13 research outputs found

    Migrations and winter quarters of five common terns tracked using geolocators

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    Ten geolocators (light-level data loggers) were attached to Common Terns (Sterna hirundo) at a breeding site in the northeastern USA in 2007 and 2008; six were retrieved (five with useful data) in 2008 and 2009. The birds wintered in four discrete areas on the north and east coasts of South America, from Guyana (6–7°N) to northeastern Argentina (36–42°S); three remained within restricted areas for most or all of the winter, whereas two ranged more widely. They left the breeding area at various dates between 1 August and 14 September; three migrated directly from the breeding area while two first moved southwest to stage near Cape Hatteras. All five birds flew directly to the vicinity of Puerto Rico, then moved along the north and east coasts of South America, staging at scattered locations for periods of 3–11 d, before reaching their winter quarters at various dates from 6 September to 26 October. Two birds left their winter quarters on 2 March and 4 April, staged in northern Brazil for 47 and 6 d, then traveled via the Bahamas to reach the breeding site on 1 May. During breeding and post-breeding periods, the birds spent a mean of 7 min each day and virtually no time at night resting on the water, but during the rest of the year they often rested on the water for up to 6 h by day and up to 11 h at night. Leg-mounted geolocators caused several adverse effects but did not reduce survival

    A cardiovascular extension of the Health Measurement Questionnaire

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    OBJECTIVE: To investigate the psychometric properties of a cardiovascular extension of an existing utility-based quality of life questionnaire (Health Measurement Questionnaire). The new instrument has been named the Utility Based Quality of life--Heart questionnaire, or UBQ-H. DESIGN: Explored the test-retest reliability, construct validity, and responsiveness of the UBQ-H. PATIENTS: A sample of 322 patients attending cardiac outpatient clinics were recruited from two large metropolitan teaching hospitals. A second sample of 1112 patients taking part in the LIPID trial was also used to investigate the validity and responsiveness of the UBQ-H. RESULTS: Ninety per cent of all UBQ-H questionnaires were returned, and item completion rates were high (median of less than 1% missing or N/A answers). Cronbach's alpha measure of internal consistency for the scales ranged between 0.79- 0.91, and each item was also most strongly correlated with its hypothesised domain than alternative domains. The intra-class test- retest reliability of the UBQ-H scales ranged from 0.65 to 0.81 for patients with stable health. Results supported the construct validity of the UBQ-H. The UBQ-H was significantly correlated with other information on quality of life (for example, General Health Questionnaire) as anticipated. The instrument was able to distinguish between contrasted groups of patients (for example, with versus without symptoms of dyspnoea, prior myocardial infarction versus none, etc), and was responsive to changes in health associated with adverse events requiring hospitalisation. CONCLUSIONS: The modifications made to the Health Measurement Questionnaire has resulted in an assessment designed for cardiovascular patients that has proved to be both reliable and valid.

    Exploring health preferences in sociodemographic and health related groups through the paired comparison of the items of the Nottingham Health Profile

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    BACKGROUND—Preference weighted measures of health related quality of life are necessary for cost effectiveness calculations involving quality of life adjustment. There are conflicting data about the influence of factors such as sociodemographic and health related variables on health preferences.
STUDY OBJECTIVE—The relative values attached to the items of the Spanish version of the Nottingham Health Profile (NHP) were assessed to make comparisons across social and health subgroups.
DESIGN AND PARTICIPANTS—Preference values were obtained in sets of 250 to 253 persons (total n=1258) using the method of paired comparisons after all possible pairs of NHP items had been presented to respondents for judgement of severity. χ(2) Tests and Spearman's correlations among item ranks were calculated.
MAIN RESULTS—Findings show that preferences elicited with the method of paired comparisons are consistent and independent of the sample from which they are obtained (mean correlation coefficients across subgroups range from 0.87 to 0.96). Conclusion—The evaluation of health did not seem to be related to sociodemographic variables (gender, age, social class) or to the health status of the respondents, suggesting that health preferences are stable across different populations.


Keywords: health preferences; Nottingham Health Profile; psychometric
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