51 research outputs found
Seasonal proximate composition and food source comparisons of Dolly Varden char in the Kugururok River, Alaska
Thesis (M.S.) University of Alaska Fairbanks, 1996The Kugururok River on the Noatak River System is an important spawning tributary for Dolly Varden char (Salvelinus malma), an important subsistence resource, occur bycatch in commercial fisheries, and are the basis of a sport fishery. The feeding habits and energetic condition of two spawning run patterns in the Noatak River Drainage were studied. Isotope ratio analysis revealed a predominantly marine carbon and nitrogen composition in all adult char. No internal isotopic fractionations were found either between tissues or seasons in any tissue. Proximate analysis revealed patterns of lipid and protein utilization characteristic of periodic starvation in fishes. Significant shifts of energy between key tissues were noted during the production of gonads. Data suggest that energetic minimums must be reached at sea before char can enter freshwater and successfully spawn.National Park Servic
Ocean Acidification and Alaska
This presentation outlines research questions and existing information regarding key commercial fisheries and the potential impact of ocean acidification in Alaska. Presented to the Alaska Board of Fisheries in October 2019
Statistics Clinic
Do you have elevated pvalues? Is the data analysis process getting you down? Do you experience anxiety when you need to respond to criticism of statistical methods in your manuscript? You may be suffering from Insufficient Statistical Support Syndrome (ISSS). For symptomatic relief of ISSS, come for a free consultation with JSC biostatisticians at our help desk during the poster sessions at the HRP Investigators Workshop. Get answers to common questions about sample size, missing data, multiple testing, when to trust the results of your analyses and more. Side effects may include sudden loss of statistics anxiety, improved interpretation of your data, and increased confidence in your results
Enhanced feedback interventions to promote evidence-based blood transfusion guidance and reduce unnecessary use of blood components:The AFFINITIE research programme including two cluster factorial RCTs
Background:
Blood transfusion is a common but costly treatment. Repeated national audits in the UK suggest that up to one-fifth of transfusions are unnecessary when judged against recommendations for good clinical practice. Audit and feedback seeks to improve patient care and outcomes by comparing clinical care against explicit standards. It is widely used internationally in quality improvement. Audit and feedback generally has modest but variable effects on patient care. A considerable scope exists to improve the impact that audit and feedback has, particularly through head-to-head trials comparing different ways of delivering feedback.
Objectives:
The AFFINITIE (Development & Evaluation of Audit and Feedback INterventions to Increase evidence-based Transfusion practIcE) programme aimed to design and evaluate enhanced feedback interventions, within a national blood transfusion audit programme, to promote evidence-based guidance and reduce the unnecessary use of blood components. We developed, piloted and refined two feedback interventions, âenhanced contentâ and âenhanced follow-onâ (workstream 1), evaluated the effectiveness and cost-effectiveness of the two feedback interventions compared with standard feedback practice (workstream 2), examined intervention fidelity and contextual influences (workstream 3) and developed general implementation recommendations and tools for other audit and feedback programmes (workstream 4).
Design:
Interviews, observations and documentary analysis in four purposively sampled hospitals explored contemporary practice and opportunities for strengthening feedback. We developed two interventions: âenhanced contentâ, to improve the clarity and utility of feedback reports, and âenhanced follow-onâ, to help hospital staff with action-planning (workstream 1). We conducted two linked 2âĂâ2 factorial cross-sectional cluster-randomised trials within transfusion audits for major surgery and haematological oncology, respectively (workstream 2). We randomised hospital clusters (the organisational level at which hospital transfusion teams operate) to enhanced or standard content or enhanced or standard follow-on. Outcome assessment was masked to assignment. Decision-analytic modelling evaluated the costs, benefits and cost-effectiveness of the feedback interventions in both trials from the perspective of the NHS. A parallel process evaluation used semistructured interviews, documentary analyses and web analytics to assess the fidelity of delivery, receipt and enactment and to identify contextual influences (workstream 3). We explored ways of improving the impact of national audits with their representatives (workstream 4).
Setting and participants:
All NHS hospital trusts and health boards participating in the National Comparative Audit of Blood Transfusions were invited to take part. Among 189 hospital trusts and health boards screened, 152 hospital clusters participated in the surgical audit. Among 187 hospital trusts and health boards screened, 141 hospital clusters participated in the haematology audit.
Interventions:
âEnhanced contentâ aimed to ensure that the content and format of feedback reports were consistent with behaviour change theory and evidence. âEnhanced follow-onâ comprised a web-based toolkit and telephone support to facilitate local dissemination, planning and response to feedback.
Main outcome measures:
Proportions of acceptable transfusions, based on existing evidence and guidance and algorithmically derived from national audit data.
Data sources:
Trial primary outcomes were derived from manually collected, patient-level audit data. Secondary outcomes included routinely collected data for blood transfusion.
Results:
With regard to the transfusions in the major surgery audit, 135 (89%) hospital clusters participated from 152 invited. We randomised 69 and 66 clusters to enhanced and standard content, respectively, and 68 and 67 clusters to enhanced and standard follow-on, respectively. We analysed a total of 2222 patient outcomes at 12 months in 54 and 58 (enhanced and standard content, respectively) and 54 and 58 (enhanced and standard follow-on, respectively) hospital clusters. With regard to the haematology audit, 134 hospital clusters (95%) participated from 141 invited. We randomised 66 and 68 clusters to enhanced and standard content, respectively, and 67 clusters to both enhanced and standard follow-on. We analysed a total of 3859 patient outcomes at 12 months in 61 and 61 (enhanced and standard content, respectively) and 63 and 59 (enhanced and standard follow-on) hospital clusters. We found no effect of either of the enhanced feedback interventions in either trial across all outcomes. Incremental enhanced intervention costs ranged from ÂŁ18 to ÂŁ248 per site. The enhanced feedback interventions were dominated by the standard intervention in cost-effectiveness analyses. The interventions were delivered as designed and intended, but subsequent local engagement was low. Although the enhancements were generally acceptable, doubts about the credibility of the blood transfusion audits undermined the case for change.
Limitations:
Limitations included the number of participating clusters; loss to follow-up of trial clusters, reducing statistical power and validity; incomplete audit and cost data contributing to outcome measures; participant self-selection; reporting; missing data related to additional staff activity generated in response to receiving feedback; and recall biases in the process evaluation interviews.
Conclusions:
The enhanced feedback interventions were acceptable to recipients but were more costly and no more effective than standard feedback in reducing unnecessary use of blood components, and, therefore, should not be recommended on economic grounds.
Future work:
We have demonstrated the feasibility of embedding ambitious large-scale rigorous research within national audit programmes. Further head-to-head comparisons of different feedback interventions are needed in these programmes to identify cost-effective ways of increasing the impact of the interventions
Designing high-quality implementation research: development, application, feasibility and preliminary evaluation of the implementation science research development (ImpRes) tool and guide
Background:Â Designing implementation research can be a complex and daunting task, especially for applied health researchers who have not received specialist training in implementation science. We developed the Implementation Science Research Development (ImpRes) tool and supplementary guide to address this challenge and provide researchers with a systematic approach to designing implementation research. Methods:Â A multi-method and multi-stage approach was employed. An international, multidisciplinary expert panel engaged in an iterative brainstorming and consensus-building process to generate core domains of the ImpRes tool, representing core implementation science principles and concepts that researchers should consider when designing implementation research. Simultaneously, an iterative process of reviewing the literature and expert input informed the development and content of the tool. Once consensus had been reached, specialist expert input was sought on involving and engaging patients/service users; and economic evaluation. ImpRes was then applied to 15 implementation and improvement science projects across the National Institute of Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South London, a research organisation in London, UK. Researchers who applied the ImpRes tool completed an 11-item questionnaire evaluating its structure, content and usefulness. Results:Â Consensus was reached on ten implementation science domains to be considered when designing implementation research. These include implementation theories, frameworks and models, determinants of implementation, implementation strategies, implementation outcomes and unintended consequences. Researchers who used the ImpRes tool found it useful for identifying project areas where implementation science is lacking (median 5/5, IQR 4â5) and for improving the quality of implementation research (median 4/5, IQR 4â5) and agreed that it contained the key components that should be considered when designing implementation research (median 4/5, IQR 4â4). Qualitative feedback from researchers who applied the ImpRes tool indicated that a supplementary guide was needed to facilitate use of the tool. Conclusions:Â We have developed a feasible and acceptable tool, and supplementary guide, to facilitate consideration and incorporation of core principles and concepts of implementation science in applied health implementation research. Future research is needed to establish whether application of the tool and guide has an effect on the quality of implementation research
This work was supported by The Department of the Interior Alaska Climate Adaptation Science Center, which is managed by the USGS National Climate Adaptation Science Center.
53 pages : color illustrations, color maps ; 28 cmThis report is designed as a living document to inform the community, decision makers, and academics and to serve as a learning and teaching tool. The nine key messages summarized on pages 6 and 7 are intended for use as a quick reference. Unique for this type of report, these key messages highlight actions by Juneau's civil society, including local nonprofit organizations.We thank the City and Borough of Juneau (CBJ) for its support in bringing this vital information on climate change
to the Juneau community and to others. Thanks especially to all the co-authors and other contributors. The
inclusion of such a diverse array of material, including local knowledge, was made possible by the many elders,
scientists, and local experts who contributed their time and expertise. The report is online at acrc.alaska.edu/
juneau-climate-report. It is an honor to be the lead editor and project manager for this critical effort. We have a
chance to save our world from the most extreme effects of climate change. Let us take it.
Gunalchéesh, sincerely,
James E. Powell (Jim), PhD, Alaska Coastal Rainforest Center, UASWelcome / Thomas F. Thornton -- Juneau's climate report: History and background / Bruce Botelho -- Using this report -- Acknowledgements / James E. Powell -- A regional Indigenous perspective on adaptation: The Central Council of Tlingit & Haida Indian Tribes of Alaska's Climate Change Adaptation Plan / Raymond Paddock -- Nine key messages -- What we're experiencing: Atmospheric, marine, terrestrial, and ecological effects. Climate. Setting and seasons / Tom Ainsworth -- More precipitation / Rick Thoman -- Higher temperatures / Rich Thoman -- Less snowfall / Eran Hood -- Ocean. Surface uplift and sea level rise / Eran Hood -- Extensive effects of a warming ocean / Heidi Pearson -- Increasing ocean acidification / Robert Foy -- Land. More landslides / Sonia Nagorski & Aaron Jacobs -- Mendenhall Glacier continues to retreat / Jason Amundson -- Tongass Forest impacts and carbon / Dave D'Amore -- Animals. Terrestrial vertebrates in A¿¿ak'w & T'aakÂżĆu Aani¿¿ / Richard Carstensen -- Three animals as indicators of change / Richard Carstensen -- Insects / Bob Armstrong -- What we're doing: Community response. Upgrading ifrastructure and mitigation / Katie Koester -- Upgrading utilities and other energy consumers / Alec Mesdag -- Growing demand for hydropower / Duff Mitchell -- Leading a shift in transportation / Duff Mitchell -- Maintaining mental health through community and recreation / Linda Kruger & Kevin Maier -- Food security / Darren Snyder & Jim Powell -- Large cruise ship air emissions / Jim Powell -- Tourists' views on climate change mitigation / Jim Powell -- Lowering greenhouse gas emissions / Jim Powell & Peggy Wilcox -- Residents taking action / Andy Romanoff & Jim Powell -- Summary and Recommendations -- References -- Graphics and data sources -- Appendix: Juneau nonprofit climate change organization
An immunodominant NP105-113-B*07:02 cytotoxic T cell response controls viral replication and is associated with less severe COVID-19 disease.
Funder: RCUK | Medical Research Council (MRC); doi: https://doi.org/10.13039/501100000265Funder: Chinese Academy of Medical Sciences (CAMS); doi: https://doi.org/10.13039/501100005150Funder: Wellcome Trust (Wellcome); doi: https://doi.org/10.13039/100004440NP105-113-B*07:02-specific CD8+ T cell responses are considered among the most dominant in SARS-CoV-2-infected individuals. We found strong association of this response with mild disease. Analysis of NP105-113-B*07:02-specific T cell clones and single-cell sequencing were performed concurrently, with functional avidity and antiviral efficacy assessed using an in vitro SARS-CoV-2 infection system, and were correlated with T cell receptor usage, transcriptome signature and disease severity (acute nâ=â77, convalescent nâ=â52). We demonstrated a beneficial association of NP105-113-B*07:02-specific T cells in COVID-19 disease progression, linked with expansion of T cell precursors, high functional avidity and antiviral effector function. Broad immune memory pools were narrowed postinfection but NP105-113-B*07:02-specific T cells were maintained 6âmonths after infection with preserved antiviral efficacy to the SARS-CoV-2 Victoria strain, as well as Alpha, Beta, Gamma and Delta variants. Our data show that NP105-113-B*07:02-specific T cell responses associate with mild disease and high antiviral efficacy, pointing to inclusion for future vaccine design
Juvenile Pacific herring (Clupea pallasi) feeding ecology in Prince William Sound, AK
Thesis (Ph.D.) University of Alaska Fairbanks, 2000Pacific herring (Clupea pallasi) are commercially exploited along the Asiatic and North American Pacific Ocean continental shelves. In Prince William Sound (PWS), Alaska, herring were commercially important until a year class failures in 1993. A noticeable lack of life history information on juveniles was available in PWS to use for studies addressing the failed recruitment. This study describes the seasonal herring feeding ecology in PWS nursery areas from 1996 to 1998. Zooplankton from 535 vertical tows and herring diet data from 3,282 stomach contents were collected from Eaglek, Simpson, Whale and Zaikof Bays. Zooplankton species composition was dominated by small calanoid copepods, cyclopoids, invertebrate eggs, and adult euphausiids in March prior to the spring phytoplankton bloom. Small calanoid copepods, especially Pseudocalanus spp., were dominant during the peak abundance. Oikopleurans were abundant from August to October. The zooplankton density peaked at 1,234 to 5,594 individuals m-3 between June and July 1996. Zooplankton density was significantly lower in 1997 than 1996. Seasonal density and diversity were found to vary among and within the four bays. The abundance of prey in herring diets was correlated to the timing and degree of zooplankton prey availability. Feeding was highest at 1,192 items per fish in July 1996 and decreased until winter (December to March) when the number of empty stomachs ranged from 70 to 90 %. Lower zooplankton densities in 1997 were reflected in significantly lower abundances of prey in 1997 diets. Prey selectivity was negatively correlated with zooplankton densities among months. Diel and ontogenetic feeding trends as well as differences between feeding depths were noted. Assimilation rates of smaller herring were closer to basal metabolic rates and herring less than 3 g had insufficient energy reserves to survive the winters of 1995-1996 and 1996-1997. These patterns suggest that juvenile herring are dependent on an abundance of prey to successfully feed and have enough energy reserves to overwinter. The effects of increased temperatures on zooplankton fluctuations and changes in herring condition may have had population level consequences in PWS. Successful feeding when prey abundance and composition was highly variable reveals herringâs adaptability to multiple environments
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