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• A model was created to examine the reliability of maintenance budget allocation. • The model was applied to network-level pavement maintenance in Canada. • The impacts of algorithm selection and parameter tuning were studied. • The significance of pavement clustering in increasing reliability was highlighted. • The importance of incorporating actual pavement improvement curves was clarified. The purpose of this paper is to increase the reliability of the network-level pavement maintenance budget allocation by reducing uncertainties of algorithm selection and parameter tuning. In this paper, reliability is defined as the ability of a network-level pavement maintenance plan to improve the condition of a pavement network within a certain budget. In order to quantify reliability, the reliability index is defined as the ratio between the post-maintenance network condition and the net maintenance cost. With this purpose in mind, a two-objective optimization model was developed. To test its applicability, the model was applied to a pavement network in Canada. The model was solved using the Non-Dominated Sorting Genetic Algorithm II and the differential evolution algorithms. Finally, the reliability indices of algorithms and termination criteria were computed. The results indicated that the differential evolution algorithm recommended less frequent but more intense interventions that made the solutions expensive and less reliable. This paper contributed to the network-level pavement maintenance body of knowledge by (1) developing a multi-objective optimization model to reduce uncertainties of parameter tuning and algorithm selection; (2) increasing the reliability of budget allocation; (3) showcasing the significance of pavement clustering in increasing reliability; and (4) developing and incorporating actual pavement improvement curves. [Display omitted] [ABSTRACT FROM AUTHOR]

Background and Research Purpose: Coronary heart disease (CHD) continues to be a major cause of death and disability across the globe. Regional differences in CHD exist throughout Canada, including Ontario. It is important to explore the complex interplay between geographical regions and individuals. efforts at reducing their cardiovascular risk. This study explored barriers and supports to heart healthy lifestyles and associated meanings within various regions of Ontario. The focus of this paper is on the northern context to better understand the issues these individuals face when making heart healthy lifestyle changes. Sample and Method: The study used an ethnographic approach and photo-elicitation interviews. Participants took photographs of places that represented the barriers and supports to lifestyle changes for cardiovascular risk modification. These photographs were used as the basis for interview dialogue. Twelve informants from a larger study comprised the northern sub-sample considered in this paper. Results and Conclusions: When the data were analyzed, health care access and access concerns related to heart healthy lifestyles for people in northern Ontario emerged as key findings. Findings suggest that the concept of place is pivotal to recognizing issues related to health care access, which should be incorporated as part of our understanding of health and cardiovascular risk modification. [ABSTRACT FROM AUTHOR]

Copyright of Global Media Journal: Canadian Edition is the property of Global Media Journal: Canadian Edition and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

These consensus recommendations for the diagnosis and management of dentin hypersensitivity were developed by a broadly constituted board of dentists and dental hygienists drawn from general dental practice, specialist practice, academia and research from across Canada, joined by 2 international dentists with subject matter expertise. The need for consensus recommendations was made evident by the lack of clear and robust evidence in the dental literature, as well as confusion about diagnosis and management demonstrated by an educational needs assessment survey. High prevalence of the condition, underdiagnosis and widespread availability of noninvasive, efficacious and inexpensive preventive treatment further underscored the need for direction. This paper outlines the key elements of the scientific basis for the causes, diagnosis and management of dentin hypersensitivity; where such evidence is deficient, the document relies on the compound experience of the board. A simple algorithm was developed to guide clinicians through the diagnostic process and assist them in determining appropriate case management. Finally, the board makes a series of recommendations to raise awareness, to improve dental education, to develop symbols for charting, to develop an index for case assessment and for further research. [ABSTRACT FROM AUTHOR]

Copyright of Atmosphere - Ocean (Canadian Meteorological & Oceanographic Society) is the property of Canadian Meteorological & Oceanographic Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)