Revisiting the hypothesis of sex-biased turtle road mortality

Road mortality poses a major threat to turtle populations. Several studies have suggested that the terrestrial movements associated with nesting increase this risk for females. The Ontario Turtle Conservation Centre (OTCC) is home to the Kawartha Turtle Trauma Centre, which admits 900 or more turtles a year, with road injuries the primary cause of admission. We tested the hypothesis that road mortality in turtles is female-biased using data from injured Midland Painted Turtles (Chrysemys picta marginata), Snapping Turtles (Chelydra serpentina), Blanding’s Turtles (Emydoidea blandingii), and Northern Map Turtles (Graptemys geographica) collected over about 126 000 km2 and admitted to OTCC’s hospital from January 2013 to October 2017. There was no difference in the number of male and female admissions of Midland Painted, Blanding’s, or Snapping Turtles (P > 0.05); however, more female Northern Map Turtles than males were admitted (P < 0.001). Admission of female turtles peaked in June during the nesting season, but male admissions were more evenly distributed throughout the season. Our admissions data provide a temporally unbiased and geographically broad snapshot of turtle–vehicle interactions that can directly inform conservation and management policies. Although our data are not equivalent to mortality rates, these results demonstrate that vehicle strikes can have a substantial impact on both female and male turtles

Indian psychiatric interview schedule (IPIS)

The paper discusses the advantages of the structured interview in psychiatric research and goes on to describe the details of development of a structured interview Schedule (IPIS) suitable for an Indian setting. The Schedule is described, as well as the results of interinvestigator reliability tests. Possible uses of the instrument and the necessary further developments are outlined

Indian psychiatric survey schedule (IPSS)

The paper describes the development of Indian Psychiatric Survey Schedule (IPSS) which is designed to inquire about the presence of 124 psychiatric symptoms and 10 items of historical information in the general population. The symptoms as well as the items of historical information are the same as those in IPIS (Kapur et al., 1974) but because of a multi-stage procedure adopted with IPSS, the inquiry takes much less time than that for IPIS. - A "preliminary interview schedule" which is meant for all members of the population can be used by a nonpsychiatrist after a short period of training. The other sections in IPSS, that is "detailed inquiry with the subject", "detailed inquiry with an informant" and "observations during interview" are completed when necessary by a trained psychiatrist who also gives a physical examination when somatic symptoms are reported. - The paper describes the reasons why a multi-stage procedure was designed, a pilot study which helped reach certain decisions regarding the construction of the schedule and the results of a study carried out to test the level of agreement obtained when three non-psychiatrists (after a short period of training) and a psychiatrist used the preliminary interview schedule with 40 hospital patients and 40 members of the general population

Successful ageing in an area of deprivation: Part 1—A qualitative exploration of the role of life experiences in good health in old age

Objectives: To determine the life histories and current circumstances of healthy and unhealthy older people who share an ecology marked by relative deprivation and generally poor health. Study design: In-depth interview study with a qualitative analysis. Methods: Matched pairs of healthy and unhealthy ‘agers’ were interviewed face-to-face. Healthy ageing was assessed in terms of hospital morbidity and self-reported health. Study participants consisted of 22 pairs (44 individuals), aged 72–89 years, matched for sex, age and deprivation category, and currently resident in the West of Scotland. All study participants were survivors of the Paisley/Renfrew (MIDSPAN) survey, a longitudinal study commenced in 1972 with continuous recording of morbidity and mortality since. Detailed life histories were obtained which focused on family, residence, employment, leisure and health. This information was supplemented by more focused data on ‘critical incidents’, financial situation and position in social hierarchies. Results: Data provided rich insights into life histories and current circumstances but no differences were found between healthy and unhealthy agers. Conclusions: It is important to understand what differentiates individuals who have lived in circumstances characterized by relative deprivation and poor health, yet have aged healthily. This study collected rich and detailed qualitative data. Yet, no important differences were detected between healthy and unhealthy agers. This is an important negative result as it suggests that the phenomenon of healthy ageing and the factors that promote healthy ageing over a lifetime are so complex that they will require even more detailed studies to disentangle

The GOAL study: a prospective examination of the impact of factor V Leiden and ABO(H) blood groups on haemorrhagic and thrombotic pregnancy outcomes

Factor V Leiden (FVL) and ABO(H) blood groups are the common influences on haemostasis and retrospective studies have linked FVL with pregnancy complications. However, only one sizeable prospective examination has taken place. As a result, neither the impact of FVL in unselected subjects, any interaction with ABO(H) in pregnancy, nor the utility of screening for FVL is defined. A prospective study of 4250 unselected pregnancies was carried out. A venous thromboembolism (VTE) rate of 1·23/1000 was observed, but no significant association between FVL and pre-eclampsia, intra-uterine growth restriction or pregnancy loss was seen. No influence of FVL and/or ABO(H) on ante-natal bleeding or intra-partum or postpartum haemorrhage was observed. However, FVL was associated with birth-weights &gt;90th centile [odds ratio (OR) 1·81; 95% confidence interval (CI&lt;sub&gt;95&lt;/sub&gt;) 1·04–3·31] and neonatal death (OR 14·79; CI&lt;sub&gt;95&lt;/sub&gt; 2·71–80·74). No association with ABO(H) alone, or any interaction between ABO(H) and FVL was observed. We neither confirmed the protective effect of FVL on pregnancy-related blood loss reported in previous smaller studies, nor did we find the increased risk of some vascular complications reported in retrospective studies

Comparison and relative utility of inequality measurements: as applied to Scotland’s child dental health

This study compared and assessed the utility of tests of inequality on a series of very large population caries datasets. National cross-sectional caries datasets for Scotland’s 5-year-olds in 1993/94 (n = 5,078); 1995/96 (n = 6,240); 1997/98 (n = 6,584); 1999/00 (n = 6,781); 2002/03 (n = 9,747); 2003/04 (n = 10,956); 2005/06 (n = 10,945) and 2007/08 (n = 12,067) were obtained. Outcomes were based on the d3mft metric (i.e. the number of decayed, missing and filled teeth). An area-based deprivation category (DepCat) measured the subjects’ socioeconomic status (SES). Simple absolute and relative inequality, Odds Ratios and the Significant Caries Index (SIC) as advocated by the World Health Organization were calculated. The measures of complex inequality applied to data were: the Slope Index of Inequality (absolute) and a variety of relative inequality tests i.e. Gini coefficient; Relative Index of Inequality; concentration curve; Koolman and Doorslaer’s transformed Concentration Index; Receiver Operator Curve and Population Attributable Risk (PAR). Additional tests used were plots of SIC deciles (SIC10) and a Scottish Caries Inequality Metric (SCIM10). Over the period, mean d3mft improved from 3.1(95%CI 3.0–3.2) to 1.9(95%CI 1.8–1.9) and d3mft = 0% from 41.1(95%CI 39.8–42.3) to 58.3(95%CI 57.8–59.7). Absolute simple and complex inequality decreased. Relative simple and complex inequality remained comparatively stable. Our results support the use of the SII and RII to measure complex absolute and relative SES inequalities alongside additional tests of complex relative inequality such as PAR and Koolman and Doorslaer’s transformed CI. The latter two have clear interpretations which may influence policy makers. Specialised dental metrics (i.e. SIC, SIC10 and SCIM10) permit the exploration of other important inequalities not determined by SES, and could be applied to many other types of disease where ranking of morbidity is possible e.g. obesity. More generally, the approaches described may be applied to study patterns of health inequality affecting worldwide populations

The feasibility and acceptability of two methods ofsnack portion control in United Kingdom (UK) preschool children: reduction and replacement.

Large portions of high energy dense (HED) snacks are offered to children from a young age and are pervasive in our food environment. This study aimed to explore the feasibility, acceptability, and preliminary efficacy of two strategies of snack portion control: reduction and replacement. Forty-six mother-child dyads aged 22⁻56 months (36.6 ± 9.5 m, 48% female) completed a three-week intervention. In week 1 (baseline) no changes were made to the child's diet; week 2 (acclimation) children received a standardised selection of HED snacks, and in week 3 (intervention) participants were randomly assigned to snack replacement (n = 24) or snack reduction (n = 22). Snack replacement involved swapping HED snacks for fruits and vegetables, whilst snack reduction involved reducing the size of HED snacks by 50%. Food and energy intake were measured using a weighed food diary for four consecutive days. Snack replacement resulted in more positive changes to children's diets; vegetable intake increased (p < 0.01), and total daily energy intake decreased when compared to snack reduction (p < 0.05). Mothers expressed a more favourable attitude to snack replacement, although snack reduction was also well received by mothers. Despite increased preliminary efficacy of snack replacement on dietary intake, both strategies were feasible and acceptable. The current pilot study provides the necessary information to inform the design of future interventions

An Effective Method for InSAR Mapping of Tropical Forest Degradation in Hilly Areas

Current satellite remote sensing methods struggle to detect and map forest degradation, which is a critical issue as it is likely a major and growing source of carbon emissions and biodiveristy loss. TanDEM-X InSAR phase height (hϕ) is a promising variable for measuring forest disturbances, as it is closely related to the mean canopy height, and thus should decrease if canopy trees are removed. However, previous research has focused on relatively flat terrains, despite the fact that much of the world’s remaining tropical forests are found in hilly areas, and this inevitably introduces artifacts in sideways imaging systems. In this paper, we find a relationship between hϕ and aboveground biomass change in four selectively logged plots in a hilly region of central Gabon. We show that minimising multilooking prior to the calculation of hϕ strengthens this relationship, and that degradation estimates across steep slopes in the surrounding region are improved by selecting data from the most appropriate pass directions on a pixel-by-pixel basis. This shows that TanDEM-X InSAR can measure the magnitude of degradation, and that topographic effects can be mitigated if data from multiple SAR viewing geometries are available