Development of Version 1 of the Australian National Aged Care Classification (AN-ACC) funding model for community transport

This report details the development of a prototype classification and funding model for community transport providers in NSW. The research was conducted by the Centre for Health Service Development, within the Australian Health Services Research Institute at the University of Wollongong, in partnershipwith and funded by Community Transport Organisation (CTO), the peak body for community transport providers in NSW. The project was commissioned by CTO in March 2022 in response to concerns from the sector around future funding stability under the payment in arrears model that has been proposed by the Australian Government in the ‘Support at Home Program’

Inventory of the Reptiles of the War in the Pacific National Historical Park, Guam

Reports were scanned in black and white at a resolution of 600 dots per inch and were converted to text using Adobe Paper Capture Plug-in.There are no native amphibians on Guam. Reptile species of offshore islets were reported in an earlier paper (Perry et al.1998). In February through April 2001 we intensively sampled the reptiles of the mainland portions of War in the Pacific National Historical Park (WAPA). Snake populations were sampled using a mark-recapture technique to estimate population size. Two trapping grids, each four ha, were placed in the Opop section of the Asan unit. Snakes were captured, marked, released, and recaptured for 33 days. Lizards in selected units were sampled using a total removal methodology. In our application of this technique, six 10 × 10 m patches of habitat were surrounded by a lizard-proof barrier (fence at ground level to contain terrestrial lizards and canopy separation to contain arboreal species), and all aboveground vegetation was minutely inspected for lizards as it was being removed. Three samples were collected in each of two types of habitat: grassland and tangantangan forest. These yielded the first absolute population density estimates for lizards in grassland habitat on Guam and on National Park Service land. Concurrently, we sampled the lizards of the same habitat types using adhesive trapping, a technique for estimating relative abundance that has been used extensively throughout the Pacific region. Adhesive trap samples can be compared to the densities discovered through absolute removals to assess the sampling biases of the more widely used but unvalidated relative-density technique. In addition, we conducted eleven spot adhesive-trapping samples of park units not otherwise sampled. Only common species were found. Brown Treesnakes were found at low to moderate densities (7-20/ha compared to our Guam average of 29/ha). The lizard spot samples and removals indicated that several species, although fairly dense, do not generally attain densities in the sampled areas as high as in comparable tangantangan habitat elsewhere on Guam. For example, the Pacific Blue-tailed Skink (Emoia caeruleocauda) averaged 1933/ha and the Curious Skink (Carlia fusca) averaged 1800/ha compared to the Guam average of 2400/ha and 6000/ha respectively for tangantangan forest. Overall, about half of all lizard individuals were skinks (lizards in the family Scincidae, primarily day-active terrestrial species); the remainder were geckos (lizards in the family Gekkonidae, primarily nocturnal species found usually in trees). Because this sampling yielded the first absolute density estimates for grassland habitat in Guam, these samples cannot be readily compared to other samples from Guam. Compared to the tangantangan habitat of WAPA, the total density of grassland lizards was less than half, with the gecko fraction accounting for most of the difference. All geckos averaged 467/ha in the grassland plot, significantly less than the 4500/ha average in tangantangan. In addition to quantifying the lizard fauna of the WAPA in unprecedented detail, and providing data on the impact of the Brown Treesnake on Guam lizards, the data obtained from this work will be utilized for comparisons with tropical lizard assemblages throughout the world, for detailed evaluation of the role of forest structure in the habitat requirements of lizards, and for validating other techniques which may be used for sampling lizards. Representative analyses along these lines are presented.This study would not have transpired without the active encouragement of Karen Gustin, superintendent of War in the Pacific National Historical Park. Local residents in the Opop area graciously allowed us to use their land; we appreciate their friendship and generosity. Perhaps most importantly, the strenuous and difficult fieldwork was handled with great cheer and aplomb by: Renee J. Rondeau, Thalia Sachtleben, Krista Noel, Jason Hackman, Fiona Qualls, Carl Qualls, and Tony Tucker. Teri Kman assisted with preparation of this report

Making Connections at the Personal & Curricular Levels

Making personal connections and building relationships. Connecting people to information at points of need is at the heart of what we do. As Health Sciences Liaison Librarians at the University of Waterloo, these Librarians will share practical approaches they have used to make connections at the personal & curricular levels in the Department of Kinesiology, and the Schools of Optometry, Pharmacy, and Public Health and Health Systems. Areas to be explored include the value of: - Making personal connections with students early in their academic career - Building meaningful and relevant relationships with researchers - Providing point of need support in the curriculum through assignment based instruction - Strategically marketing our expertise While these Liaison Librarians have their own success stories to share, they also want attendees to learn about innovative approaches taking place in the broader TUG environment. To accomplish this, there will be time for the audience to make personal connections with each other and engage in active discussion. This will provide an opportunity to learn from colleagues, gain insight into areas of interest, and ultimately leave with practical ideas that can be applied to their own liaison and outreach work at TUG libraries

Reading Makes Cents Resource Review

In today’s economy, it is more crucial than ever to focus our educational efforts on increasing financial literacy. Many young people are unskilled in managing their personal finances, yet this critical life skill will greatly affect their future economic well-being. Reading Makes Cents, developed by Penn State University, is an excellent resource to address this need. A reviewed and recommended curriculum by National 4-H, this complete, easy to use curriculum targets youth in grades 3-5 with a combination of financial literacy and reading. The curriculum explores basic money concepts such as spending, saving, and sharing money. Lessons incorporate hands-on activities and children’s literature to reinforce lesson objectives. With evaluation questions and family activities included, Reading Makes Cents is a perfect guide for educators to easily pick up and teach

Current Sheet and Reconnection Inflow-Outflow Observations During Solar Eruptions

Magnetic reconnection is widely accepted as a dominant source of energy during solar flares; however, observations of it have been indirect and/or incomplete. Using the suite of instruments available spanning wavelength space, we will provide observations and measurements of both the inputs and outputs predicted from reconnection in the form of inflows preceding outflows (i.e. supra-arcade downflows, supra-arcade downflowing loops, upflows, and disconnection events). We will also present evidence for current sheets through which reconnection is expected to occur and discuss current sheet motion during flare progression

Recruitment, growth and mortality of an Antarctic hexactinellid sponge, Anoxycalyx joubini.

Polar ecosystems are sensitive to climate forcing, and we often lack baselines to evaluate changes. Here we report a nearly 50-year study in which a sudden shift in the population dynamics of an ecologically important, structure-forming hexactinellid sponge, Anoxycalyx joubini was observed. This is the largest Antarctic sponge, with individuals growing over two meters tall. In order to investigate life history characteristics of Antarctic marine invertebrates, artificial substrata were deployed at a number of sites in the southern portion of the Ross Sea between 1967 and 1975. Over a 22-year period, no growth or settlement was recorded for A. joubini on these substrata; however, in 2004 and 2010, A. joubini was observed to have settled and grown to large sizes on some but not all artificial substrata. This single settlement and growth event correlates with a region-wide shift in phytoplankton productivity driven by the calving of a massive iceberg. We also report almost complete mortality of large sponges followed over 40 years. Given our warming global climate, similar system-wide changes are expected in the future

Design and Test of a Solid State Charged Particle Detector for Cubesat

A solid state boron- ion implanted silicon Charged Particle Detector (CPD) was designed, built, and tested as one of the payloads for a Stanford University/Lockheed Martin Cubesat (10cm cube, 1 Kg) project intended for a low earth orbit. Design drivers to be discussed will include cost, size, mass and schedule. Two detectors were utilized with shielding to allow for two separate energy ranges to be detected. Stanford Research Institute facilities were used for testing. Design considerations will be discussed relating to tuning of the electronics for various low earth orbit altitudes, along with matching voltage requirements for the electronics with a low power, 3.7 Volt spacecraft bus (1 watt). Other payloads include a developmental sun sensor and Honeywell 3 axis solid state magnetometer. Overall cubesat development will also be discussed, including structure, communications, power, and processor. Testing techniques and current results will be shown for this ongoing project

Coronary Risk Assessment by Point-Based vs. Equation-Based Framingham Models: Significant Implications for Clinical Care

US cholesterol guidelines use original and simplified versions of the Framingham model to estimate future coronary risk and thereby classify patients into risk groups with different treatment strategies. We sought to compare risk estimates and risk group classification generated by the original, complex Framingham model and the simplified, point-based version. We assessed 2,543 subjects age 20–79 from the 2001–2006 National Health and Nutrition Examination Surveys (NHANES) for whom Adult Treatment Panel III (ATP-III) guidelines recommend formal risk stratification. For each subject, we calculated the 10-year risk of major coronary events using the original and point-based Framingham models, and then compared differences in these risk estimates and whether these differences would place subjects into different ATP-III risk groups (<10% risk, 10–20% risk, or >20% risk). Using standard procedures, all analyses were adjusted for survey weights, clustering, and stratification to make our results nationally representative. Among 39 million eligible adults, the original Framingham model categorized 71% of subjects as having “moderate” risk (<10% risk of a major coronary event in the next 10 years), 22% as having “moderately high” (10–20%) risk, and 7% as having “high” (>20%) risk. Estimates of coronary risk by the original and point-based models often differed substantially. The point-based system classified 15% of adults (5.7 million) into different risk groups than the original model, with 10% (3.9 million) misclassified into higher risk groups and 5% (1.8 million) into lower risk groups, for a net impact of classifying 2.1 million adults into higher risk groups. These risk group misclassifications would impact guideline-recommended drug treatment strategies for 25–46% of affected subjects. Patterns of misclassifications varied significantly by gender, age, and underlying CHD risk. Compared to the original Framingham model, the point-based version misclassifies millions of Americans into risk groups for which guidelines recommend different treatment strategies

Comparing aging and fitness effects on brain anatomy

Recent studies suggest that cardiorespiratory fitness (CRF) mitigates the brain’s atrophy typically associated with aging, via a variety of beneficial mechanisms. One could argue that if CRF is generally counteracting the negative effects of aging, the same regions that display the greatest age-related volumetric loss should also show the largest beneficial effects of fitness. To test this hypothesis we examined structural MRI data from 54 healthy older adults (ages 55–87), to determine the overlap, across brain regions, of the profiles of age and fitness effects. Results showed that lower fitness and older age are associated with atrophy in several brain regions, replicating past studies. However, when the profiles of age and fitness effects were compared using a number of statistical approaches, the effects were not entirely overlapping. Interestingly, some of the regions that were most influenced by age were among those not influenced by fitness. Presumably, the age-related atrophy occurring in these regions is due to factors that are more impervious to the beneficial effects of fitness. Possible mechanisms supporting regional heterogeneity may include differential involvement in motor function, the presence of adult neurogenesis, and differential sensitivity to cerebrovascular, neurotrophic and metabolic factors