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The 2007 adoption of the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) marked a critical juncture in the area of Indigenous rights. As a nonbinding agreement, its adoption is at the discretion of each state, resulting in significant state-level variation. Importantly, within-state variations remain underexplored. These differences are potentially significant in federal, decentralized countries such as Canada. This article examines why some provinces and territories lead in implementing the key principles embedded in UNDRIP, whereas others have dragged their feet. We collected 230 Canadian regulations introduced at the subnational level between 2007 and 2023, and assessed the impact of three key variables (i.e. political ideology, resource politics and issue voting). We found that none of these variables explained within-state variations on their own. To further explore the role of these variables, we subsequently compared two provinces at different stages of the UNDRIP implementation spectrum (Québec and British Columbia).
Nourishing kai supports behaviour and concentration, tamariki learn well when food secure and eat regularly(1). Early food experiences influence our relationship with food as adults(2) and that tamariki health and wellbeing are shaped by education environments(3). WAVE (Well-being and Vitality in Education) has enduring partnerships with all preschools, kindergartens, playcentres, primary and secondary schools in our South Canterbury rohe(3), supporting healthy education environments with the goal of reducing inequities in health and education outcomes. Despite concerns about food security and processed foods, health promotion advisors note kaiako reluctance to promote nutrition using a whole-setting approach. The whole school approach(4) includes policies and procedures for kai (food) and wai (water), nutrition education within teaching and learning and nutrition messages promoted to whānau through enrolment information, learning stories/newsletters and displays, and in conversations with whānau. We describe an increase in kaiako acceptability occurring with the move from discussing nutrition as ‘healthy eating’ to using language of ‘supporting positive kai environments’. We include examples of mahi that the education settings put in place in this process. Between October 2023 and June 2024, WAVE provided internal professional development for health promotion kaimahi, focusing on supporting positive kai environments. Resources were redeveloped to align with messages about fostering positive relationships with kai and encouraging tamariki to be food explorers(5). The updated approach was widely communicated through newsletters and meetings with kaiako, alongside sharing relevant webinar and article resources from the Education Hub and Heart Foundation to support kaiako professional development. Health promotion advisors working with early childhood education and primary schools discussed nutrition within the broader context of positive kai and wai environments, aiming to develop positive relationships with food. These discussions took place through a combination of one-on-one meetings with lead kaiako each term and staff team meetings. Interview questions were sent to priority education (n=10) settings in September 2024 to gather feedback on barriers to promoting nutrition, how the change to ‘positive kai and supporting kai explorers’ has made a difference, and to hear the settings’ plans for current and future action in their setting. Responses from 8 ECE indicated that WAVE PD workshops using Heart Foundation resources were the resources they found most useful in enabling them to support tamariki as kai explorers. The shift to ‘positive kai environments’ has given kaiako consistent positive language around food, created space for tamariki to be self-directing with food, and has been mana-enhancing for tamariki and whānau. Kaiako stated that this evidence-based approach has taken the pressure off food, and kaiako are more responsive to tamariki needs. Kaiako are more willing to approach nutrition messages in a holistic manner to support tamariki.
Indigenous populations are over-represented in criminal statistics in most developed nations. This has been related to biological and inherited neurocognitive factors. The question needs to be raised as to whether the association is genetic or epigenetic (in the widest sense). In fact, we need to broaden the subject in studying human psychological and psychiatric dysfunction. When we do so, some important factors in personal and psycho-social dysfunction come into view. These include those contributed to by individual differences, socioeconomic variables, cultural alienation, disruption of identity formation and its sites, and in short the partial disruption or loss of ‘the village needed to raise a child’. In some post-colonial settings these factors are slowly and incrementally being addressed, but people who are casualties of the varying difficulties and traumatic complexities emerge for society to deal with. That sociopolitical response deserves a corresponding effort by academia to provide the research and argument that illuminates the subject and their formation in a post-colonial world. The present discussion aims to do that conceptual, scientific, and ethical work which developed and recognised academia owes to the Indigenous people and cultures that have suffered disruption in the names of ‘civilisation’ and ‘enlightenment’.
Antibiotics are essential to combating infections; however, misuse and overuse has contributed to antimicrobial resistance (AMR). Antimicrobial stewardship programs (ASPs) are a strategy to combat AMR and are mandatory in Canadian hospitals for accreditation. The Canadian Nosocomial Infection Surveillance Program (CNISP) sought to capture a snapshot of ASP practices within the network of Canadian acute care hospitals. Objectives of the survey were to describe the status, practices, and process indicators of ASPs across acute care hospitals participating in CNISP.
Design:
The survey explored the following items related to ASP programs: 1) program structure and leadership, 2) human, technical and financial resources allocated, 3) inventory of interventions carried and implemented, 4) tracking antimicrobial use; and 5) educational and promotional components.
Methods:
CNISP developed a 34-item survey in both English and French. The survey was administered to 109 participating CNISP hospitals from June to August 2024, responses were analyzed descriptively.
Results:
Ninety-seven percent (106/109) of CNISP hospitals responded to the survey. Eighty-four percent (89/106) reported having a formal ASP in place at the time of the study. Ninety percent (80/89) of acute care hospitals with an ASP performed prospective audit and feedback for antibiotic agents and 85% (76/89) had formal surveillance of quantitative antimicrobial use. Additionally, just over 80% (74/89) provided education to their prescribers and other healthcare staff.
Conclusions:
CNISP acute care hospitals employ multiple key aspects of ASP including implementing interventions and monitoring/tracking antimicrobial use. There were acute care hospitals without an ASP, highlighting areas for investigation and improvement.
The 1994 discovery of Shor's quantum algorithm for integer factorization—an important practical problem in the area of cryptography—demonstrated quantum computing's potential for real-world impact. Since then, researchers have worked intensively to expand the list of practical problems that quantum algorithms can solve effectively. This book surveys the fruits of this effort, covering proposed quantum algorithms for concrete problems in many application areas, including quantum chemistry, optimization, finance, and machine learning. For each quantum algorithm considered, the book clearly states the problem being solved and the full computational complexity of the procedure, making sure to account for the contribution from all the underlying primitive ingredients. Separately, the book provides a detailed, independent summary of the most common algorithmic primitives. It has a modular, encyclopedic format to facilitate navigation of the material and to provide a quick reference for designers of quantum algorithms and quantum computing researchers.
This chapter covers quantum algorithmic primitives for loading classical data into a quantum algorithm. These primitives are important in many quantum algorithms, and they are especially essential for algorithms for big-data problems in the area of machine learning. We cover quantum random access memory (QRAM), an operation that allows a quantum algorithm to query a classical database in superposition. We carefully detail caveats and nuances that appear for realizing fast large-scale QRAM and what this means for algorithms that rely upon QRAM. We also cover primitives for preparing arbitrary quantum states given a list of the amplitudes stored in a classical database, and for performing a block-encoding of a matrix, given a list of its entries stored in a classical database.
This chapter covers the multiplicative weights update method, a quantum algorithmic primitive for certain continuous optimization problems. This method is a framework for classical algorithms, but it can be made quantum by incorporating the quantum algorithmic primitive of Gibbs sampling and amplitude amplification. The framework can be applied to solve linear programs and related convex problems, or generalized to handle matrix-valued weights and used to solve semidefinite programs.
This chapter covers quantum algorithmic primitives related to linear algebra. We discuss block-encodings, a versatile and abstract access model that features in many quantum algorithms. We explain how block-encodings can be manipulated, for example by taking products or linear combinations. We discuss the techniques of quantum signal processing, qubitization, and quantum singular value transformation, which unify many quantum algorithms into a common framework.
In the Preface, we motivate the book by discussing the history of quantum computing and the development of the field of quantum algorithms over the past several decades. We argue that the present moment calls for adopting an end-to-end lens in how we study quantum algorithms, and we discuss the contents of the book and how to use it.
This chapter covers the quantum adiabatic algorithm, a quantum algorithmic primitive for preparing the ground state of a Hamiltonian. The quantum adiabatic algorithm is a prominent ingredient in quantum algorithms for end-to-end problems in combinatorial optimization and simulation of physical systems. For example, it can be used to prepare the electronic ground state of a molecule, which is used as an input to quantum phase estimation to estimate the ground state energy.
This chapter covers quantum linear system solvers, which are quantum algorithmic primitives for solving a linear system of equations. The linear system problem is encountered in many real-world situations, and quantum linear system solvers are a prominent ingredient in quantum algorithms in the areas of machine learning and continuous optimization. Quantum linear systems solvers do not themselves solve end-to-end problems because their output is a quantum state, which is one of its major caveats.
This chapter presents an introduction to the theory of quantum fault tolerance and quantum error correction, which provide a collection of techniques to deal with imperfect operations and unavoidable noise afflicting the physical hardware, at the expense of moderately increased resource overheads.
This chapter covers the quantum algorithmic primitive called quantum gradient estimation, where the goal is to output an estimate for the gradient of a multivariate function. This primitive features in other primitives, for example, quantum tomography. It also features in several quantum algorithms for end-to-end problems in continuous optimization, finance, and machine learning, among other areas. The size of the speedup it provides depends on how the algorithm can access the function, and how difficult the gradient is to estimate classically.
This chapter covers quantum algorithms for numerically solving differential equations and the areas of application where such capabilities might be useful, such as computational fluid dynamics, semiconductor chip design, and many engineering workflows. We focus mainly on algorithms for linear differential equations (covering both partial and ordinary linear differential equations), but we also mention the additional nuances that arise for nonlinear differential equations. We discuss important caveats related to both the data input and output aspects of an end-to-end differential equation solver, and we place these quantum methods in the context of existing classical methods currently in use for these problems.
This chapter covers the quantum algorithmic primitive of approximate tensor network contraction. Tensor networks are a powerful classical method for representing complex classical data as a network of individual tensor objects. To evaluate the tensor network, it must be contracted, which can be computationally challenging. A quantum algorithm for approximate tensor network contraction can provide a quantum speedup for contracting tensor networks that satisfy certain conditions.
This chapter provides an overview of how to perform quantum error correction using the surface code, which is the most well-studied quantum error correcting code for practical quantum computation. We provide formulas for the code distance—which determines the resource overhead when using the surface code—as a function of the desired logical error rate and underlying physical error rate. We discuss several decoders for the surface code and the possibility of experiencing the backlog problem if the decoder is too slow.