The impact of face-to-face mental health consumer-led teaching on occupational therapy student empathy levels : Two group comparison design

Introduction Australian and New Zealand accreditation standards for occupational therapy courses mandate consumer involvement in the design, delivery, and evaluation of courses. Consumer involvement in medical, dental, and nursing education has been evidenced as a factor for increasing student empathy. To date, there has been no known research on the impact of mental health consumer involvement on occupational therapy students' empathy. The aim of this study was to investigate if occupational therapy students who receive teaching from a mental health consumer demonstrate higher levels of empathy compared with students who receive teaching delivered by occupational therapy academics. Methods Pre–post, quasi experimental, two group comparison design was used to measure second-year student empathy pre and post a consumer-led teaching tutorial. Students (N = 217) were randomised into two groups across three university campuses: ‘teaching as usual group’ (control) or ‘consumer-led’ group (experimental group). The Jefferson Scale of Empathy was used to measure student empathy. Results N = 138 matched scales were returned. Little difference in empathy scales was detected between groups. The ‘consumer-led’ group increased for the empathy scale by 3.4(95% CI: 0.7,6.1, p = 0.014) but was not statistically significant compared to 1.3(95% CI: −1.0,3.5, p = 0.267) for the control group. Both groups scored highly on empathy. Conclusion This study found that occupational therapy students had pre-existing high levels of empathy. The challenge for future research is to identify appropriate ways to measure the impact of mental health consumer involvement on occupational therapy curriculum and students

Habitat fragmentation increases overall richness, but not of habitat-dependent species

Debate rages as to whether habitat fragmentation leads to the decline of biodiversity once habitat loss is accounted for. Previous studies have defined fragmentation variously, but research needs to address “fragmentation per se,” which excludes confounding effects of habitat loss. Our study controls for habitat area and employs a mechanistic multi-species simulation to explore processes that may lead some species groups to be more or less sensitive to fragmentation per se. Our multi-land-cover, landscape-scale, individual-based model incorporates the movement of generic species, each with different land cover preferences. We investigate how fragmentation per se changes diversity patterns; within (alpha), between (beta) and across (gamma) patches of a focal-land-cover, and if this differs among species groups according to their specialism and dependency on this focal-land-cover. We defined specialism as the increased competitive ability of specialists in suitable habitat and decreased ability in less suitable land covers compared to generalist species. We found fragmentation per se caused an increase in gamma diversity in the focal-land-cover if we considered all species regardless of focal-land-cover preference. However, critically for conservation, the gamma diversity of species for whom the focal land cover is suitable habitat declined under fragmentation per se. An exception to this finding occurred when these species were specialists, who were unaffected by fragmentation per se. In general, focal-land-cover species were under pressure from the influx of other species, with fragmentation per se leading to a loss of alpha diversity not compensated for by increases in beta diversity and, therefore, gamma diversity fell. The specialist species, which were more competitive, were less affected by the influx of species and therefore alpha diversity decreased less with fragmentation per se and beta diversity compensated for this loss, meaning gamma diversity did not decrease. Our findings help to inform the fragmentation per se debate, showing that effects on biodiversity can be negative or positive, depending on species’ competitive abilities and dependency on the fragmented land cover. Such differences in the effect of fragmentation per se would have important consequences for conservation. Focusing conservation efforts on reducing or preventing fragmentation in areas with species vulnerable to fragmentation

GagCM9-Specific CD8+ T Cells Expressing Limited Public TCR Clonotypes Do Not Suppress SIV Replication In Vivo

Several lines of evidence suggest that HIV/SIV-specific CD8+ T cells play a critical role in the control of viral replication. Recently we observed high levels of viremia in Indian rhesus macaques vaccinated with a segment of SIVmac239 Gag (Gag45–269) that were subsequently infected with SIVsmE660. These seven Mamu-A*01+ animals developed CD8+ T cell responses against an immunodominant epitope in Gag, GagCM9, yet failed to control virus replication. We carried out a series of immunological and virological assays to understand why these Gag-specific CD8+ T cells could not control virus replication in vivo. GagCM9-specific CD8+ T cells from all of the animals were multifunctional and were found in the colonic mucosa. Additionally, GagCM9-specific CD8+ T cells accessed B cell follicles, the primary residence of SIV-infected cells in lymph nodes, with effector to target ratios between 20–250 GagCM9-specific CD8+ T cells per SIV-producing cell. Interestingly, vaccinated animals had few public TCR clonotypes within the GagCM9-specific CD8+ T cell population pre- and post-infection. The number of public TCR clonotypes expressed by GagCM9-specific CD8+ T cells post-infection significantly inversely correlated with chronic phase viral load. It is possible that these seven animals failed to control viral replication because of the narrow TCR repertoire expressed by the GagCM9-specific CD8+ T cell population elicited by vaccination and infection

Matrix composition mediates effects of habitat fragmentation: a modelling study

Context Habitat loss has clear negative effects on biodiversity, but whether fragmentation per se (FPS), excluding habitat loss does is debatable. A contribution to this debate may be that many fragmentation studies tend to use landscapes of fragmented focal-habitat and a single vastly different species-poor intervening land cover (the matrix). Objectives How does matrix composition influence the effect of FPS on biodiversity?. Methods Using an individual-based model to investigate the effect of different configurations of the matrix on the relationship between FPS and biodiversity of the focal-habitat. We manipulated the number and quality of land cover types in the matrix, and their similarity to the focal-habitat. Results Extremely different matrix, caused an order of magnitude stronger effect of FPS on alpha- and gamma-diversity and beta-diversity to decline. Low FPS led to high gamma-diversity. Increasing FPS caused a dramatic decline to low diversity. In contrast landscapes with a more similar matrix had lower diversity under low FPS declining little with increasing FPS. Having few matrix types caused beta-diversity to decline in general compared to landscapes with a larger numbers. Conclusions The effects of FPS on biodiversity may change depending on the number of matrix types and their similarity to the focal-habitat. We recommend that fragmentation studies should consider a greater variety of landscapes to help assess in which cases FPS does not have a negative impact and allow better predictions of the impacts of fragmentation. We show the importance of having a diversity of matrix land cover types and improving the hospitability of the matrix for species dependent on the focal-habitat