Effect of Carelink, an Internet-Based Insulin Pump Monitoring System, on Glycemic Control in Children with Type 1 Diabetes Mellitus

Objective : To determine whether use of the internet-based Carelink system improved glycemic control in children on insulin pump therapy. Research Design and Methods - We reviewed records of 146 children treated with insulin pump therapy between the years 2004-2007, and compared glycemic control and diabetes self-care measures associated with Carelink use. Forty percent of the patients resided one hour or more from our clinic. Results: Patients who used the Carelink software and website showed significant improvement in HbA1c levels following use (8.0 ± 0.1 (SE) vs 7.7 ± 0.1 (SE), p=0.002). They uploaded data from their pump and glucometer 2.2 ± 1.8 times per month over 0.8 ± 0.4 (SD) years. Patients who had no access to Carelink software and were followed in a conventional manner showed no change in HbA1c ( 8.0 ± 0.1 (SE) vs 8.1 ± 0.1 (SE), p=0.27) during the study period. These patients did not differ significantly from Carelink users in diabetes self care behaviors. Patients who had Carelink access but did not use it had a higher HbA1c level at the onset and did not change over the study period (HbA1c 8.9 ± 0.2 (SE) vs 8.9 ± 0.3 (SE), p=0.76). These patients differed significantly from Carelink users in self-care behaviors, but not in the frequency of blood glucose monitoring. Patients in a rural location benefited equally as compared to patients who lived within one hour of our clinic. Conclusions: The Carelink software program is a powerful tool that can be used by diabetes care providers and parents to manage insulin pump therapy in children and to improve glycemic control, especially in states with a large rural population

Threatened and Invasive Reptiles Are Not Two Sides of the Same Coin

The ‘two sides of the same coin’ hypothesis posits that biological traits that predispose species to extinction and invasion lie on opposite ends of a continuum. Conversely, anthropogenic factors may have similar effects on extinction and invasion risk. We test these two hypotheses using data on more than 1000 reptile species

Introduction effort, climate matching and species traits as predictors of global establishment success in non-native reptiles

Non-native reptiles are often detrimental to native communities and ecosystems and can be extremely difficult to manage once established. Thus, there is considerable interest in predicting the likelihood of establishment of nonnative reptiles. We assessed three hypotheses describing possible factors contributing to the successful establishment of introduced reptiles in an effort to better identify potential invaders

When and Why Do Controllers Mark Flight Progress Strips? a Look at Live Traffic

Subject matter experts were employed to record observations of flight progress strip marking across 5 en route ATC facilities. Approximately 220 hours of ATC observations were recorded establishing a group of high frequency/high importance markings. These markings were perceived by controllers to provide performance benefits through externalizing memory and communication. The results are discussed in relation to possible electronic alternatives to flight progress strips.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline

Citizen science and online data: Opportunities and challenges for snake ecology and action against snakebite

The secretive behavior and life history of snakes makes studying their biology, distribution, and the epidemiology of venomous snakebite challenging. One of the most useful, most versatile, and easiest to collect types of biological data are photographs, particularly those that are connected with geographic location and date-time metadata. Photos verify occurrence records, provide data on phenotypes and ecology, and are often used to illustrate new species descriptions, field guides and identification keys, as well as in training humans and computer vision algorithms to identify snakes. We scoured eleven online and two offline sources of snake photos in an attempt to collect as many photos of as many snake species as possible, and attempt to explain some of the inter-species variation in photograph quantity among global regions and taxonomic groups, and with regard to medical importance, human population density, and range size. We collected a total of 725,565 photos—between 1 and 48,696 photos of 3098 of the world's 3879 snake species (79.9%), leaving 781 “most wanted” species with no photos (20.1% of all currently-described species as of the December 2020 release of The Reptile Database). We provide a list of most wanted species sortable by family, continent, authority, and medical importance, and encourage snake photographers worldwide to submit photos and associated metadata, particularly of “missing” species, to the most permanent and useful online archives: The Reptile Database, iNaturalist, and HerpMapper.ISSN:2590-171

Human Factors as both the Embodiment of and Potential Solution to a Broken System of Science

The objective of this panel was to discuss issues critical to the modern practice of science, with a specific focus on how we train students to operate within a system that often slows scientific innovation. Chris Brill provided opening remarks to frame the discussion and introduce the panelists. Ben Lawson briefly summarized the most significant problems affecting modern science and how they limit discovery, stifle innovation, and reduce quality. The remaining panelists then provided brief opening remarks in response to Lawson\u27s summary. Specifically, Frank Durso addressed how the current research and funding environments affects student training and career advice. Peter Hancock addressed how risk-averse sponsors and business models prohibit innovative research. Scott Shappell discussed how different Human Factors and Ergonomics (heretofore referenced as HF/E) career paths lead people to and from their roles as scientists. Specifically, he discussed how to prepare students for flexibility in the changing landscape of the business of science. The panel then turned to facilitated discussion with panelists and audience members. Specific themes included the business of science in relation to educational practices, the applied nature of HF/E training within the scientist/practitioner model, and implications of short-term funding schedules on education and research practices. The panel concluded by discussing how HF/E scientists/practitioners may be uniquely qualified to offer potential solutions to the above problems from educational and systemic perspectives

Human Factors As Both The Embodiment Of And Potential Solution To A Broken System Of Science

The objective of this panel was to discuss issues critical to the modern practice of science, with a specific focus on how we train students to operate within a system that often slows scientific innovation. Chris Brill provided opening remarks to frame the discussion and introduce the panelists. Ben Lawson briefly summarized the most significant problems affecting modern science and how they limit discovery, stifle innovation, and reduce quality. The remaining panelists then provided brief opening remarks in response to Lawson\u27s summary. Specifically, Frank Durso addressed how the current research and funding environments affects student training and career advice. Peter Hancock addressed how risk-averse sponsors and business models prohibit innovative research. Scott Shappell discussed how different Human Factors and Ergonomics (heretofore referenced as HF/E) career paths lead people to and from their roles as scientists. Specifically, he discussed how to prepare students for flexibility in the changing landscape of the business of science. The panel then turned to facilitated discussion with panelists and audience members. Specific themes included the business of science in relation to educational practices, the applied nature of HF/E training within the scientist/practitioner model, and implications of short-term funding schedules on education and research practices. The panel concluded by discussing how HF/E scientists/practitioners may be uniquely qualified to offer potential solutions to the above problems from educational and systemic perspectives