A Mixed-Methods Evaluation of a Community-Based Glaucoma Check Service in Hackney, London, UK.

: To evaluate the uptake, feasibility and acceptability of a general practice-based optometrist-led glaucoma check service. The service targeted people of black Caribbean and black African descent aged 40-65 years, resident in Hackney, London, United Kingdom. : The study used a mixed-method design, including analysis of service data, prospective audit of secondary care referrals patient survey, cost-consequence analysis, and interviews with staff involved in developing and implementing the service. : A total of 3040 patients were invited to undergo the free check; 595 (19.6%) booked an appointment and 461 (15.2%) attended. Overall, 31 patients (6.8%) were referred to secondary care, of whom 22 attended and were assessed for glaucoma. Four were diagnosed with glaucoma and eight with suspected glaucoma, i.e. 2.6% of patients who underwent the check. The cost per patient identified with suspected or confirmed glaucoma was £9,013. Staff who were interviewed suggested that patients who attended might be those who routinely attended optometrist appointments, however only 62.4% of survey respondents reported having had an eye examination in the previous two years, and 11.4% of women and 16.0% of men reported never having had an eye examination. : This study represents one possible configuration for a glaucoma case-finding service, and it contributes to a wider debate about whether screening, targeted or otherwise, should be offered in the UK. Our findings suggest that general practice is an acceptable setting and that such a service may reach some people not previously engaged with primary eye care services.<br/

A field and video-annotation guide for baited remote underwater stereo-video surveys of demersal fish assemblages

Researchers TL, BG, JW, NB and JM were supported by the Marine Biodiversity Hub through funding from the Australian Government's National Environmental Science Program. Data validation scripts and GlobalArchive.org were supported by the Australian Research Data Commons, the Gorgon-Barrow Island Gorgon Barrow Island Net Conservation Benefits Fund, administered by the Government of Western Australia and the BHP/UWA Biodiversity and Societal Benefits of Restricted Access Areas collaboration.1. Baited remote underwater stereo-video systems (stereo-BRUVs) are a popular tool to sample demersal fish assemblages and gather data on their relative abundance and body-size structure in a robust, cost-effective, and non-invasive manner. Given the rapid uptake of the method, subtle differences have emerged in the way stereo-BRUVs are deployed and how the resulting imagery are annotated. These disparities limit the interoperability of datasets obtained across studies, preventing broad-scale insights into the dynamics of ecological systems. 2. We provide the first globally accepted guide for using stereo-BRUVs to survey demersal fish assemblages and associated benthic habitats. 3. Information on stereo-BRUV design, camera settings, field operations, and image annotation are outlined. Additionally, we provide links to protocols for data validation, archiving, and sharing. 4. Globally, the use of stereo-BRUVs is spreading rapidly. We provide a standardised protocol that will reduce methodological variation among researchers and encourage the use of Findable, Accessible, Interoperable, and Reproducible (FAIR) workflows to increase the ability to synthesise global datasets and answer a broad suite of ecological questions.Publisher PDFPeer reviewe

An Assessment of Mobile Predator Populations along Shallow and Mesophotic Depth Gradients in the Hawaiian Archipelago.

Large-bodied coral reef roving predators (sharks, jacks, snappers) are largely considered to be depleted around human population centers. In the Hawaiian Archipelago, supporting evidence is primarily derived from underwater visual censuses in shallow waters (=30?m). However, while many roving predators are present or potentially more abundant in deeper strata (30-100?m+), distributional information remains sparse. To partially fill that knowledge gap, we conducted surveys in the remote Northwestern Hawaiian Islands (NWHI) and populated Main Hawaiian Islands (MHI) from 2012-2014 using baited remote underwater stereo-video. Surveys between 0-100?m found considerable roving predator community dissimilarities between regions, marked conspicuous changes in species abundances with increasing depth, and largely corroborated patterns documented during shallow water underwater visual censuses, with up to an order of magnitude more jacks and five times more sharks sampled in the NWHI compared to the MHI. Additionally, several species were significantly more abundant and larger in mesophotic versus shallow depths, which remains particularly suggestive of deep-water refugia effects in the MHI. Stereo-video extends the depth range of current roving predator surveys in a more robust manner than was previously available, and appears to be well-suited for large-scale roving predator work in the Hawaiian Archipelago

Phrase-final words in Greek storytelling speech: a study on the effect of a culturally-specific prosodic feature on short-term memory

Prosodic patterns of speech appear to make a critical contribution to memoryrelated processing. We considered the case of a previously unexplored prosodic feature of Greek storytelling and its effect on free recall in thirty typically developing children between the ages of 10 and 12 years, using short ecologically valid auditory stimuli. The combination of a falling pitch contour and, more notably, extensive final-syllable vowel lengthening, which gives rise to the prosodic feature in question, led to statistically significantly higher performance in comparison to neutral phrase-final prosody. Number of syllables in target words did not reveal substantial difference in performance. The current study presents a previously undocumented culturally-specific prosodic pattern and its effect on short-term memory

Calculus demonstrations using Matlab

The note discusses ways in which technology can be used in the calculus learning process. In particular, five MATLAB programs are detailed for use by instructors or students that demonstrate important concepts in introductory calculus: Newton’s method, differentiation and integration. Two of the programs are animated. The programs and the graphical user interface have been specifically designed to help the student understand the processes behind these important introductory concepts. Each program has a series of demonstrations that show unusual, difficult or important cases

Changes in the Number of Rural Bank Branches in India, 1991 to 2008

1. Underwater visual census (UVC) using SCUBA is a commonly used method for assessing reef fish communities. Evidence suggests, however, that fish avoid divers due to the sound of bubbles produced by open-circuit SCUBA, and avoidance behaviour is more pronounced as fishing pressure increases. Despite the potential for producing biased counts and conclusions, these behavioural effects have rarely been quantified, especially when assessing the effectiveness of marine protected areas (MPAs). 2. To test the magnitude of avoidance behaviour, we surveyed fish populations inside and outside two MPAs in Guam, using two diving systems: standard open-circuit (OC) SCUBA and a closed-circuit rebreather (CCR) that produces no bubbles. Data were collected using a diver-operated stereo-video system (stereo-DOV), which provided counts of relative abundance, measures of fish length and the minimum approach distance of the diver to a fish. 3. Inside MPAs, fish surveys conducted with CCR recorded similar community metrics to fish surveys conducted with conventional OC SCUBA. In contrast, outside the MPAs, the bubble-free diving system recorded 48% more species and up to 260% greater fish abundance. These differences reflected the ability of a diver wearing the silent CCR unit to sample the larger, most heavily targeted species that are shy of divers in fished areas. This difference was also large enough to change some results from ‘reject’ to ‘accept’ the null hypothesis of ‘no significant differences exist between fished and protected areas’. 4. The use of CCR for fish surveys clearly minimizes behavioural biases associated with fish avoiding open-circuit SCUBA divers. We recommend the use of this bubble-free diving system for surveys assessing reef fish populations, especially in areas where fish are heavily targeted by spearfishing. If fish behaviour is not accounted for, surveys using SCUBA could result in erroneous conclusions when comparing fished and protected areas. While the behaviour of fish towards divers is rarely mentioned in conclusions from studies using UVC, it is an important source of bias that should be acknowledged and minimized where possible

Rapid assessment of avoidable blindness in the Occupied Palestinian Territories.

BACKGROUND: There are no recent data on the prevalence and causes of blindness in the Occupied Palestinian Territories. The aim of our study was to estimate the prevalence and causes of blindness and visual impairment in the population aged 50 years and above in the Occupied Palestinian Territories using the Rapid Assessment of Avoidable Blindness (RAAB) survey method. METHODS AND FINDINGS: Clusters of 40 people who were 50 years and above were selected with probability proportionate to size using a multistage cluster random sampling method. Participants received a comprehensive ophthalmic examination in their homes, including visual acuity testing by one of three experienced ophthalmologists. The principal cause for visual loss was determined by an experienced ophthalmologist using portable diagnostic instruments. Information about previous cataract surgery, satisfaction with surgery and barriers to cataract surgery were collected. The prevalence of self-reported diabetes was also determined. The prevalence of bilateral blindness (VAor=3/60 and or=6/60 and or=6/18), 23.2% had a borderline outcome (VAor=6/60) and 22.3% had a poor outcome (VAor=50 year age group was 26.4% (95% CI: 24.9-27.9). CONCLUSIONS: The prevalence of blindness suggests that significant numbers of people in the Occupied Palestinian Territories exist who do not access eye care - predominantly women and those residing in Gaza. Programmes need to focus on maximizing the use of current services by these excluded groups

Data used in publication

Excel file with the data used for analysi