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Developing Navigation Competencies to Care for Older Rural Adults with Advanced Illness
- Wendy Duggleby, Carole A. Robinson, Sharon Kaasalainen, Barbara Pesut, Cheryl Nekolaichuk, Roderick MacLeod, Norah C. Keating, Anna Santos Salas, Lars K. Hallstrom, Kimberly D. Fraser, Allison Williams, Kelly Struthers-Montford, Jennifer Swindle
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- Journal:
- Canadian Journal on Aging / La Revue canadienne du vieillissement / Volume 35 / Issue 2 / June 2016
- Published online by Cambridge University Press:
- 19 April 2016, pp. 206-214
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Navigators help rural older adults with advanced illness and their families connect to needed resources, information, and people to improve their quality of life. This article describes the process used to engage experts – in rural aging, rural palliative care, and navigation – as well as rural community stakeholders to develop a conceptual definition of navigation and delineate navigation competencies for the care of this population. A discussion paper on the important considerations for navigation in this population was developed followed by a four-phased Delphi process with 30 expert panel members. Study results culminated in five general navigation competencies for health care providers caring for older rural persons and their families at end of life: provide patient/family screening; advocate for the patient/family; facilitate community connections; coordinate access to services and resources; and promote active engagement. Specific competencies were also developed. These competencies provide the foundation for research and curriculum development in navigation.
Contributors
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- By Mitchell Aboulafia, Frederick Adams, Marilyn McCord Adams, Robert M. Adams, Laird Addis, James W. Allard, David Allison, William P. Alston, Karl Ameriks, C. Anthony Anderson, David Leech Anderson, Lanier Anderson, Roger Ariew, David Armstrong, Denis G. Arnold, E. J. Ashworth, Margaret Atherton, Robin Attfield, Bruce Aune, Edward Wilson Averill, Jody Azzouni, Kent Bach, Andrew Bailey, Lynne Rudder Baker, Thomas R. Baldwin, Jon Barwise, George Bealer, William Bechtel, Lawrence C. Becker, Mark A. Bedau, Ernst Behler, José A. Benardete, Ermanno Bencivenga, Jan Berg, Michael Bergmann, Robert L. Bernasconi, Sven Bernecker, Bernard Berofsky, Rod Bertolet, Charles J. Beyer, Christian Beyer, Joseph Bien, Joseph Bien, Peg Birmingham, Ivan Boh, James Bohman, Daniel Bonevac, Laurence BonJour, William J. Bouwsma, Raymond D. Bradley, Myles Brand, Richard B. Brandt, Michael E. Bratman, Stephen E. Braude, Daniel Breazeale, Angela Breitenbach, Jason Bridges, David O. Brink, Gordon G. Brittan, Justin Broackes, Dan W. Brock, Aaron Bronfman, Jeffrey E. Brower, Bartosz Brozek, Anthony Brueckner, Jeffrey Bub, Lara Buchak, Otavio Bueno, Ann E. Bumpus, Robert W. Burch, John Burgess, Arthur W. Burks, Panayot Butchvarov, Robert E. Butts, Marina Bykova, Patrick Byrne, David Carr, Noël Carroll, Edward S. Casey, Victor Caston, Victor Caston, Albert Casullo, Robert L. Causey, Alan K. L. Chan, Ruth Chang, Deen K. Chatterjee, Andrew Chignell, Roderick M. Chisholm, Kelly J. Clark, E. J. Coffman, Robin Collins, Brian P. Copenhaver, John Corcoran, John Cottingham, Roger Crisp, Frederick J. Crosson, Antonio S. Cua, Phillip D. Cummins, Martin Curd, Adam Cureton, Andrew Cutrofello, Stephen Darwall, Paul Sheldon Davies, Wayne A. Davis, Timothy Joseph Day, Claudio de Almeida, Mario De Caro, Mario De Caro, John Deigh, C. F. Delaney, Daniel C. Dennett, Michael R. DePaul, Michael Detlefsen, Daniel Trent Devereux, Philip E. Devine, John M. Dillon, Martin C. Dillon, Robert DiSalle, Mary Domski, Alan Donagan, Paul Draper, Fred Dretske, Mircea Dumitru, Wilhelm Dupré, Gerald Dworkin, John Earman, Ellery Eells, Catherine Z. Elgin, Berent Enç, Ronald P. Endicott, Edward Erwin, John Etchemendy, C. Stephen Evans, Susan L. Feagin, Solomon Feferman, Richard Feldman, Arthur Fine, Maurice A. Finocchiaro, William FitzPatrick, Richard E. Flathman, Gvozden Flego, Richard Foley, Graeme Forbes, Rainer Forst, Malcolm R. Forster, Daniel Fouke, Patrick Francken, Samuel Freeman, Elizabeth Fricker, Miranda Fricker, Michael Friedman, Michael Fuerstein, Richard A. Fumerton, Alan Gabbey, Pieranna Garavaso, Daniel Garber, Jorge L. A. Garcia, Robert K. Garcia, Don Garrett, Philip Gasper, Gerald Gaus, Berys Gaut, Bernard Gert, Roger F. Gibson, Cody Gilmore, Carl Ginet, Alan H. Goldman, Alvin I. Goldman, Alfonso Gömez-Lobo, Lenn E. Goodman, Robert M. Gordon, Stefan Gosepath, Jorge J. E. Gracia, Daniel W. Graham, George A. Graham, Peter J. Graham, Richard E. Grandy, I. Grattan-Guinness, John Greco, Philip T. Grier, Nicholas Griffin, Nicholas Griffin, David A. Griffiths, Paul J. Griffiths, Stephen R. Grimm, Charles L. Griswold, Charles B. Guignon, Pete A. Y. Gunter, Dimitri Gutas, Gary Gutting, Paul Guyer, Kwame Gyekye, Oscar A. Haac, Raul Hakli, Raul Hakli, Michael Hallett, Edward C. Halper, Jean Hampton, R. James Hankinson, K. R. Hanley, Russell Hardin, Robert M. Harnish, William Harper, David Harrah, Kevin Hart, Ali Hasan, William Hasker, John Haugeland, Roger Hausheer, William Heald, Peter Heath, Richard Heck, John F. Heil, Vincent F. Hendricks, Stephen Hetherington, Francis Heylighen, Kathleen Marie Higgins, Risto Hilpinen, Harold T. Hodes, Joshua Hoffman, Alan Holland, Robert L. Holmes, Richard Holton, Brad W. Hooker, Terence E. Horgan, Tamara Horowitz, Paul Horwich, Vittorio Hösle, Paul Hoβfeld, Daniel Howard-Snyder, Frances Howard-Snyder, Anne Hudson, Deal W. Hudson, Carl A. Huffman, David L. Hull, Patricia Huntington, Thomas Hurka, Paul Hurley, Rosalind Hursthouse, Guillermo Hurtado, Ronald E. Hustwit, Sarah Hutton, Jonathan Jenkins Ichikawa, Harry A. Ide, David Ingram, Philip J. Ivanhoe, Alfred L. Ivry, Frank Jackson, Dale Jacquette, Joseph Jedwab, Richard Jeffrey, David Alan Johnson, Edward Johnson, Mark D. Jordan, Richard Joyce, Hwa Yol Jung, Robert Hillary Kane, Tomis Kapitan, Jacquelyn Ann K. Kegley, James A. Keller, Ralph Kennedy, Sergei Khoruzhii, Jaegwon Kim, Yersu Kim, Nathan L. King, Patricia Kitcher, Peter D. Klein, E. D. Klemke, Virginia Klenk, George L. Kline, Christian Klotz, Simo Knuuttila, Joseph J. Kockelmans, Konstantin Kolenda, Sebastian Tomasz Kołodziejczyk, Isaac Kramnick, Richard Kraut, Fred Kroon, Manfred Kuehn, Steven T. Kuhn, Henry E. Kyburg, John Lachs, Jennifer Lackey, Stephen E. Lahey, Andrea Lavazza, Thomas H. Leahey, Joo Heung Lee, Keith Lehrer, Dorothy Leland, Noah M. Lemos, Ernest LePore, Sarah-Jane Leslie, Isaac Levi, Andrew Levine, Alan E. Lewis, Daniel E. Little, Shu-hsien Liu, Shu-hsien Liu, Alan K. L. Chan, Brian Loar, Lawrence B. Lombard, John Longeway, Dominic McIver Lopes, Michael J. Loux, E. J. Lowe, Steven Luper, Eugene C. Luschei, William G. Lycan, David Lyons, David Macarthur, Danielle Macbeth, Scott MacDonald, Jacob L. Mackey, Louis H. Mackey, Penelope Mackie, Edward H. Madden, Penelope Maddy, G. B. Madison, Bernd Magnus, Pekka Mäkelä, Rudolf A. Makkreel, David Manley, William E. Mann (W.E.M.), Vladimir Marchenkov, Peter Markie, Jean-Pierre Marquis, Ausonio Marras, Mike W. Martin, A. P. Martinich, William L. McBride, David McCabe, Storrs McCall, Hugh J. McCann, Robert N. McCauley, John J. McDermott, Sarah McGrath, Ralph McInerny, Daniel J. McKaughan, Thomas McKay, Michael McKinsey, Brian P. McLaughlin, Ernan McMullin, Anthonie Meijers, Jack W. Meiland, William Jason Melanson, Alfred R. Mele, Joseph R. Mendola, Christopher Menzel, Michael J. Meyer, Christian B. Miller, David W. Miller, Peter Millican, Robert N. Minor, Phillip Mitsis, James A. Montmarquet, Michael S. Moore, Tim Moore, Benjamin Morison, Donald R. Morrison, Stephen J. Morse, Paul K. Moser, Alexander P. D. Mourelatos, Ian Mueller, James Bernard Murphy, Mark C. Murphy, Steven Nadler, Jan Narveson, Alan Nelson, Jerome Neu, Samuel Newlands, Kai Nielsen, Ilkka Niiniluoto, Carlos G. Noreña, Calvin G. Normore, David Fate Norton, Nikolaj Nottelmann, Donald Nute, David S. Oderberg, Steve Odin, Michael O’Rourke, Willard G. Oxtoby, Heinz Paetzold, George S. Pappas, Anthony J. Parel, Lydia Patton, R. P. Peerenboom, Francis Jeffry Pelletier, Adriaan T. Peperzak, Derk Pereboom, Jaroslav Peregrin, Glen Pettigrove, Philip Pettit, Edmund L. Pincoffs, Andrew Pinsent, Robert B. Pippin, Alvin Plantinga, Louis P. Pojman, Richard H. Popkin, John F. Post, Carl J. Posy, William J. Prior, Richard Purtill, Michael Quante, Philip L. Quinn, Philip L. Quinn, Elizabeth S. Radcliffe, Diana Raffman, Gerard Raulet, Stephen L. Read, Andrews Reath, Andrew Reisner, Nicholas Rescher, Henry S. Richardson, Robert C. Richardson, Thomas Ricketts, Wayne D. Riggs, Mark Roberts, Robert C. Roberts, Luke Robinson, Alexander Rosenberg, Gary Rosenkranz, Bernice Glatzer Rosenthal, Adina L. Roskies, William L. Rowe, T. M. Rudavsky, Michael Ruse, Bruce Russell, Lilly-Marlene Russow, Dan Ryder, R. M. Sainsbury, Joseph Salerno, Nathan Salmon, Wesley C. Salmon, Constantine Sandis, David H. Sanford, Marco Santambrogio, David Sapire, Ruth A. Saunders, Geoffrey Sayre-McCord, Charles Sayward, James P. Scanlan, Richard Schacht, Tamar Schapiro, Frederick F. Schmitt, Jerome B. Schneewind, Calvin O. Schrag, Alan D. Schrift, George F. Schumm, Jean-Loup Seban, David N. Sedley, Kenneth Seeskin, Krister Segerberg, Charlene Haddock Seigfried, Dennis M. Senchuk, James F. Sennett, William Lad Sessions, Stewart Shapiro, Tommie Shelby, Donald W. Sherburne, Christopher Shields, Roger A. Shiner, Sydney Shoemaker, Robert K. Shope, Kwong-loi Shun, Wilfried Sieg, A. John Simmons, Robert L. Simon, Marcus G. Singer, Georgette Sinkler, Walter Sinnott-Armstrong, Matti T. Sintonen, Lawrence Sklar, Brian Skyrms, Robert C. Sleigh, Michael Anthony Slote, Hans Sluga, Barry Smith, Michael Smith, Robin Smith, Robert Sokolowski, Robert C. Solomon, Marta Soniewicka, Philip Soper, Ernest Sosa, Nicholas Southwood, Paul Vincent Spade, T. L. S. Sprigge, Eric O. Springsted, George J. Stack, Rebecca Stangl, Jason Stanley, Florian Steinberger, Sören Stenlund, Christopher Stephens, James P. Sterba, Josef Stern, Matthias Steup, M. A. Stewart, Leopold Stubenberg, Edith Dudley Sulla, Frederick Suppe, Jere Paul Surber, David George Sussman, Sigrún Svavarsdóttir, Zeno G. Swijtink, Richard Swinburne, Charles C. Taliaferro, Robert B. Talisse, John Tasioulas, Paul Teller, Larry S. Temkin, Mark Textor, H. S. Thayer, Peter Thielke, Alan Thomas, Amie L. Thomasson, Katherine Thomson-Jones, Joshua C. Thurow, Vzalerie Tiberius, Terrence N. Tice, Paul Tidman, Mark C. Timmons, William Tolhurst, James E. Tomberlin, Rosemarie Tong, Lawrence Torcello, Kelly Trogdon, J. D. Trout, Robert E. Tully, Raimo Tuomela, John Turri, Martin M. Tweedale, Thomas Uebel, Jennifer Uleman, James Van Cleve, Harry van der Linden, Peter van Inwagen, Bryan W. Van Norden, René van Woudenberg, Donald Phillip Verene, Samantha Vice, Thomas Vinci, Donald Wayne Viney, Barbara Von Eckardt, Peter B. M. Vranas, Steven J. Wagner, William J. Wainwright, Paul E. Walker, Robert E. Wall, Craig Walton, Douglas Walton, Eric Watkins, Richard A. Watson, Michael V. Wedin, Rudolph H. Weingartner, Paul Weirich, Paul J. Weithman, Carl Wellman, Howard Wettstein, Samuel C. Wheeler, Stephen A. White, Jennifer Whiting, Edward R. Wierenga, Michael Williams, Fred Wilson, W. Kent Wilson, Kenneth P. Winkler, John F. Wippel, Jan Woleński, Allan B. Wolter, Nicholas P. Wolterstorff, Rega Wood, W. Jay Wood, Paul Woodruff, Alison Wylie, Gideon Yaffe, Takashi Yagisawa, Yutaka Yamamoto, Keith E. Yandell, Xiaomei Yang, Dean Zimmerman, Günter Zoller, Catherine Zuckert, Michael Zuckert, Jack A. Zupko (J.A.Z.)
- Edited by Robert Audi, University of Notre Dame, Indiana
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- The Cambridge Dictionary of Philosophy
- Published online:
- 05 August 2015
- Print publication:
- 27 April 2015, pp ix-xxx
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15 - Synthesis
- from Part III - MRV at offset project scale
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- By Valentin Bellassen, Institut National pour la Recherche Agronomique (INRA), Nicolas Stephan, CDC Climat, Marion Afriat, CDC Climat, Emilie Alberola, CDC Climat, Alexandra Barker, NPL, Jean-Pierre Chang, UNFCCC, Caspar Chiquet, MRV practice of South Pole Carbon, Ian Cochran, CDC Climat, Mariana Deheza, CDC Climat, Chris Dimopoulos, NPL, Claudine Foucherot, CDC Climat, Guillaume Jacquier, CITEPA, Romain Morel, CDC Climat, Roderick Robinson, NPL, Igor Shishlov, CDC Climat
- Edited by Valentin Bellassen, Nicolas Stephan
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- Accounting for Carbon
- Published online:
- 05 March 2015
- Print publication:
- 19 March 2015, pp 510-537
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Summary
This chapter brings together all the previous ones. Based on the detailed presentation and analysis of the MRV requirements of so many different carbon pricing and management mechanisms – hereafter “carbon pricing mechanisms,” it synthesizes and compares how they answered to the five cross-cutting questions identified in the general introduction to the book:
• What are the MRV requirements?
• What are the costs for entities to meet these requirements?
• Is a flexible trade-off between requirements and costs allowed?
• Is requirements stringency adapted to the amount of emissions at stake (materiality)?
• What is the balance between comparability and information relevance?
MRV requirements across schemes
The first cross-cutting question – what are the MRV requirements? – is too large to be answered in a synthetic way. This section thus focuses on two components of this question that have a major impact on MRV costs: requirements pertaining to third-party verification and those pertaining to monitoring uncertainty.
Verification requirements are broadly similar across the board
Most carbon pricing mechanisms impose a verification of the reports by an independent third party. Verification requirements are broadly similar across carbon pricing mechanisms:
• the third party must be accredited by a regulator for GHG emissions audits and this accreditation tends to be sector-specific;
• the third party must assess whether the methods used and the reporting format comply with the relevant guidelines;
• the third party must assess the accuracy, i.e., the absence of bias, of the reported figures;
• the regulator is allowed to question the opinion of the auditor, but seldom does so;• the third party tends to be paid directly by the verified entity. Although this creates a potential conflict of interest, the risk of losing the accreditation is a much stronger incentive and keeps auditors from being complacent with their client (Cormier and Bellassen, 2013).
14 - Case study 3: monitoring requirements for fugitive emissions from fuels in the CDM
- from Part III - MRV at offset project scale
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- By Alexandra Barker, NPL, Roderick Robinson, NPL
- Edited by Valentin Bellassen, Nicolas Stephan
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- Accounting for Carbon
- Published online:
- 05 March 2015
- Print publication:
- 19 March 2015, pp 467-509
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Summary
Fugitive emissions scale and scope
Fugitive emissions are uncontrolled releases from leaking equipment (assumed to be sealed), uncontrolled but routine venting or emissions to air from other uncontrolled sources. Although they are unmonitored releases they are not necessarily unintentional, for example compressor stations may have planned but unmonitored releases. In this chapter the term fugitive emissions follows the definition in the Revised 1996 IPCC Guidelines, “an intentional or unintentional release of gases from anthropogenic activities excluding the combustion of fuels” (IPCC, 1997). Fugitive emissions are significant sources from the mineral oil refining and natural gas industry due to the large number of components which are potential sources at each facility. Emissions tend to occur from production, distribution and storage processes. There can be numerous leak sources throughout a single plant and this diffuse nature makes them difficult to detect and quantify. This chapter will focus on component leaks within the scope of above-ground equipment.
For CDM project activities there is an interest in mitigating or reducing greenhouse gas emissions and hence this case study will focus on the detection and quantification of fugitive methane emissions. However, it should be noted that many of the methodologies are based on techniques developed in the oil and gas industry to detect hydrocarbon emissions. Fugitives and combustion account for 19 percent of reported methane emissions in Europe (Global Methane Initiative, 2013). Methane is the primary constituent of natural gas, with the potential to be emitted to the atmosphere during production, processing, storage, transmission and distribution (UNEP/WMO,2011).
Offset projects based on the capture of fugitive methane are attractive to project developers: there are currently ten CDM methodologies (see Table 14.3 in the appendix) relevant to fugitive emissions from fuels (mining, oil wells, gas flaring in power plants, equipment leaks and low carbon electricity). As of December 31st, 2013, 215 projects using these methodologies had registered under the scope of this sector (2.6 percent of all registered CDM projects) (UNFCCC, 2013a).
8 - Problem ferns: their impact and management
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- By Roderick C. Robinson, Landward Consultancy, Elizabeth Sheffield, University of Manchester, Joanne M. Sharpe, Sharplex Services
- Edited by Klaus Mehltreter, Lawrence R. Walker, University of Nevada, Las Vegas, Joanne M. Sharpe
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- Fern Ecology
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- 05 June 2012
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- 03 June 2010, pp 255-322
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Key points
1. Despite the popular image of ferns as decorative, innocuous plants, certain fern species can become substantial problems where human activities disturb the natural equilibrium. Making the distinction between native and alien species helps us to understand how some ferns become problematic in the first place and how such problems can be managed.
2. About 60 species of ferns create problems for ecology and conservation in terrestrial and aquatic environments. Some of these ferns have significant negative impacts on human and animal health, food production and management of both land and water.
3. Where legislative or other preemptive controls fail, problem ferns need to be managed by timely and effective combinations of physical, chemical and biological methods. Researchers continue to improve methods of managing problem fern species in order to enhance efficacy and to minimize damage to nontarget vegetation and the local environment.
4. The full human, economic and environmental costs of problem ferns have not been investigated on a global basis. Continued international development of effective legislation and chemical and biological management of problem ferns will be required in order to contain their further spread which, in some cases, may be extensive and catastrophic.
Introduction
At least 60 fern species (see Table 8.1) have the proven or potential ability to occupy areas where they may create a variety of problems. The terrestrial ferns in this group can disrupt local ecosystems, conservation efforts, wildlife management and the productivity of land (including grazing lands, certain crops and forestry).
Disposal of the Dead at Point of Pines, Arizona*
- William J. Robinson, Roderick Sprague
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- Journal:
- American Antiquity / Volume 30 / Issue 4 / April 1965
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- 20 January 2017, pp. 442-453
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- April 1965
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The analysis of 975 burials indicates that the inhumations of the Point of Pines region conformed to the flexed Mogollon pattern prior to A.D. 1000. Subsequently, extended burials appeared concurrently with a complex of traits diffused from areas to the north. At the same time, cremation became established as a part of the mortuary complex as a result of contact with Hohokam peoples to the south. Additional evidence of this contact consists of Hohokam material culture items and a ball court. Ceremonial killing of the crematory vessels was extensively practiced and included a new method, notch-killing. The variability of forms and methods of disposal suggests rapidly changing patterns and alternatives in burial practices.