our recommendations for how this should be taken forward are grouped under each of these areas. We believe that this would avoid duplication of effort and increase speed of deployment. Curation and adaptation for any context should be done hand in hand with local expertise, rather than centrally. One area not anticipated by the initial brief, but which has come through very strongly in field missions, is the potential for centralised digital support for capacity building amongst teachers and facilitators. In fact, this may be an ideal way to establish a first iteration of a digital platform as it is fairly self-contained, a good way to work with partners on the ground, can be rapidly deployed, and has the advantages of meeting an expressed need and being able to piggy-back on existing training efforts. We recommend that any solution includes monitoring functions to prevent and stop harm (bullying, grooming, recruitment, incitement). We recommend that a digital platform will be best suited as a secondary repository for data derived from written or paper-based assessment material, rather than used to collect data directly. Here we are considering ways in which schools and other stakeholders will already be recording progression data, and how a platform can assist with this; also, for tracking purposes, the link between assessment data and identity data.
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