Addressing health literacy in patient decision aids

MethodsWe reviewed literature for evidence relevant to these two aims. When high-quality systematic reviews existed, we summarized their evidence. When reviews were unavailable, we conducted our own systematic reviews.ResultsAim 1: In an existing systematic review of PtDA trials, lower health literacy was associated with lower patient health knowledge (14 of 16 eligible studies). Fourteen studies reported practical design strategies to improve knowledge for lower health literacy patients. In our own systematic review, no studies reported on values clarity per se, but in 2 lower health literacy was related to higher decisional uncertainty and regret. Lower health literacy was associated with less desire for involvement in 3 studies, less question-asking in 2, and less patient-centered communication in 4 studies; its effects on other measures of patient involvement were mixed. Only one study assessed the effects of a health literacy intervention on outcomes; it showed that using video to improve the salience of health states reduced decisional uncertainty. Aim 2: In our review of 97 trials, only 3 PtDAs overtly addressed the needs of lower health literacy users. In 90% of trials, user health literacy and readability of the PtDA were not reported. However, increases in knowledge and informed choice were reported in those studies in which health literacy needs were addressed.ConclusionLower health literacy affects key decision-making outcomes, but few existing PtDAs have addressed the needs of lower health literacy users. The specific effects of PtDAs designed to mitigate the influence of low health literacy are unknown. More attention to the needs of patients with lower health literacy is indicated, to ensure that PtDAs are appropriate for lower as well as higher health literacy patients

Assessment of post-wildfire erosion risk and effects on water quality in south-western Australia

Investigations of wildfire impact on water resources have escalated globally over the last decade owing to an awareness of climate-related vulnerabilities. Within Australia, research into post-wildfire erosion has focused on water supply catchments in the south-eastern region. Here, we examine post-wildfire erosion risk and its potential for water quality impacts in a catchment in south-western Australia. The catchment of the Harvey River, which drains from forested escarpments onto an agricultural coastal plain and into valuable coastal wetlands, was burnt by wildfire in 2016. The aims of this study were to determine erosion risk across contrasting landforms and variable fire severity, using the Revised Universal Soil Loss Equation (RUSLE), and to determine whether post-fire water quality impacts could be detected at permanent river monitoring stations located on the coastal plain. RUSLE outputs showed erosion hot-spots at intersections of steep terrain and high fire severity and that these areas were confined to forested headwaters and coastal dunes. Monthly water quality data showed conspicuous seasonal patterns, but that sampling frequency was temporally too coarse to pick up predicted event-related effects, particularly given that the pre-existing monitoring sites were distal to the predicted zone of contamination. © IAWF 2020 Open Access

Parity-violating Electron Deuteron Scattering and the Proton's Neutral Weak Axial Vector Form Factor

We report on a new measurement of the parity-violating asymmetry in quasielastic electron scattering from the deuteron at backward angles at Q2= 0.038 (GeV/c)2. This quantity provides a determination of the neutral weak axial vector form factor of the nucleon, which can potentially receive large electroweak corrections. The measured asymmetry A=-3.51 +/- 0.57(stat) +/- 0.58(sys)ppm is consistent with theoretical predictions. We also report on updated results of the previous experiment at Q2=0.091 (GeV/c)2, which are also consistent with theoretical predictions.Comment: 4 pages, 2 figures, submitted to Phys. Rev. Let

Species trait selection along a prescribed fire chronosequence

1. Fire is a widespread management practice used in the maintenance of European heathland. Frequent prescribed burns in small patches have been shown to benefit carabid communities; however, how fire favours specific life-history traits is poorly understood. 2. In this study, we identify characteristic species of the successional stages within heathlands, and find the traits which are characteristic of species in burnt areas versus areas dominated by older heath stands. 3. We identify 10 species as indicator species for heathland in the pioneer stage (0–5 years old); Amara lunicollis, Bembidion lampros, Calathus fuscipes, Carabus problematicus, Cicindela campestris, Nebria salina, Notiophilus aquaticus, Poecilus cupreus, P. lepidus and P. versicolor. Dyschirius globosus is identified as an indicator for the building stage (6–14 years old), and Carabus violaceus as an indicator for the mature stage (15–25 years old). 4. Moisture preference and diet are identified as traits that determine species response to prescribed fire. Collembolan specialists and species with no moisture preference are shown to be most abundant in burnt patches, whereas generalist predators and species with a high moisture preference are less tolerant of fire. 5. Knowledge of species sorting along a prescribed fire gradient can provide valuable information for heathland conservation.publishedVersio

Improved constraints on the expansion rate of the Universe up to z~1.1 from the spectroscopic evolution of cosmic chronometers

We present new improved constraints on the Hubble parameter H(z) in the redshift range 0.15 < z < 1.1, obtained from the differential spectroscopic evolution of early-type galaxies as a function of redshift. We extract a large sample of early-type galaxies (\sim11000) from several spectroscopic surveys, spanning almost 8 billion years of cosmic lookback time (0.15 < z < 1.42). We select the most massive, red elliptical galaxies, passively evolving and without signature of ongoing star formation. Those galaxies can be used as standard cosmic chronometers, as firstly proposed by Jimenez & Loeb (2002), whose differential age evolution as a function of cosmic time directly probes H(z). We analyze the 4000 {\AA} break (D4000) as a function of redshift, use stellar population synthesis models to theoretically calibrate the dependence of the differential age evolution on the differential D4000, and estimate the Hubble parameter taking into account both statistical and systematical errors. We provide 8 new measurements of H(z) (see Tab. 4), and determine its change in H(z) to a precision of 5-12% mapping homogeneously the redshift range up to z \sim 1.1; for the first time, we place a constraint on H(z) at z \neq 0 with a precision comparable with the one achieved for the Hubble constant (about 5-6% at z \sim 0.2), and covered a redshift range (0.5 < z < 0.8) which is crucial to distinguish many different quintessence cosmologies. These measurements have been tested to best match a \Lambda CDM model, clearly providing a statistically robust indication that the Universe is undergoing an accelerated expansion. This method shows the potentiality to open a new avenue in constrain a variety of alternative cosmologies, especially when future surveys (e.g. Euclid) will open the possibility to extend it up to z \sim 2.Comment: 34 pages, 15 figures, 6 tables, published in JCAP. It is a companion to Moresco et al. (2012b, http://arxiv.org/abs/1201.6658) and Jimenez et al. (2012, http://arxiv.org/abs/1201.3608). The H(z) data can be downloaded at http://www.physics-astronomy.unibo.it/en/research/areas/astrophysics/cosmology-with-cosmic-chronometer

H-ATLAS/GAMA: magnification bias tomography. Astrophysical constraints above ~1 arcmin

An unambiguous manifestation of the magnification bias is the cross-correlation between two source samples with non-overlapping redshift distributions. In this work we measure and study the cross-correlation signal between a foreground sample of GAMA galaxies with spectroscopic redshifts in the range 0.2<z<0.8, and a background sample of H-ATLAS galaxies with photometric redshifts gsim1.2. It constitutes a substantial improvement over the cross-correlation measurements made by Gonzalez-Nuevo et al. (2014) with updated catalogues and wider area (with S/Ngsim 5 below 10 arcmin and reaching S/N~ 20 below 30 arcsec). The better statistics allow us to split the sample in different redshift bins and to perform a tomographic analysis (with S/Ngsim 3 below 10 arcmin and reaching S/N~ 15 below 30 arcsec). Moreover, we implement a halo model to extract astrophysical information about the background galaxies and the deflectors that are producing the lensing link between the foreground (lenses) and background (sources) samples. In the case of the sources, we find typical mass values in agreement with previous studies: a minimum halo mass to host a central galaxy, Mmin~ 1012.26 M⊙, and a pivot halo mass to have at least one sub-halo satellite, M1~ 1012.84 M⊙. However, the lenses are massive galaxies or even galaxy groups/clusters, with minimum mass of Mminlens~ 1013.06 M⊙. Above a mass of M1lens~ 1014.57 M⊙ they contain at least one additional satellite galaxy which contributes to the lensing effect. The tomographic analysis shows that, while M1lens is almost redshift independent, there is a clear evolution of increase Mminlens with redshift in agreement with theoretical estimations. Finally, the halo modeling allows us to identify a strong lensing contribution to the cross-correlation for angular scales below 30 arcsec. This interpretation is supported by the results of basic but effective simulations

Effects of sleep deprivation on neural functioning: an integrative review

Sleep deprivation has a broad variety of effects on human performance and neural functioning that manifest themselves at different levels of description. On a macroscopic level, sleep deprivation mainly affects executive functions, especially in novel tasks. Macroscopic and mesoscopic effects of sleep deprivation on brain activity include reduced cortical responsiveness to incoming stimuli, reflecting reduced attention. On a microscopic level, sleep deprivation is associated with increased levels of adenosine, a neuromodulator that has a general inhibitory effect on neural activity. The inhibition of cholinergic nuclei appears particularly relevant, as the associated decrease in cortical acetylcholine seems to cause effects of sleep deprivation on macroscopic brain activity. In general, however, the relationships between the neural effects of sleep deprivation across observation scales are poorly understood and uncovering these relationships should be a primary target in future research