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Towards a better understanding of social entrepreneurship: some important distinctions gastritis for 6 months purchase 0.1mg florinef amex. A lifespan perspective on entrepreneurship: perceived opportunities and skills explain the negative association between age and entrepreneurial activity superficial gastritis definition generic 0.1mg florinef otc. Global Entrepreneurship Monitor 2015 to gastritis honey cheap 0.1 mg florinef 2016: Special Topic Report on Social Entrepreneurship. The Second Machine Age: Work, Progress, and Prosperity in a Time of Brilliant Technologies. Review of the effectiveness of youth employment policies, programmes, strategies and regulatory framework. Social entrepreneurship as an essentially contested concept: opening a new avenue for systematic future research. A mapping of education initiatives for intercultural dialogue, peacebuilding and reconciliation among young people in the Western Balkans 6: Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia, Serbia. Age of the entrepreneurial decision: differences among developed, developing, and non-developed countries. Analyzing Moroccan "youth" in historical context: rethinking the significance of social entrepreneurship. Two forms of community entrepreneurship in Finland: Are there differences between Finnish and Sбmi reindeer husbandry entrepreneurs? Work integration social enterprises in the European Union: an overview of existing models. Duke Innovation and Entrepreneurship news item, reformatted and revised 30 May 2001. Framing a theory of social entrepreneurship: building on two schools of thought and practice. Indianapolis, Indiana: Association for Research on Nonprofit Organizations and Voluntary Action. Social Youth Entrepreneurship: the Potential for Youth and Community Transformation. Exponential Technologies in Manufacturing: Transforming the Future of Manufacturing through Technology, Talent, and the Innovation Ecosystem. Savings constraints and microenterprise development: evidence from a field experiment in Kenya. At the intersection of social entrepreneurship and social movements: the case of Egypt and the Arab Spring. The dynamics of innovation: from national systems and "Mode 2" to a triple helix of university-industry-government relations. The effects of demographic, cognitive and institutional factors on development of entrepreneurial intention: toward a socio-cognitive model of entrepreneurial career. Ensuring that no one is left behind: the cooperative sector as a partner in the implementation of the United Nations 2030 Agenda for Sustainable Development. Presentation prepared for the Expert Group Meeting on the Cooperative Sector and the 2030 Agenda for Sustainable Development, New York, 16-17 November 2016. Social enterprise for low-income women: a valuable component of anti-poverty work in Canada. Oxford Martin School at the University of Oxford and Citigroup Global Markets Inc. Understanding entrepreneurial intent in late adolescence: the role of intentional self-regulation and innovation. Measuring value creation in social enterprises: a cluster analysis of social impact assessment models. Social entrepreneurship versus intrapreneurship in the German social welfare state: a study of old-age care and youth welfare services. Jasmine growers of coastal Karnataka: grassroots sustainable community-based enterprise in India. Taking the Pulse of the Social Enterprise Landscape in Developing and Emerging Economies: Insights from Colombia, Mexico, Kenya and South Africa.
There is evidence that fetal neurologic abnormalities are most severe when infection occurs in early pregnancy gastritis ginger ale discount florinef 0.1mg amex, during embryological development of the central nervous system (13) chronic gastritis flare up generic 0.1 mg florinef overnight delivery. The current Zika virus pandemic began in French Polynesia and in Yap Island gastritis diet þòá florinef 0.1 mg discount, Federated States of Micronesia, in 2013 (14,15). An explosive outbreak began in the Americas in 2014 with a cluster of cases reported in Easter Island, Chile (16), eventually moving to northeastern Brazil, where a large number of cases occurred over the span of 1 year (17,18). Subsequently, the epidemic progressed to the north of South America and to the Caribbean basin (19,20). The Ministry of Health (MoH) of the Dominican Republic instituted epidemiologic surveillance for Zika infection in December 2015 in preparation for the possible introduction of the virus. By end of April 2017, >5,000 cases (suspected and confirmed) had been reported in 28/32 country provinces (22). Considering the public health implications of Zika virus acquired during pregnancy, we sought to describe the characteristics of the outbreak among pregnant women and to analyze outcomes of pregnancy for women reported to the Dominican Republic MoH during the surveillance period. Surveillance Epidemiologic surveillance for Zika virus was instituted in December 2015. We trained Dominican Republic MoH personnel on surveillance methods and disseminated public information on the disease and its complications. The MoH assembled a multidisciplinary team of epidemiologists, entomologists, and clinicians from the Epidemiology Directorate and the National Center for the Control of Tropical Diseases to assess the countrywide risk and identify the communities most vulnerable to the spread of the disease. The MoH conducted rapid surveys of syndromic symptomatology in areas suspected to have persons infected with Zika virus. To support this, the MoH introduced a single reporting form for individual cases that was completed by all public and private health centers countrywide with suspected cases. Case Definition We conducted a cross-sectional analysis of suspected Zika infections among pregnant women reported to the Dominican Republic MoH during the countrywide outbreak, January 2016ÂApril 2017. This study was approved by the 248 We used criteria from the Pan American Health Organization (25) to classify cases reported during January 2016Â April 2017. Suspected cases were defined as illness in patients with acute onset of rash, fever (>38. Probable cases were suspected cases with positive results for Zika virus IgM and no evidence of other arboviral diseases. Samples were discarded if their collection or transportation did not follow the appropriate protocol. All women with discarded samples were included in the final analysis as suspected cases. Results Characteristics of Pregnant Women the standardized case report form for suspected Zika cases included information on age, sex, pregnancy status, insurance status, place of residence, care setting, signs/symptoms, comorbidities, fetal vital status, and pregnancy or fetal complications. For this analysis, we classified newborns weighing <2,500 g at birth as low birth weight for a full-term newborn. We dichotomized maternal age as <30 years and >30 years for the multivariate analysis. We chose to dichotomize at 30 years instead of 35 years because there were relatively few women >35 years of age. We dichotomized region of residence as Greater Santo Domingo, which included the capital city of Santo Domingo and its suburbs, or others. We categorized care setting as hospitalized or nonhospitalized (outpatient medical care and at-home care). We categorized gestational age at the time of maternal Zika virus infection as <12 weeks or >12 weeks. We conducted univariate analysis, generated frequencies for categorical variables, and calculated measures of central tendency for continuous variables. We compared distributions of demographic and clinical findings by pregnancy outcome and used the 2 test to obtain p values. Most (91%) infections occurred during AprilÂSeptember 2016 (Figure 1), and a substantial proportion (28%) of suspected cases were diagnosed during the first trimester of pregnancy. We did not perform testing in 481 women, and we discarded 98 samples because of problems during collection or transportation. One woman had positive serologic results for IgM, meeting the definition of a probable case. Most (86%) received outpatient treatment, and 14% required hospitalization for severe Zika-related symptoms at the time of acute illness. Pregnancy Outcomes Data on the outcome of pregnancy were available for 788 (61%) women.
Caregivers/ teachers will find it worthwhile to gastritis diet soy sauce cheap florinef 0.1mg on line invest in commercial-grade step cans of sufficient size to gastritis diet 6 weeks generic 0.1 mg florinef with amex hold the number of soiled diapers the facility collects before someone can remove the contents to chronic gastritis h pylori purchase florinef 0.1 mg otc an outside trash receptacle. A variety of sizes and types are available from restaurant and medical wholesale suppliers. These containers should be cleaned daily to keep them free from build-up of soil and odor. Wastewater from these cleaning operations should be disposed of by pouring it down a toilet or floor drain. Wastewater should not be poured onto the ground, into handwashing sinks, laundry sinks, kitchen sinks, or bathtubs. Chapter 5: Facilities 226 Caring for Our Children: National Health and Safety Performance Standards Pest Prevention: Facilities should prevent pest infestations by ensuring sanitary conditions. This can be done by eliminating pest breeding areas, filling in cracks and crevices; holes in walls, floors, ceilings and water leads; repairing water damage; and removing clutter and rubbish on the premises (5). Pest Monitoring: Facilities should establish a program for regular pest population monitoring and should keep records of pest sightings and sightings of indicators of the presence of pests. Pesticide Use: If physical intervention fails to prevent pest infestations, facility managers should ensure that targeted, rather than broadcast applications of pesticides are made, beginning with the products that pose least exposure hazard first, and always using a pesticide applicator who has the licenses or certifications required by state and local laws. Facility managers should follow all instructions on pesticide product labels and should not apply any pesticide in a manner inconsistent with label instructions. Records of all pesticides applications (including type and amount of pesticide used), timing and location of treatment, and results should be maintained either on-line or in a manner that permits access by facility managers and staff, state inspectors and regulatory personnel, parents/guardians, and others who may inquire about pesticide usage at the facility. Facilities should avoid the use of sprays and other volatilizing pesticide formulations. Pesticides should be applied in a manner that prevents skin contact and any other exposure to children or staff members and minimizes odors in occupied areas. Care should be taken to ensure that pesticide applications do not result in pesticide residues accumulating on tables, toys, and items mouthed or handled by children, or on soft surfaces such as carpets, upholstered furniture, or stuffed animals with which children may come in direct contact (3). Following the use of pesticides, herbicides, fungicides, or other potentially toxic chemicals, the treated area should be ventilated for the period recommended on the product label. Notification: Notification should be given to parents/guardians and staff before using pesticides, to determine if any child or staff member is sensitive to the product. A member of the child care staff should directly observe the application to be sure that toxic chemicals are not applied on surfaces with which children or staff may come in contact. Registry: Child care facilities should provide the opportunity for interested staff and parents/guardians to register with the facility if they want to be notified about individual pesticide applications before they occur. Warning Signs: Child care facilities must post warning signs at each area where pesticides will be applied. These signs must be posted forty-eight hours before and seventy-two hours after applications and should be sufficient to restrict uninformed access to treated areas. Record Keeping: Child care facilities should keep records of pesticide use at the facility and make the records available to anyone who asks. Record retention requirements vary by state, but federal law requires records to be kept for two years (7). Pesticide Storage: Pesticides should be stored in their original containers and in a locked room or cabinet accessible only to authorized staff. No restricted-use pesticides should be stored or used on the premises except by properly licensed persons. To prevent contamination and poisoning, child care staff must be sure that these chemicals are applied by individuals who are licensed and certified to do so. Direct observation of pesticide application by child care staff is essential to guide the pest management professional away from surfaces that children can touch or mouth and to monitor for drifting of pesticides into these areas. The time of toxic risk exposure is a function of skin contact, the efficiency of the ventilating system, and the volatility of the toxic substance. Spraying the grounds of a child care facility exposes children to toxic chemicals.
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