Summary of Recommendations. The unifying theme of these recommendations is energetic interculturalism that capitalizes on existing capacities and resources. All of the recommended strategies are strategies that the coalition has already been employing in some way. The Xxxx group and CAIA, who closely partnered for the NIDI study, already represent an intercultural mix of capacities (scientific nutrition knowledge and cultural experience) and a fusion of interests between nutrition and reproductive health. The focus groups of this project provided an initial opportunity for mothers to tell their stories, and CAIA’s nutrition workshops have focused on food to teach nutrition concepts in a fun way, where mothers get to prepare and try smoothies and purees with their babies. Similarly, the proposed actions capitalize on existing resources and initiatives (e.g., the recipe book, videos in waiting rooms, workshops). These actions are not mutually exclusive; for example, problem-posing group activities could occur in waiting rooms or as part of nutrition workshops. These recommendations build from what is already there—and interculturalism is not a foreign concept; it is something rooted in Bolivia’s vibrant politics and society. By mindfully engaging in an intercultural approach, the coalition can maximize its role in helping mothers and health service providers transform their community into a more nutritious one.
Summary of Recommendations. Recommendation 1
a) To develop the working relationship with the County Council.
b) That the City Council should include information upon its grants process on its website and details of applications approved.
c) To commence the grants funding year from 1st July and to introduce a similar grants process to that of the County Council.
Summary of Recommendations. (i) What is required, in addition to the generic principles, is more specific content, more specific commitments which are more readily implemented and for which people can be held accountable. As a bare minimum the six commitments made in the 2001 Statement should at least be retained, but preferably added to and made even more specific and accountable, in the way envisaged by the 2009 Review, and in particular its 15 recommendations.
(ii) While the (Executive branch of) Government may most appropriately be one set of parties to the Agreement, it is preferable to engage as far as possible all major parties in the Parliament to achieve as much cross- party support as is possible. There may be a useful role for the Parliament in endorsing an Agreement, and in receiving annual reports on its implementation.
(iii) The original intent of a relationship agreement with Tangata Whenua, Community & Voluntary Sector organisations must be retained (rather than with the proposed amorphous “Communities of Aotearoa New Zealand”).
(iv) As a minimum, the specific proposals for strengthening levers for implementation, monitoring and assessment outlined in the 15 recommendations of the 2009 Review should be addressed.
(v) An effective Relationship Agreement would recognise the different arenas within which the relationships between sector organisations and government takes place and develop specific sets of expectations for the different arenas and for the different parties. References
Summary of Recommendations. 5.2.1 In order to minimize / avoid the need of imported materials in the Project, the contractors shall be encouraged, under supervision by the Resident Site Staff, to have proper site management to maximize available space for storage of C&D materials during the course of construction stage.
5.2.2 The management measures to be adopted for C&D materials can be enforced by incorporating them into a Waste Management Plan (WMP) as part of the contract document. Environmental monitoring and audit will be necessary to ensure the proper implementation of the proposed measures during construction.
5.2.3 If appropriate management measures are implemented properly during the handling, collection and disposal of C&D materials, the residual environmental impacts would be reduced to acceptable levels.
5.2.4 In accordance with the requirements stipulated in the ETWB TC(W) No. 33/2002, it is recommended that the Project Office and the Consultant should monitor the implementation of this C&DMMP and prepare half yearly status report and submit to Public Fill Committee (PFC) for their information. The requirements of the status report are detailed in the Technical Circular.
5.2.5 It is recommended that this C&DMMP be reviewed and updated regularly by the Project Office, the Consultant and the contractor throughout the Project. If there is any significant increase in amount of inert and/or non‐inert materials to be disposed off site, the plan should be revised and re‐submitted for endorsement.
5.2.6 The contractor will be provided with information from the C&DMMP in order to facilitate them in the preparation of the WMP, which is required under the Environmental, Transport and Works Bureau Technical Circular (Works) No. 19/2005 – Environmental Management on Construction Sites. As part of the WMP, the contractor shall establish a mechanism to record the quantities of C&D materials generated each month and report the quantities to the Project Office. In addition, the contractor shall provide estimated quantities of C&D materials that will be generated each year from the site. The contractor is also required to set up disposal recording system as part of the WMP by adopting the trip‐ticket system as stipulated in DEVB TC(W) No. 6/2010, in order to ensure proper disposal of C&D materials at designated outlets. ID Task Name Durat'n Start Finish 2013 Q4 Q1 Q2 Q3 Q4 2014 Q1 Q2 Q3 Q4 2015 Q1 Q2 Q3 Q4 2016 Q1 Q2 Q3 Q4 2017 Q1 Q2 Q3 Q4 2018 Q1 Q2 Q3 Q4 2019 Q1 Q2 Q3 Q4 2020 Q1 Q2 Q3 ...
Summary of Recommendations. The audit findings and recommendations are detailed in Appendix A together with the management action plan and implementation timetable. A summary of these recommendations by priority is outlined below. Individual personnel costs being recharged to the project did not accurately reflect the actual costs being incurred by the Health Board. Documentary evidence for the calculations used was not available and thus could not be agreed by Internal Audit. Inaccurate calculation of individual personnel costs will result in inaccurate grant claims being made.
Recommendation 1 Priority level Finding2: Travel costs have not been claimed appropriately. (O) Risk
Recommendation 2 Priority level Finding 3: Equipment subject to depreciation has not been correctly identified and allocated to the project. (O) Risk
Recommendation 3 Priority level
Summary of Recommendations. The following is a summary of measures recommended for maintaining or improving the performance of mitigation features and other habitats at Stonebrae in 2017. • Continue to monitor and document the effects of precipitation levels in 2017 on vegetation and hydrology. • Continue of mowing/grazing and spraying of Xxxxxxx grass within the mitigation wetlands and prescribe additional treatments as necessary. • Expand invasive plant species control efforts for problematic species such as stinkwort (Dittrichia graveolens) in wetland areas and fennel (Foeniculum vulgare), bull thistle (Cirsium vulgare), Italian thistle (Carduus pycnocephalus) and milk thistle (Silybum marianum) in upland areas. • Monitor riparian plantings and biotechnical structures within riparian areas. Augment riparian plantings to promote woody riparian vegetation establishment as needed. • Employ electric fencing as warranted to protect riparian areas if livestock are grazed outside of the standard grazing season allowed in the RMP. • Implement and monitor restoration of the eroded riparian Reach C East (C2a-d) below the City’s 1530 water tank outfall.
Summary of Recommendations. The significant recommendations raised in this report are as follows: We recommend that the nationally consistent format for financial reporting under the CSHA be comprised of a statement of profit and loss, a balance sheet and a statement of cashflows based on the consolidated results of the SHAs. Where additional information is required, this should be obtained from the SHA in the format used by them for normal internal reporting. A system should be developed to review the results of the SHAs which focuses on their risks and highlights issues relating to each particular SHA. This would include a high–level analysis using financial indicators and other tools to identify particular problems. When comparing consolidated results, the impact of differing accounting policies should be quantified and adjusted. With more manageable data requirements, SHAs should be encouraged to report as soon as possible after year-end. In addition, we recommend that financial reporting is performed on a six-monthly basis to enable a timely identification and remediation of emerging issues. Certification required by the CSHA should be received from CEOs using a standardised national format.
Summary of Recommendations. Regarding observational data, it is recommended the following activities be considered in the frame of the Copernicus In Situ component and in close cooperation with the Copernicus Services: Work directly with the Copernicus Services whose outputs are less directly linked to environmental conditions to ensure that they are updated on the availability of in situ data relevant for their service; Carry out a detailed gap analysis when the requirements from the individual services have been mapped; Analyse the need for a common data policy framework across meteorological, atmospheric composition and marine data delivered to Copernicus Services; Support that common access agreements enabling assured access to in situ observational data are established across the Copernicus Service elements and that actions are taken to ensure that all of the Copernicus services understand how to apply these; Work on finding practical solutions to data licensing and attribution that clearly emphasises the role of the in-situ data without blocking its use because it is impossible to fulfil the data licence requirement. Investigate how to harmonise and standardise metadata associated with meteorological, hydrological and atmospheric observation in cooperation with WMO: Play an active role in definition of data quality requirements for ocean data to meet the need of Copernicus services; Analyse the sustainability of existing European observation networks; In cooperation with EuroGOOS and EOOS establish a forum that brings funders, operators and users of marine in situ data together; As entrusted entity, EEA should work with member states (at political level) to consolidate and sustain their contribution to the in-situ component of Copernicus; Analyse the results of OSE and OSSE experiments carried out in research projects to identify where additional observations can improve prediction skills and reduce uncertainties of Xxxxxxxxxx forecast models. Part of the task should address knowledge transfer on assimilation techniques between the meteorological and oceanographic communities; Secure good linkage between the Copernicus Requirement web portal and the WMO Rolling Requirement Review system OSCAR; Actively engage in a dialogue with individual H2020 research projects that focus on design of observations systems, the G7 process etc. to ensure that Copernicus requirements are properly taken into account in the planning a design of observations systems; Star...
Summary of Recommendations. For patients with dyspnea of suspected cardiac origin, diagnostic imaging should usually be started with chest radiography followed by resting TTE. • To exclude ischemia in patients with dyspnea due to HF, stress echocardiography, stress MRI, stress SPECT, or stress PET can be used as equivalent alternatives. In low- and intermediate-risk populations, CT coronary angiography can be used. Invasive catheter coronary angiography remains the clinical gold standard to diagnose CAD. • MRI heart function and morphology with intravenous contrast is used in patients with dyspnea due to nonischemic HF with excluded ischemia to characterize the etiology of nonischemic HF. • In patients with dyspnea due to suspected VHD with excluded ischemia, transesophageal echocardiography or MRI can be used to further evaluate structure and function of cardiac valves and ventricles. CT heart function with intravenous contrast is appropriate for some clinical scenarios. • In patients with dyspnea due to suspected cardiac arrhythmia and excluded ischemia, MRI heart function and morphology with intravenous contrast is a valuable imaging method to obtain additional diagnostic information. • In patients with dyspnea due to suspected pericardial disease and excluded ischemia, MRI heart function and morphology or CT heart function or CTA chest provides complementary information with respect to the morphologic and functional features of the diseased pericardium.
Summary of Recommendations. Hodgkin lymphoma is a highly curable disease, even in the relapsed setting. Although the standard of care for relapsed disease remains salvage therapy followed by ASCT, other alternatives exist in the modern era. Biologics and targeted agents such as brentuximab vedotin and nivolumab offer alternative systemic therapies that may get patients to ASCT faster and with less toxicity. The role of RT in the relapsed setting remains controversial, but prognostic factors such as timing and extent of relapse may help guide clinical decision making. In selected patients with small isolated relapses that occur >3 years after initial presentation, consideration may also be given to a course of RT alone or CMT without transplant. RT is particularly indicated as part of CMT for patients with local relapse after treatment with chemotherapy alone or for relapses outside of the original site of disease; in this setting ASCT may be deferred. ASCT should be considered for all patients with early relapsed or progressive disease while on therapy. If there is a PR to salvage chemotherapy, RT may be given pretransplant to achieve a CR. allows the patient to proceed with therapy that is proven to improve OS. Modern radiation techniques, smaller treatment field, and lower overall doses help improve the therapeutic ratio of RT. Decisions regarding the best options in the relapsed setting should be made in the multidisciplinary setting. Of the 45 references cited in the ACR Appropriateness Criteria® Recurrent Hodgkin Lymphoma document, 42 are categorized as therapeutic references including 13 well designed studies, 21 good quality studies, and 1 quality study that may have design limitations. Additionally, 2 references are categorized as diagnostic references. There are 9 references that may not be useful as primary evidence. There is one reference that is a meta-analysis study. The 45 references cited in the ACR Appropriateness Criteria® Recurrent Hodgkin Lymphoma document were published from 1989-2015. Most of the references are well designed or good quality studies and provide good evidence.
