Built environment assessment: Multidisciplinary perspectives.

Context:As obesity has become increasingly widespread, scientists seek better ways to assess and modify built and social environments to positively impact health. The applicable methods and concepts draw on multiple disciplines and require collaboration and cross-learning. This paper describes the results of an expert team׳s analysis of how key disciplinary perspectives contribute to environmental context-based assessment related to obesity, identifies gaps, and suggests opportunities to encourage effective advances in this arena. Evidence acquisition:A team of experts representing diverse disciplines convened in 2013 to discuss the contributions of their respective disciplines to assessing built environments relevant to obesity prevention. The disciplines include urban planning, public health nutrition, exercise science, physical activity research, public health and epidemiology, behavioral and social sciences, and economics. Each expert identified key concepts and measures from their discipline, and applications to built environment assessment and action. A selective review of published literature and internet-based information was conducted in 2013 and 2014. Evidence synthesis:The key points that are highlighted in this article were identified in 2014-2015 through discussion, debate and consensus-building among the team of experts. Results focus on the various disciplines׳ perspectives and tools, recommendations, progress and gaps. Conclusions:There has been significant progress in collaboration across key disciplines that contribute to studies of built environments and obesity, but important gaps remain. Using lessons from interprofessional education and team science, along with appreciation of and attention to other disciplines׳ contributions, can promote more effective cross-disciplinary collaboration in obesity prevention

Home Ranges of Rusty Blackbirds Breeding in Wetlands: How Much Would Buffers from Timber Harvest Protect Habitat?

We calculated the home ranges and core areas of 13 adult Rusty Blackbirds (Euphagus carolinus) in Maine to determine (1) the area requirements of breeding adults, (2) whether area requirements of the sexes and of colonial and noncolonial individuals differ, and (3) the proportion of the home range and core area that would be protected by a buffer of no logging of 50–100 m around occupied wetlands. Mean home ranges (37.5 ± 12.6 ha) and core areas (11.1 ± 2.8 ha) were large in comparison to those of other breeding icterids, and adults often foraged in multiple unconnected wetlands. Rusty Blackbirds that were part of a loose colony had home ranges and core areas three times larger than those of pairs that nested solitarily, which we speculate may be due to adults following one other to feed on unpredictable emergences of aquatic insects. Home ranges and core areas included a surprisingly small amount of wetland habitat, only 12% and 19% respectively, but adults often foraged in small wet patches (\u3c16 m2) in otherwise upland habitat. The 75-m buffers around wetlands that we recommended in a concurrent study may help protect the Rusty Blackbird\u27s nesting habitat, but such buffers contained less than half the average home range, suggesting that they may be of only limited benefit as a conservation strategy for protecting foraging habitat

Is Your Neighborhood Designed to Support Physical Activity? A Brief Streetscape Audit Tool.

INTRODUCTION:Macro level built environment factors (eg, street connectivity, walkability) are correlated with physical activity. Less studied but more modifiable microscale elements of the environment (eg, crosswalks) may also affect physical activity, but short audit measures of microscale elements are needed to promote wider use. This study evaluated the relation of a 15-item neighborhood environment audit tool with a full version of the tool to assess neighborhood design on physical activity in 4 age groups. METHODS:From the 120-item Microscale Audit of Pedestrian Streetscapes (MAPS) measure of street design, sidewalks, and street crossings, we developed the 15-item version (MAPS-Mini) on the basis of associations with physical activity and attribute modifiability. As a sample of a likely walking route, MAPS-Mini was conducted on a 0.25-mile route from participant residences toward the nearest nonresidential destination for children (n = 758), adolescents (n = 897), younger adults (n = 1,655), and older adults (n = 367). Active transportation and leisure physical activity were measured with age-appropriate surveys, and accelerometers provided objective physical activity measures. Mixed-model regressions were conducted for each MAPS item and a total environment score, adjusted for demographics, participant clustering, and macrolevel walkability. RESULTS:Total scores of MAPS-Mini and the 120-item MAPS correlated at r = .85. Total microscale environment scores were significantly related to active transportation in all age groups. Items related to active transport in 3 age groups were presence of sidewalks, curb cuts, street lights, benches, and buffer between street and sidewalk. The total score was related to leisure physical activity and accelerometer measures only in children. CONCLUSION:The MAPS-Mini environment measure is short enough to be practical for use by community groups and planning agencies and is a valid substitute for the full version that is 8 times longer

Habitat occupancy of Rusty Blackbirds (Euphagus carolinus) breeding in northern New England, USA

The Rusty Blackbird (Euphagus carolinus), an uncommon songbird often associated with northern coniferous wetlands, has experienced a precipitous population decline since at least the early 20th century. Here, we provide the first analysis of breeding-habitat occupancy at the wetland scale and make recommendations for streamlined monitoring. We modeled occupancy and detectability as a function of site (i.e. habitat-based) and sampling (i.e. visit-specific) variables collected at 546 wetlands in northern New England, USA. Wetland occupancy (mean 6 SE ¼ 0.07 6 0.02 in randomly selected wetlands, and 0.12 6 0.02 in all wetlands surveyed) was best explained by variables describing Rusty Blackbird foraging habitat (PUDDLES: a proxy for shallow water), nesting habitat (coniferous adjacent uplands), and evidence of beavers. In contrast to Rusty Blackbirds’ selection of pole-stage conifers at the nest-site scale, stand age did not affect occupancy at the wetland scale. It appears that most wetlands in northern coniferous forest landscapes, regardless of stand age, offer dense conifer patches nearby and provide suitable breeding habitat if quality foraging sites (e.g., areas of shallow water) also are available. Detectability (0.29 6 0.04) decreased with increasing wind speed, and decreased about fourfold over the course of the breeding season. Rusty Blackbirds responded to broadcast of conspecific vocalizations by flying toward the observer and perching more often than prior to broadcast, demonstrating that broadcasts can be a useful tool to enhance visual detectability. Given our results, observers can now focus site selection on wetlands and sampling conditions most likely to maximize detections of Rusty Blackbirds

Volunteer contributions in the emergency department: A scoping review

The objective of this scoping review was to identify published and unpublished reports that described volunteer programs in the emergency department (ED) and determine how these programs impacted patient experiences or outcomes. Electronic searches of Medline, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and CINAHL were conducted and reference lists were hand-searched. A grey literature search was also conducted. Two reviewers independently screened titles and abstracts, reviewed full text articles, and extracted data. The search strategy yielded 4,589 potentially relevant citations; 87 reports were included in the review. Volunteer activities were categorized as non-clinical tasks (e.g., provision of meals/snacks, comfort items and mobility assistance), navigation, emotional support/communication, and administrative duties. 52 (59.8%) programs had general volunteers in the ED and 35 (40.2%) had volunteers targeting a specific patient population, including pediatrics, geriatrics, patients with mental health and addiction issues and other vulnerable populations. 18 (20.6%) programs included an evaluative component describing how ED volunteers affected patient experiences and outcomes. Patient satisfaction, follow-up and referral rates, ED hospital costs and length of stay, subsequent ED visits, medical complications, and malnutrition in the hospital were all reported to be positively affected by volunteers in the ED. These findings demonstrate the important role volunteers play in enhancing patient and caregiver experience in the ED. Future volunteer engagement programs should be formally described and evaluated to share their success and experience with others interested in implementing similar programs in the ED. Experience Framework This article is associated with the Infrastructure & Governance lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this lens

Nest-Site Selection and Nest Survival of the Rusty Blackbird: Does Timber Management Adjacent to Wetlands Create Ecological Traps?

Animals are subject to ecological traps when anthropogenic changes create habitat that appears suitable but when selected results in decreased fitness. The Rusty Blackbird (Euphagus carolinus) breeds in boreal wetlands and has declined by 85–95% over the last half century. We studied nest-site selection and daily nest survival rate (DSR) of 43 Rusty Blackbird nests in northern New England and evaluated whether regenerating logged areas adjacent to wetlands created ecological traps. Although nesting adults avoided high-canopied forests and selected areas with dense balsam fir (Abies balasmea) 1 to 3 m high, those characteristics were not associated with DSR. Conversely, the frequency of speckled alder (Alnus incana) and sedges (Cyperaceae) in the nest plot varied with DSR, suggesting that the risk of predation of nests within wetlands was lower. DSR also varied with past logging; nests in plots not harvested recently were 2.3x more likely to fledge young than nests in plots harvested within 20 years. When logging extends to the edges of or into wetlands, the subsequent dense regenerating conifers appear to attract Rusty Blackbirds to nest closer to or within these human-altered uplands, exposing their nests to increased predation not typical of unaltered wetlands. Three surrogates for habitat preference did not differ by timber-management history, suggesting that the birds do not prefer habitats that increase their fitness. Rusty Blackbirds nesting in harvested wetlands may be subject to “equal preference” ecological traps, and we suggest that buffers 75 m wide around the perimeter of suitable wetlands should increase DSR

Associations between mothers’ perceptions of the cost of fruit and vegetables and children’s diets : Will children pay the price?

Background/Objectives: Perceptions that fruit and vegetables are expensive are more common among the socio-economically disadvantaged groups and are linked to poor dietary outcomes. Such perceptions may be exacerbated in countries recently affected by natural disasters, where devastation of fruit and vegetable crops has resulted in increase in prices of fruit and vegetables. Examining the associations of perceptions of fruit and vegetable affordability and children\u27s diets can offer insights into how the high prices of fruit and vegetables might have an impact on the diets of children.Subjects/Methods: We analysed the data from 546 socio-economically disadvantaged mother&ndash;child pairs to assess the relationship between maternal perceptions of fruit and vegetable affordability and the diets of their children.Results: Fruit consumption was lower among children whose mothers felt the cost of fruit was too high. Maternal perceptions of fruit and vegetable affordability were not associated with any other aspect of child\u27s diet.Conclusions: Our results suggest a possible role for maternal perceptions of fruit affordability in children\u27s diet, though further research is warranted.<br /

Identification of MS-specific serum miRNAs in an international multicenter study.

ObjectiveTo identify circulating microRNAs (miRNAs) linked to disease, disease stage, and disability in MS across cohorts.MethodsSamples were obtained from the Comprehensive Longitudinal Investigation of Multiple Sclerosis (CLIMB, Boston, MA), EPIC (San Francisco, CA), AMIR (Beirut, Lebanon) as part of the SUMMIT consortium, and Stockholm Prospective Assessment of Multiple Sclerosis (Stockholm, Sweden) cohorts. Serum miRNA expression was measured using locked nucleic acid-based quantitative PCR. Four groups were compared: (1) MS vs healthy control (HC), (2) relapsing-remitting (RR) vs HC, (3) secondary progressive (SP) vs HC, and (4) RR vs SP. A Wilcoxon rank-sum test was used for the comparisons. The association between each miRNA and the Expanded Disability Status Scale (EDSS) score was assessed using the Spearman correlation coefficient. For each comparison, the p values were corrected for multiple comparisons using the approach of Benjamini and Hochberg to control the false discovery rate.ResultsIn the CLIMB cohort, 5 miRNAs (hsa-miR-484, hsa-miR-140-5p, hsa-miR-320a, hsa-miR-486-5p, and hsa-miR-320c) showed a significant difference between patients with MS and healthy individuals; among these, miR-484 remained significant after accounting for multiple comparisons (p = 0.01). When comparing RRMS with HCs, hsa-miR-484 showed a significant difference (p = 0.004) between the groups after accounting for multiple group comparisons. When SP and HC were compared, 6 miRNAs (hsa-miR-484, hsa-miR-140-5p, hsa-miR-142-5p, hsa-miR-320a, hsa-miR-320b, and hsa-miR-320c) remained significantly different after accounting for multiple comparisons. Disability correlation analysis with miRNA provided 4 miRNAs (hsa-miR-320a, hsa-miR-337-3p, hsa-miR-199a-5p, and hsa-miR-142-5p) that correlated with the EDSS during the internal reproducibility phase. Among these, hsa-miR-337-3p was the most statistically significant miRNA that negatively correlated with the EDSS in three of the MS cohorts tested.ConclusionsThese findings further confirm the use of circulating serum miRNAs as biomarkers to diagnose and monitor disease status in MS.Classification of evidenceThis study provides Class III evidence that levels of circulating miRNAs identify patients with MS

Physical Activity, Sedentary Time, and Diet as Mediators of the Association Between TV Time and BMI in Youth

Bejarano, C. M., Carlson, J. A., Conway, T. L., Saelens, B. E., Glanz, K., Couch, S. C., Cain, K. L., & Sallis, J. F. , Physical Activity, Sedentary Time, and Diet as Mediators of the Association Between TV Time and BMI in Youth, American Journal of Health Promotion, 35(5), pp. 613–623. Copyright © 2021 The Author(s). DOI: 10.1177/0890117120984943.Purpose: This study examined dietary indicators, sedentary time, and physical activity as potential mediators of the association between TV time and BMIz in youth. Design: Cross-sectional study in 2 independent samples of youth. Setting: Data collection occurred by mail and telephone for adolescents and either at home or in medical settings for children. Sample: 928 youth ages 12-16 and 756 youth ages 6-12 and a parent. Measures: TV time, snacking/eating while watching TV, and a 3-day dietary recall were assessed via child/parent report. Physical activity and sedentary time were assessed by accelerometer wear. Analysis: Direct and indirect associations (through 8 diet and activity variables) of TV time with BMIz were tested in boys and girls in each sample. Results: TV time had a positive association with BMIz in 6-12 year old boys and girls. Direct associations emerged between TV time and the diet/activity variables, and between diet/activity variables and BMIz. Snacking/eating while watching TV had a significant positive association with BMIz in younger boys and mediated the association between TV time and BMIz (β = .06, p = .019; 25% attenuation). Conclusions: Snacking/eating while watching TV may be a possible reason TV time is consistently associated with obesity in youth. Targeting reductions in TV time and associated snacking could improve health impacts