Quantification of a distributive fluvial system; the Salt Wash DFS of the Morrison Formation, SW USA

Peer reviewedPostprin

Vertical trends within the prograding Salt Wash distributive fluvial system, SW USA

This work has been supported by the Fluvial Systems Research Group Consortium Phase 1, supported by BG, Chevron, Conoco Philips and Total. Discussions with John Howell on prograding sequences are greatly appreciated. The authors would also like to thank Anna Kulikova, Guy Prince, Kelsey McNamara and Karen Oud for assistance in the field. We thank reviewer Brian Willis, an anonymous reviewer and Editor Sebastien Castelltort for constructive comments that improved this manuscript.Peer reviewedPostprin

Recognition and importance of amalgamated sandy meander belts in the continental rock record

Date of Acceptance: 27/05/2015 ACKNOWLEDGEMENTS This work was supported by the Fluvial Systems Research Group sponsors BG Group, BP, Chevron, ConocoPhillips, and Total.Peer reviewedPostprintPostprin

Basin-scale predictive models of alluvial architecture : Constraints from the Palaeocene–Eocene, Bighorn Basin, Wyoming, USA

This work was supported by Phase 2 of the Fluvial Systems Research Group (BP, BG, Chevron, ConocoPhillips and Total). AE thanks the University of Aberdeen for additional funding and MGMS thanks the São Paulo Research Foundation (FAPESP 2014/13937‐3). The authors also wish to thank numerous residents of the Bighorn Basin for their kind hospitality and access to land, and Isobel Buchanan and Alistair Swan for assistance in the field. The authors also thank reviewers Luca Colombera and Sian Davies‐Vollum and AE Christopher Fielding for helpful comments on this manuscript.Peer reviewedPostprin

Analysis of the fluvial stratigraphic response to the Paleocene–Eocene Thermal Maximum in the Bighorn Basin, U.S.A.

Geological deposits can reveal how environments of the past have responded to climate change, enabling important insights into how environments may respond to our current anthropogenically induced warming. The Paleocene–Eocene Thermal Maximum (PETM) occurred ca. 56 Ma and was a short-lived (approximately 200,000 years) global warming event (5–8°C rise). The PETM has been investigated at several terrestrial and marine localities across the globe. However, many studies are based on single successions, with very few sites being placed within a well-defined spatial and temporal context and with comparisons limited to deposits that lie immediately above and below the event. Due to the inherent variability of sedimentary systems, it is imperative that the appropriate context is provided to fully understand the impacts of climate change on landscapes and subsequent deposits. This study examines 28 locations, totaling over 4 km of recorded stratigraphy, within a newly defined quantified sedimentary basin context (Bighorn Basin, USA) to evaluate variability of fluvial response to the PETM. We show that channel-body and story thicknesses across the PETM are not statistically significantly different from deposits outside the climate event, implying that there is not a consistent sedimentary response to the climate event across the basin. Based on our large dataset we calculate that precipitation would have had to double for statistically significant changes in deposit thickness to be generated. We discuss how climatic signals may be lost due to the self-organization, spatial–temporal varied response and preservation potential in large fluvial systems. This study gives a new quantified perspective to climate events in the geologic record

Non-Additive Effects of Genotypic Diversity Increase Floral Abundance and Abundance of Floral Visitors

Background: In the emerging field of community and ecosystem genetics, genetic variation and diversity in dominant plant species have been shown to play fundamental roles in maintaining biodiversity and ecosystem function. However, the importance of intraspecific genetic variation and diversity to floral abundance and pollinator visitation has received little attention. Methodology/Principal Findings: Using an experimental common garden that manipulated genotypic diversity (the number of distinct genotypes per plot) of Solidago altissima, we document that genotypic diversity of a dominant plant can indirectly influence flower visitor abundance. Across two years, we found that 1) plant genotype explained 45 % and 92 % of the variation in flower visitor abundance in 2007 and 2008, respectively; and 2) plant genotypic diversity had a positive and non-additive effect on floral abundance and the abundance of flower visitors, as plots established with multiple genotypes produced 25 % more flowers and received 45 % more flower visits than would be expected under an additive model. Conclusions/Significance: These results provide evidence that declines in genotypic diversity may be an important but little considered factor for understanding plant-pollinator dynamics, with implications for the global decline in pollinators due t

Effectiveness of an implementation optimisation intervention aimed at increasing parent engagement in HENRY, a childhood obesity prevention programme - the Optimising Family Engagement in HENRY (OFTEN) trial: study protocol for a randomised controlled trial

Background: Family-based interventions to prevent childhood obesity depend upon parents’ taking action to improve diet and other lifestyle behaviours in their families. Programmes that attract and retain high numbers of parents provide an enhanced opportunity to improve public health and are also likely to be more cost-effective than those that do not. We have developed a theory-informed optimisation intervention to promote parent engagement within an existing childhood obesity prevention group programme, HENRY (Health Exercise Nutrition for the Really Young). Here, we describe a proposal to evaluate the effectiveness of this optimisation intervention in regard to the engagement of parents and cost-effectiveness. Methods/design: The Optimising Family Engagement in HENRY (OFTEN) trial is a cluster randomised controlled trial being conducted across 24 local authorities (approximately 144 children’s centres) which currently deliver HENRY programmes. The primary outcome will be parental enrolment and attendance at the HENRY programme, assessed using routinely collected process data. Cost-effectiveness will be presented in terms of primary outcomes using acceptability curves and through eliciting the willingness to pay for the optimisation from HENRY commissioners. Secondary outcomes include the longitudinal impact of the optimisation, parent-reported infant intake of fruits and vegetables (as a proxy to compliance) and other parent-reported family habits and lifestyle. Discussion: This innovative trial will provide evidence on the implementation of a theory-informed optimisation intervention to promote parent engagement in HENRY, a community-based childhood obesity prevention programme. The findings will be generalisable to other interventions delivered to parents in other community-based environments. This research meets the expressed needs of commissioners, children’s centres and parents to optimise the potential impact that HENRY has on obesity prevention. A subsequent cluster randomised controlled pilot trial is planned to determine the practicality of undertaking a definitive trial to robustly evaluate the effectiveness and cost-effectiveness of the optimised intervention on childhood obesity prevention

To what extent can behaviour change techniques be identified within an adaptable implementation package for primary care? A prospective directed content analysis

Interpreting evaluations of complex interventions can be difficult without sufficient description of key intervention content. We aimed to develop an implementation package for primary care which could be delivered using typically available resources and could be adapted to target determinants of behaviour for each of four quality indicators: diabetes control, blood pressure control, anticoagulation for atrial fibrillation and risky prescribing. We describe the development and prospective verification of behaviour change techniques (BCTs) embedded within the adaptable implementation packages

Physician attitude toward depression care interventions: Implications for implementation of quality improvement initiatives

<p>Abstract</p> <p>Background</p> <p>Few individuals with depression treated in the primary care setting receive care consistent with clinical treatment guidelines. Interventions based on the chronic care model (CCM) have been promoted to address barriers and improve the quality of care. A current understanding of barriers to depression care and an awareness of whether physicians believe interventions effectively address those barriers is needed to enhance the success of future implementation.</p> <p>Methods</p> <p>We conducted semi-structured interviews with 23 primary care physicians across the US regarding their experience treating patients with depression, barriers to care, and commonly promoted CCM-based interventions. Themes were identified from interview transcripts using a grounded theory approach.</p> <p>Results</p> <p>Six barriers emerged from the interviews: difficulty diagnosing depression, patient resistance, fragmented mental health system, insurance coverage, lack of expertise, and competing demands and other responsibilities as a primary care provider. A number of interventions were seen as helpful in addressing these barriers – including care managers, mental health integration, and education – while others received mixed reviews. Mental health consultation models received the least endorsement. Two systems-related barriers, the fragmented mental health system and insurance coverage limitations, appeared incompletely addressed by the interventions.</p> <p>Conclusion</p> <p>CCM-based interventions, which include care managers, mental health integration, and patient education, are most likely to be implemented successfully because they effectively address several important barriers to care and are endorsed by physicians. Practices considering the adoption of interventions that received less support should educate physicians about the benefit of the interventions and attend to physician concerns prior to implementation. A focus on interventions that address systems-related barriers is needed to overcome all barriers to care.</p

An intervention to support stroke survivors and their carers in the longer term (LoTS2Care): study protocol for a cluster randomised controlled feasibility trial

Background Despite the evidence that many stroke survivors report longer term unmet needs, the provision of longer term care is limited. To address this, we are conducting a programme of research to develop an evidence-based and replicable longer term care strategy. The developed complex intervention (named New Start), which includes needs identification, exploration of social networks and components of problem solving and self-management, was designed to improve quality of life by addressing unmet needs and increasing participation. Methods/Design A multicentre, cluster randomised controlled feasibility trial designed to inform the design of a possible future definitive cluster randomised controlled trial (cRCT) and explore the potential clinical and cost-effectiveness of New Start. Ten stroke services across the UK will be randomised on a 1:1 basis either to implement New Start or continue with usual care only. New Start will be delivered by trained facilitators and will be offered to all stroke survivors within the services allocated to the intervention arm. Stroke survivors will be eligible for the trial if they are 4–6 months post-stroke and residing in the community. Carers (if available) will also be invited to take part. Invitation to participate will be initiated by post and outcome measures will be collected via postal questionnaires at 3, 6 and 9 months after recruitment. Outcome data relating to perceived health and disability, wellbeing and quality of life as well as unmet needs will be collected. A ‘study within a trial’ (SWAT) is planned to determine the most acceptable format in which to provide the postal questionnaires. Details of health and social care service usage will also be collected to inform the economic evaluation. The feasibility of recruiting services and stroke survivors to the trial and of collecting postal outcomes will be assessed and the potential for effectiveness will be investigated. An embedded process evaluation (reported separately) will assess implementation fidelity and explore and clarify causal assumptions regarding implementation. Discussion This feasibility trial with embedded process evaluation will allow us to gather important and detailed data regarding methodological and implementation issues to inform the design of a possible future definitive cRCT of this complex intervention. Trial Registration ISRCTN38920246. Registered 22 June 2016