An observational study showed that explaining randomization using gambling-related metaphors and computer-agency descriptions impeded randomized clinical trial recruitment

Objectives To explore how the concept of randomization is described by clinicians and understood by patients in randomized controlled trials (RCTs) and how it contributes to patient understanding and recruitment. Study Design and Setting Qualitative analysis of 73 audio recordings of recruitment consultations from five, multicenter, UK-based RCTs with identified or anticipated recruitment difficulties. Results One in 10 appointments did not include any mention of randomization. Most included a description of the method or process of allocation. Descriptions often made reference to gambling-related metaphors or similes, or referred to allocation by a computer. Where reference was made to a computer, some patients assumed that they would receive the treatment that was “best for them”. Descriptions of the rationale for randomization were rarely present and often only came about as a consequence of patients questioning the reason for a random allocation. Conclusions The methods and processes of randomization were usually described by recruiters, but often without clarity, which could lead to patient misunderstanding. The rationale for randomization was rarely mentioned. Recruiters should avoid problematic gambling metaphors and illusions of agency in their explanations and instead focus on clearer descriptions of the rationale and method of randomization to ensure patients are better informed about randomization and RCT participation

Coastal Ecosystem Investigations with LiDAR (Light Detection and Ranging) and Bottom Reflectance: Lake Superior Reef Threatened by Migrating Tailings

Where light penetration is excellent, the combination of LiDAR (Light Detection And Ranging) and passive bottom reflectance (multispectral, hyperspectral) greatly aids environmental studies. Over a century ago, two stamp mills (Mohawk and Wolverine) released 22.7 million metric tons of copper-rich tailings into Grand Traverse Bay (Lake Superior). The tailings are crushed basalt, with low albedo and spectral signatures different from natural bedrock (Jacobsville Sandstone) and bedrock-derived quartz sands. Multiple Lidar (CHARTS and CZMIL) over-flights between 2008–2016—complemented by ground-truth (Ponar sediment sampling, ROV photography) and passive bottom reflectance studies (3-band NAIP; 13-band Sentinal-2 orbital satellite; 48 and 288-band CASI)—clarified shoreline and underwater details of tailings migrations. Underwater, the tailings are moving onto Buffalo Reef, a major breeding site important for commercial and recreational lake trout and lake whitefish production (32% of the commercial catch in Keweenaw Bay, 22% in southern Lake Superior). If nothing is done, LiDAR-assisted hydrodynamic modeling predicts 60% tailings cover of Buffalo Reef within 10 years. Bottom reflectance studies confirmed stamp sand encroachment into cobble beds in shallow (0-5m) water but had difficulties in deeper waters (>8 m). Two substrate end-members (sand particles) showed extensive mixing but were handled by CASI hyperspectral imaging. Bottom reflectance studies suggested 25-35% tailings cover of Buffalo Reef, comparable to estimates from independent counts of mixed sand particles (ca. 35% cover of Buffalo Reef by >20% stamp sand mixtures)

The Effect of Information Technology Steering Committees on Perceived IT Management Sophistication in Hotels

The purpose of this study is to explore the impact of information technology (IT) steering committees on perceived IT management sophistication in hotels. MANOVA was used to test if there was a significant difference in the levels of IT management sophistication between hotels that have an IT steering committee than in hotel companies that do not have such committee. Results indicated that the hotels that have an IT steering committee have a higher level of IT planning, culture, integration, control, and organization sophistication. Such committees are of strategic importance to the overall success of the hotel in achieving not only its IT strategic objectives, but also gaining an edge over its counterparts in terms of the potential to maximize its return on the investment in technology. This is the first study of effects of IT steering committees on IT management sophistication in the hotel industry