The generation of consensus guidelines for carrying out process evaluations in rehabilitation research

Abstract Background Although in recent years there has been a strong increase in published research on theories (e.g. realist evaluation, normalization process theory) driving and guiding process evaluations of complex interventions, there is limited guidance to help rehabilitation researchers design and carry out process evaluations. This can lead to the risk of process evaluations being unsystematic. This paper reports on the development of new consensus guidelines that address the specific challenges of conducting process evaluations alongside clinical trials of rehabilitation interventions. Methods A formal consensus process was carried out based on a modified nominal group technique, which comprised two phases. Phase I was informed by the findings of a systematic review, and included a nominal group meeting with an expert panel of participants to rate and discuss the proposed statements. Phase II was an in depth semi-structured telephone interviews with expert panel participants in order to further discuss the structure and contents of the revised guidelines. Frequency of rating responses to each statement was calculated and thematic analysis was carried out on all qualitative data. Results The guidelines for carrying out process evaluations within complex intervention rehabilitation research were produced by combining findings from Phase I and Phase II. The consensus guidelines include recommendations that are grouped in seven sections. These sections are theoretical work, design and methods, context, recruitment and retention, intervention staff, delivery of the intervention and results. These sections represent different aspects or stages of the evaluation process. Conclusion The consensus guidelines here presented can play a role at assisting rehabilitation researchers at the time of designing and conducting process evaluations alongside trials of complex interventions. The guidelines break new ground in terms of concepts and theory and works towards a consensus in regards to how rehabilitation researchers should go about carrying out process evaluations and how this evaluation should be linked into the proposed trials. These guidelines may be used, adapted and tested by rehabilitation researchers depending on the research stage or study design (e.g. feasibility trial, pilot trial, etc.)

Initial rise of bubbles in cohesive sediments by a process of viscoelastic fracture

Author Posting. © American Geophysical Union, 2011. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 116 (2011): B04207, doi:10.1029/2010JB008133.An understanding of the mechanics of bubble rise in sediments is essential because of the role of bubbles in releasing methane to the atmosphere and the formation and melting of gas hydrates. Past models to describe and predict the rise of other buoyant geological bodies through a surrounding solid (e.g., magmas and hydrofractures) appear not to be applicable to bubbles in soft sediments, and this paper presents a new model for gas bubble rise in soft, fine-grained, cohesive sediments. Bubbles in such sediments are essentially “dry” (little if any free water) and grow through a process of elastic expansion and fracture that can be described using the principles of linear elastic fracture mechanics, which assume the existence of a spectrum of flaws within the sediment fabric. By extending this theory, we predict that bubbles initially rise by preferential propagation of a fracture in a (sub) vertical direction. We present a criterion for initial bubble rise. Once rise is initiated, the speed of rise is controlled by the viscoelastic response of the sediments to stress. Using this new bubble rise model, we estimate rise velocities to be of the order of centimeters per second. We again show that capillary pressure plays no substantive role in controlling bubble growth or rise.This research was funded by the U.S. Office of Naval research through grants N00014‐08‐0818 and N00014‐05‐1‐0175 (project managers J. Eckman and T. Drake). Support was also provided by the Natural Sciences and Engineering Council of Canada and by the Killam Trust

Release of multiple bubbles from cohesive sediments

Author Posting. © American Geophysical Union, 2011. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geophysical Research Letters 38 (2011): L08606, doi:10.1029/2011GL046870.Methane is a strong greenhouse gas, and marine and wetland sediments constitute significant sources to the atmosphere. This flux is dominated by the release of bubbles, and quantitative prediction of this bubble flux has been elusive because of the lack of a mechanistic model. Our previous work has shown that sediments behave as elastic fracturing solids during bubble growth and rise. We now further argue that bubbles can open previously formed, partially annealed, rise tracts (fractures) and that this mechanism can account for the observed preferential release at low tides in marine settings. When this mechanical model is applied to data from Cape Lookout Bight, NC (USA), the results indicate that methanogenic bubbles released at this site do indeed follow previously formed rise tracts and that the calculated release rates are entirely consistent with the rise of multiple bubbles on tidal time scales. Our model forms a basis for making predictions of future bubble fluxes from warming sediments under the influence of climate change.This research was funded by the U.S. Office of Naval research through grants N00014‐08‐0818 and N00014‐05‐1‐0175 (project managers J. Eckman and T. Drake), the Natural Sciences and Engineering Council of Canada, and the Killam Trust (Dalhousie University)

Subseafloor microbial communities in hydrogen-rich vent fluids from hydrothermal systems along the Mid-Cayman Rise

© The Author(s), 2016. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Environmental Microbiology 18 (2016): 1970–1987, doi:10.1111/1462-2920.13173.Warm fluids emanating from hydrothermal vents can be used as windows into the rocky subseafloor habitat and its resident microbial community. Two new vent systems on the Mid-Cayman Rise each exhibits novel geologic settings and distinctively hydrogen-rich vent fluid compositions. We have determined and compared the chemistry, potential energy yielding reactions, abundance, community composition, diversity, and function of microbes in venting fluids from both sites: Piccard, the world's deepest vent site, hosted in mafic rocks; and Von Damm, an adjacent, ultramafic-influenced system. Von Damm hosted a wider diversity of lineages and metabolisms in comparison to Piccard, consistent with thermodynamic models that predict more numerous energy sources at ultramafic systems. There was little overlap in the phylotypes found at each site, although similar and dominant hydrogen-utilizing genera were present at both. Despite the differences in community structure, depth, geology, and fluid chemistry, energetic modelling and metagenomic analysis indicate near functional equivalence between Von Damm and Piccard, likely driven by the high hydrogen concentrations and elevated temperatures at both sites. Results are compared with hydrothermal sites worldwide to provide a global perspective on the distinctiveness of these newly discovered sites and the interplay among rocks, fluid composition and life in the subseafloor.National Aeronautics and Space Administration Grant Number: NNX09AB756; Alfred P. Sloan Foundation; NSF Grant Number: OCE10618

Rising Water Temperature in Rivers: Ecological impacts and future resilience

Rising water temperatures in rivers due to climate change are already having observable impacts on river ecosystems. Warming water has both direct and indirect impacts on aquatic life, and further aggravates pervasive issues such as eutrophication, pollution, and the spread of disease. Animals can survive higher temperatures through physiological and/or genetic acclimation, behavioral and phenological change, and range shifts to more suitable locations. As such, those animals that are adapted to cool-water regions typically found in high altitudes and latitudes where there are fewer dispersal opportunities are most at risk of future extinction. However, sub-lethal impacts on animal physiology and phenology, body-size, and trophic interactions could have significant population-level effects elsewhere. Rivers are vulnerable to warming because historic management has typically left them exposed to solar radiation through the removal of riparian shade, and hydrologically disconnected longitudinally, laterally, and vertically. The resilience of riverine ecosystems is also limited by anthropogenic simplification of habitats, with implications for the dispersal and resource use of resident organisms. Due to the complex indirect impacts of warming on ecosystems, and the species-specific physiological and behavioral response of organisms to warming, predicting how river ecosystems will change in the future is challenging. Restoring rivers to provide connectivity and heterogeneity of conditions would provide resilience to a range of expected co-occurring pressures, including warming, and should be considered a priority as part of global strategies for climate adaptation and mitigation

Fluid geochemistry, local hydrology, and metabolic activity define methanogen community size and composition in deep-sea hydrothermal vents

The size and biogeochemical impact of the subseafloor biosphere in oceanic crust remain largely unknown due to sampling limitations. We used reactive transport modeling to estimate the size of the subseafloor methanogen population, volume of crust occupied, fluid residence time, and nature of the subsurface mixing zone for two low-temperature hydrothermal vents at Axial Seamount. Monod CH4 production kinetics based on chemostat H2 availability and batch-culture Arrhenius growth kinetics for the hyperthermophile Methanocaldococcus jannaschii and thermophile Methanothermococcus thermolithotrophicus were used to develop and parameterize a reactive transport model, which was constrained by field measurements of H2, CH4, and metagenome methanogen concentration estimates in 20–40 °C hydrothermal fluids. Model results showed that hyperthermophilic methanogens dominate in systems where a narrow flow path geometry is maintained, while thermophilic methanogens dominate in systems where the flow geometry expands. At Axial Seamount, the residence time of fluid below the surface was 29–33 h. Only 1011 methanogenic cells occupying 1.8–18 m3 of ocean crust per m2 of vent seafloor area were needed to produce the observed CH4 anomalies. We show that variations in local geology at diffuse vents can create fluid flow paths that are stable over space and time, harboring persistent and distinct microbial communities

Nitrate Removal Performance of Denitrifying Woodchip Bioreactors in Tropical Climates

In Australia, declining water quality in the Great Barrier Reef (GBR) is a threat to its marine ecosystems and nitrate (NO3−) from sugar cane-dominated agricultural areas in the coastal catchments of North Queensland is a key pollutant of concern. Woodchip bioreactors have been identified as a potential low-cost remediation technology to reduce the NO3− runoff from sugar cane farms. This study aimed to trial different designs of bioreactors (denitrification walls and beds) to quantify their NO3− removal performance in the distinct tropical climates and hydrological regimes that characterize sugarcane farms in North Queensland. One denitrification wall and two denitrification beds were installed to treat groundwater and subsurface tile-drainage water in wet tropics catchments, where sugar cane farming relies only on rainfall for crop growth. Two denitrification beds were installed in the dry tropics to assess their performance in treating irrigation tailwater from sugarcane. All trialled bioreactors were effective at removing NO3−, with the beds exhibiting a higher NO3− removal rate (NRR, from 2.5 to 7.1 g N m−3 d−1) compared to the wall (0.15 g N m−3 d−1). The NRR depended on the influent NO3− concentration, as low influent concentrations triggered NO3− limitation. The highest NRR was observed in a bed installed in the dry tropics, with relatively high and consistent NO3− influent concentrations due to the use of groundwater, with elevated NO3−, for irrigation. This study demonstrates that bioreactors can be a useful edge-of-field technology for reducing NO3− in runoff to the GBR, when sited and designed to maximise NO3− removal performance