Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis

Background: Although disease-specific health status measures are available for ankylosing spondylitis (AS), no instrument exists for assessing quality of life (QoL) in the condition. Objective: To produce an AS-specific QoL measure that would be relevant and acceptable to respondents, valid, and reliable. Methods: The ASQoL employs the needs-based model of QoL and was developed in parallel in the UK and the Netherlands (NL). Content was derived from interviews with patients in each country. Face and content validity were assessed through patient field test interviews (UK and NL). A postal survey in the UK produced a more efficient version of the ASQoL, which was tested for scaling properties, reliability, internal consistency, and validity in a further postal survey in each country. Results: A 41 item questionnaire was derived from interview transcripts. Field testing interviews confirmed acceptability. Rasch analysis of data from the first survey (n=121) produced a 26 item questionnaire. Rasch analysis of data from the second survey (UK: n=164; NL: n=154) showed some item misfit, but showed that items formed a hierarchical order and were stable over time. Problematic items were removed giving an 18 item scale. Both language versions had excellent internal consistency (α=0.89–0.91), test-retest reliability (r(s)=0.92 UK and r(s)=0.91 NL), and validity. Conclusions: The ASQoL provides a valuable tool for assessing the impact of interventions for AS and for evaluating models of service delivery. It is well accepted by patients, taking about four minutes to complete, and has excellent scaling and psychometric properties

Validation of Observed Bedload Transport Pathways Using Morphodynamic Modeling

Phenomena related to braiding, including local scour and fill, channel bar development, migration and avulsion, make numerical morphodynamic modeling of braided rivers challenging. This paper investigates the performance of a Delft3D model, in a 2D depth-averaged formulation, to simulate the morphodynamics of an anabranch of the Rees River (New Zealand). Model performance is evaluated using data from field surveys collected on the falling limb of a major high flow, and using several sediment transport formulas. Initial model results suggest that there is generally good agreement between observed and modeled bed levels. However, some discrepancies in the bed level estimations were noticed, leading to bed level, water depth and water velocity estimation errors

Seasonal variation of zooplankton community structure and trophic position in the Celtic Sea: a stable isotope and biovolume spectrum approach

Zooplankton on continental shelves represent an important intermediary in the transfer of energy and matter from phytoplankton to the wider ecosystem. Their taxonomic composition and trophic interactions with phytoplankton vary in space and time, and interpreting the implications of this constantly evolving landscape remains a major challenge. Here we combine plankton taxonomic data with the analysis of biovolume spectra and stable isotopes to provide insights into the trophic interactions that occur in a shelf sea ecosystem (Celtic Sea) across the spring-summer-autumn transition. Biovolume spectra captured the seasonal development of the zooplankton community well, both in terms of total biomass and trophic positioning, and matched trophic positions estimated by stable isotope analysis. In early April, large microplankton (63-200 µm) occupied higher trophic positions than mesozooplankton (>200 µm), likely reflecting the predominance of nanoplankton (2-20 µm) that were not readily available to mesozooplankton grazers. Biomass and number of trophic levels increased during the spring bloom as elevated primary production allowed for a higher abundance of predatory species. During July, the plankton assemblage occupied relatively high trophic positions, indicating important links to the microbial loop and the recycling of organic matter. The strong correlation between biomass and community trophic level across the study suggests that the Celtic Sea is a relatively enclosed and predominantly energy-limited ecosystem. The progression of the zooplankton biomass and community structure within the central shelf region was different to that at the shelf-break, potentially reflecting increased predatory control of copepods by macrozooplankton and pelagic fishes at the shelf break. We suggest that the combination of size spectra and stable isotope techniques are highly complementary and useful for interpreting the seasonal progression of trophic interactions in the plankton

A mathematical, classical stratification modeling approach to disentangling the impact of weather on infectious diseases: a case study using spatio-temporally disaggregated Campylobacter surveillance data for England and Wales

Analysis and Stochastic