Assessment of Client Satisfaction in Six Urban WIC Clinics

Customer service is a measure of support and courtesy provided to individuals who patronize an organization, and is a factor vital to the success of any business. Programs that strive to meet critical needs of at risk populations, such as the Special Supplementation Nutrition Program for Women, Infants, and Children (WIC), may also benefit from assessment of client satisfaction. The purpose of the study was to examine factors related to customer satisfaction in Duval County Florida WIC clinics and identify potential barriers to participation through a two-year project initiated by the health department and the state university. The study examined appointment wait time, duration of appointment, the preferred time of day and day of the week for appointment scheduling, and customer service practices in WIC clinics from the perspective of WIC participants. Results suggest that most WIC participants served by the Duval County Health Department were satisfied; however, three areas exist for improvement. The most salient issue reported by clients was duration of appointment wait time, continued improved customer service, and to a lesser extent improvement in the physical environment. Clients provided suggestions for improvement related to each of these areas

Do South African international cricket pace bowlers have similar bowling volume and injury risk associates compared to other elite fast bowlers?

BACKGROUND While many cricket-playing nations have conducted research on bowling volume (BV) and injury risk, this relationship among international South African pace bowlers is yet to be investigated. Environmental, socio-economic, and training strategy differences warrant similar research in a South African context. The purpose of this preliminary study was to establish if South African pace bowlers have similar bowling volume and injury associates compared to other elite fast bowlers. METHODS This study was a prospective, observational, cohort study that monitored match and training BV and injuries among pace bowlers playing for the South African national team between April 2017 and April 2019. A sample of convenience that included fourteen bowlers was selected. Bowling volume was quantified as the number of deliveries bowled during training and competition. Acute-, chronic- and acute: chronic bowling volume ratios were independently modeled as association variables. RESULTS There were 39 injuries with the most being to the lumbar spine (25.64%). Moderate-to-low and a moderate-to-high acute: chronic bowling load ratios were associated with a lower risk of injury. Chronic bowling load was associated with injury (z = 2.82, p = 0.01). A low acute workload, low chronic workload, moderate-high chronic workload, and moderate-low acute: chronic ratio was also associated with an increased risk of injury. CONCLUSION These findings confirm that there appears to be a dose-response effect between training bowling volume and the likelihood of an injury occurring with a moderate-to-low and a moderate-to-high bowling volume ratio being optimal. Considering the small sample size, the findings should be interpreted with caution

Problematizing Choice: Responsible consumers and sceptical citizens

About the book: Governance, Consumers and Citizens is the first book to bring together a study of governance with consumption, examining the changing place of the consumer as citizen in recent trends in governance, the tensions between competing ideas and practices of consumerism and the active role consumers play in the construction and practice of governance. Radically pushing forward the debate on consumers and governance, this collection outlines new conceptions and posits new policy agendas. Bringing together international experts from political science, history, geography, social policy and media studies, this study shows how governance and consumption are intertwined in crucial aspects of public policy and contemporary politics

Astrometric orbits of SB9 stars

Hipparcos Intermediate Astrometric Data (IAD) have been used to derive astrometric orbital elements for spectroscopic binaries from the newly released Ninth Catalogue of Spectroscopic Binary Orbits (SB9). Among the 1374 binaries from SB9 which have an HIP entry, 282 have detectable orbital astrometric motion (at the 5% significance level). Among those, only 70 have astrometric orbital elements that are reliably determined (according to specific statistical tests discussed in the paper), and for the first time for 20 systems, representing a 10% increase relative to the 235 DMSA/O systems already present in the Hipparcos Double and Multiple Systems Annex. The detection of the astrometric orbital motion when the Hipparcos IAD are supplemented by the spectroscopic orbital elements is close to 100% for binaries with only one visible component, provided that the period is in the 50 - 1000 d range and the parallax is larger than 5 mas. This result is an interesting testbed to guide the choice of algorithms and statistical tests to be used in the search for astrometric binaries during the forthcoming ESA Gaia mission. Finally, orbital inclinations provided by the present analysis have been used to derive several astrophysical quantities. For instance, 29 among the 70 systems with reliable astrometric orbital elements involve main sequence stars for which the companion mass could be derived. Some interesting conclusions may be drawn from this new set of stellar masses, like the enigmatic nature of the companion to the Hyades F dwarf HIP 20935. This system has a mass ratio of 0.98 but the companion remains elusive.Comment: Astronomy & Astrophysics, in press (16 pages, 12 figures); also available at http://www.astro.ulb.ac.be/Html/ps.html#Astrometr

Amblyopia and quality of life: a systematic review

Background/Aims Amblyopia is a common condition which can affect up to 5% of the general population. The health-related quality of life (HRQoL) implications of amblyopia and/or its treatment have been explored in the literature. Methods A systematic literature search was undertaken (16th-30th January 2007) to identify the HRQoL implications of amblyopia and/or its treatment. Results A total of 25 papers were included in the literature review. The HRQoL implications of amblyopia related specifically to amblyopia treatment, rather than the condition itself. These included the impact upon family life; social interactions; difficulties undertaking daily activities; and feelings and behaviour. The identified studies adopted a number of methodologies. The study populations included; children with the condition; parents of children with amblyopia; and adults who had undertaken amblyopia treatment as a child. Some studies developed their own measures of HRQoL, and others determined HRQoL through proxy measures. Conclusions The reported findings of the HRQoL implications are of importance when considering the management of cases of amblyopia. Further research is required to assess the immediate and long-term effects of amblyopia and/or its treatment upon HRQoL using a more standardised approach

Where to draw the line? Using movement data to inform protected area design and conserve mobile species

Protected areas (PAs) are a cornerstone of modern conservation. For PAs that are established to conserve mobile species, it is important to cover all the key areas regularly used by these species. However, zonation and boundaries of PAs have often been established with limited knowledge of animal movements, leaving the effectiveness of some PAs doubtful. We used radio tracking data to evaluate the extent to which two coastal PAs in mainland China encompassed the full range of habitats used by migratory shorebirds during non-breeding seasons. The core zone (highest restriction on human activities) of the Yalu Jiang Estuary National Nature Reserve (Liaoning) incorporated only 22 ± 6% (n = 34) of the diurnal home range (95% kernel density) of the endangered great knots Calidris tenuirostris. In contrast, the core zone of Chongming Dongtan (Shanghai) incorporated 73 ± 24% (n = 25) of the home range of dunlins Calidris alpina. During high tide, great knots in Yalu Jiang mostly occurred in the experimental zone (least restriction on human activities) or sometimes outside the PA boundary altogether, where the birds could face substantial threats. By investigating satellite tracking records, consulting published literature, interviewing local experts and mapping habitat composition in different coastal PAs in China, we found that wet artificial supratidal habitats were frequently used by migratory shorebirds but the coverage of these habitats in coastal PAs was low. These PA boundaries and/or zonations should be revised to conserve mobile species more effectively. With the increasing number of tracking studies, analysing the spatial relationships between PAs and the movement ranges of mobile species can increasingly inform the development of a representative, comprehensive PA network

Cowries in the archaeology of West Africa: the present picture

Despite the perceived importance of cowrie shells as indicators of long-distance connections in the West African past, their distribution and consumption patterns in archaeological contexts remain surprisingly underexplored, a gap that is only partly explicable by the sparse distribution of archaeological sites within the sub-continent. General writings on the timeline of importation of cowries into West Africa often fail to take into account the latest archaeological evidence and rely instead on accounts drawn from historical or ethnographic documents. This paper is based on a first-hand assessment of over 4500 shells from 78 sites across West Africa, examining chronology, shell species and processes of modification to assess what distribution patterns can tell us about the history of importation and usage of cowries. These first-hand analyses are paralleled by a consideration of published materials. We re-examine the default assumption that two distinct routes of entry existed — one overland from North Africa before the fifteenth century, another coming into use from the time sea links were established with the East African coast and becoming predominant by the middle of the nineteenth century. We focus on the eastern part of West Africa, where the importance of imported cowries to local communities in relatively recent periods is well known and from where we have a good archaeological sample. The conclusion is that on suitably large assemblages shell size can be an indication of provenance and that, while the present archaeological picture seems largely to confirm historical sources, much of this may be due to the discrepancy in archaeological data available from the Sahara/Sahel zone compared to the more forested regions of the sub-continent. Future archaeological work will clarify this matter

Exposure to ambient particulate matter is associated with accelerated functional decline in idiopathic pulmonary fibrosis

BACKGROUND: Idiopathic pulmonary fibrosis (IPF), a progressive disease with an unknown pathogenesis, may be due in part to an abnormal response to injurious stimuli by alveolar epithelial cells. Air pollution and particulate inhalation of matter evoke a wide variety of pulmonary and systemic inflammatory diseases. We therefore hypothesized that increased average ambient particulate matter (PM) concentrations would be associated with an accelerated rate of decline in FVC in IPF. METHODS: We identified a cohort of subjects seen at a single university referral center from 2007 to 2013. Average concentrations of particulate matter < 10 and < 2.5 μg/m3 (PM10 and PM2.5, respectively) were assigned to each patient based on geocoded residential addresses. A linear multivariable mixed-effects model determined the association between the rate of decline in FVC and average PM concentration, controlling for baseline FVC at first measurement and other covariates. RESULTS: One hundred thirty-five subjects were included in the final analysis after exclusion of subjects missing repeated spirometry measurements and those for whom exposure data were not available. There was a significant association between PM10 levels and the rate of decline in FVC during the study period, with each μg/m3 increase in PM10 corresponding with an additional 46 cc/y decline in FVC (P = .008). CONCLUSIONS: Ambient air pollution, as measured by average PM10 concentration, is associated with an increase in the rate of decline of FVC in IPF, suggesting a potential mechanistic role for air pollution in the progression of disease

Genomic Signatures of Cooperation and Conflict in the Social Amoeba

Molecular evolution analyses reveal the history of social conflict Genes that mediate social conflict show signatures of frequency-dependent selection Balanced polymorphisms suggest that cheating may be stable and endemic Cooperative systems are susceptible to invasion by selfish individuals that profit from receiving the social benefits but fail to contribute. These so-called cheaters can have a fitness advantage in the laboratory, but it is unclear whether cheating provides an important selective advantage in nature. We used a population genomic approach to examine the history of genes involved in cheating behaviors in the social amoeba Dictyostelium discoideum, testing whether these genes experience rapid evolutionary change as a result of conflict over spore-stalk fate. Candidate genes and surrounding regions showed elevated polymorphism, unusual patterns of linkage disequilibrium, and lower levels of population differentiation, but they did not show greater between-species divergence. The signatures were most consistent with frequency-dependent selection acting to maintain multiple alleles, suggesting that conflict may lead to stalemate rather than an escalating arms race. Our results reveal the evolutionary dynamics of cooperation and cheating and underscore how sequence-based approaches can be used to elucidate the history of conflicts that are difficult to observe directly