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. Mitigation Seasonal Wetlands • 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. Riparian Enhancement/Channel Restoration • 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. 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. Summary of Evidence 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.
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.
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 2018. Mitigation Seasonal Wetlands • Continue to monitor and document the effects of precipitation levels in 2018 on hydrology. • Continue mowing/grazing and spraying of Xxxxxxx grass and stinkwort within the mitigation wetlands and prescribe additional treatments as necessary. • Expand invasive plant species control efforts for problematic weed species including fennel (Foeniculum vulgare), bull thistle (Cirsium vulgare), Italian thistle (Carduus pycnocephalus) and milk thistle (Silybum marianum) in upland areas. Riparian Enhancement/Channel Restoration • 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. • Monitor the repaired area at Reach C East (C2a-d) below the City’s 1530 water tank outfall for any new erosion. • Monitor for continued erosion at Reach B South (B8c). Implement appropriate restoration within this section of reach as necessary. Rock Outcrops/Scrub Enhancement Zones • Continue weed abatement at mitigation rock outcrops within the golf course open space area. Nonnative thistles and grass should be cleared from the rock piles prior to going to seed. Weed Abatement • Continue to implement weed abatement in and adjacent to mitigation areas in the golf course and open space. Feral Pig Control • Continue to implement feral pig control in the golf course and open space areas on an as needed basis. This page intentionally left blank.
Summary of Recommendations. 1) PFID-MSP should focus the remaining two years of the Cooperative Agreement on technical assistance and capacity building in the area of international food safety and quality standards, with the aim of sustainability by the end of the Cooperative Agreement. The work plans for years 3 and 4 should reflect this focus.
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. Priority H M L Total Finding1: Personnel costs have been incorrectly calculated. (O) Risk 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.
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. This deliverable contains several observations and recommendations based on our assessment of the work performed so far which require further attention amongst suppliers. In order to fulfil PREFORMA requirements and successfully address the PREFORMA R&D challenge it is critical that suppliers address all issues identified and recommendations, and we consider the following issues to be of particular short-term importance. First, PREFORMA requires that a supplier provides the complete source code (i.e. a single zip- file containing all necessary files) under the two specific PREFORMA licenses ("MPLv2 or later" and "GPLv3 or later") on the open source portal. This is critical for provision of software according to standard practice in public sector procurement of open source software and clarity concerning provision of software (through distribution of software via the OSP) to memory institutions is of uttermost importance for successful community development and delivery of software to users. At time of writing, no supplier adheres to this requirement. However, all suppliers have communicated that they are committed to fulfil this PREFORMA requirement and we are confident that they will do so. Second, PREFORMA requires that the supplier provides, on a monthly basis, releases which have been exposed to a certain level of QA. As we are unable to produce an executable from the source code provided on the OSP by use of an open source licensed build environment this issue needs further attention amongst suppliers. Further, as only one supplier has provided software on the OSP on a monthly basis (and the other two have done so for 4 of the 6 months) which has been exposed to a certain level of QA, there is scope for improvements and all suppliers need to devote increased attention to this PREFORMA requirement. Third, PREFORMA requires that an executable shall be provided for each platform. Based on observations from the Open Source Portal and websites provided by each supplier, there is a need to ensure that software is provided under the PREFORMA licenses (i.e. “MPLv2 or later” and “GPLv3 or later”) on all sites. Fourth (at time of writing), software cannot be used via any major web browser as suppliers have not yet provided such. Fifth, PREFORMA requires that a supplier provides an up-to-date roadmap for the different versions of the software, targeted at external contributors, on the development platforms. This is an issue which needs considerable attention fro...
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.
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.
