Post-implementation assessment of novel rodent control devices for protection of high elevation endangered species at Hawai`i Volcanoes National Park

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.Invasive species, including rats, threaten the existence of many of Hawai`i’s native species pushing them to the brink of extinction. Hawai`i Volcanoes National Park has a long history of successfully managing ecosystems and providing rare species habitat through systematic invasive species control. Landscape level rodent control is prohibitively expensive; however, localized control has proven cost-effective while providing significant resource benefit. A trapping program using self-resetting Goodnature® A24 technology was implemented at two remote sites in Hawai`i Volcanoes National Park in an effort to protect five endangered plant species and three endangered bird species from black rat (Rattus rattus) predation. This trapping method has been successfully implemented on other islands, but implementation requirements are site specific. Techniques and maintenance schedules were investigated specifically for subalpine dry shrubland environments and also high elevation wet forest environments. Trap performance, recommended grid spacing, and a new chocolate long-life lure formula were evaluated over the course of this investigation. Apparent rodent control trends and subsequent native species responses were captured over the course of four months by conducting biweekly trap visits and analyzing motion triggered camera footage. Clear declines in rodent activity were documented at each site during the four month intensive monitoring period. At least 38 rodents were removed from the subalpine dry shrubland test site during this period, while at the high elevation wet forest site at least 102 rodents were removed. It is suspected that the number of total kills was underestimated using available monitoring techniques. Trapping activity appeared to prevent major damage to flowers and diminish damage to fruit of endangered Campanulaceae species at the forested test site, however it is unclear what effect trapping efforts had on native bird species at the subalpine shrubland site. Management recommendations differ by site. For subalpine shrubland sites, trap spacing should not exceed 100m x 100m to control M. musculus or R. rattus; tighter spacing may be necessary. In high elevation wet forests spacing traps at 50m x 50m is recommended to effectively reduce R. rattus populations. Pre-baiting traps is not advised to minimize potential damage done by rodents gnawing on depressurized traps. Concurrent trapping for feral cats and other scavengers, or strategic trapping schedules, are recommended to mitigate potential secondary predator attraction for sensitive sites such as Hawaiian petrel nesting areas. Schedule of trap maintenance should include monthly lure checks and ‘refreshment’ squeezes, regardless of site ecosystem. Scent of the lure diminishes between refreshment visits in arid environments and may be masked by algae or mold in wet environments. Use of the Goodnature® automatic lure pump should be considered to potentially alleviate this issue. In both environments standard lure bottles were found to last through the 16 week monitoring period. Lure was found to remain attractive to rodents, after refreshment squeezes as long as 36 weeks after deployment at the forested site. Trap maintenance should be scheduled to check CO2 status no later than 12 weeks after deployment, regardless of site ecosystem, to detect exhausted CO2 or malfunctioning traps, and at monthly maintenance visits if possible. Use of a surrogate pest such as a rubber rat to test fire through the trap shroud is advised to accurately simulate a strike, and ensure functionality of digital strik

Extent of implementation of Regulation Ordinance No. 2006-150: Rights of electronic cigarette users impaired by the anti-smoking ordinance, its implication to the anti-smoking campaign of Iloilo City

Abstract onlyThe use of electronic cigarette or vape is common nowadays, it has proven to be a substitute for cigarette dependence for some users. The characteristic of its use remains largely unknown. Electronic cigarettes are very popular and recent studies have shown that a certain number of smokers have quit and switched to electronic cigarettes. This could be an implication that electronic cigarettes can be successfully used for smoking cessation. This research was conducted to determine whether or not the rights of electronic cigarette users are being impaired in the implementation of the anti - smoking campaign of Iloilo City. The method used in collecting data by the researcher in this study is through a questionnaire-checklist which then distributed to thirty (30) respondents composed o f ten (10) ICAST Officers, ten (10) Electronic Cigarette Shop Owners and ten (10) Electronic Cigarette Users. Results showed that rigid implementation such as use of advertising materials, social media and other relevant means should be incorporated and further study is recommended to include a wider spectrum of factors as well as larger respondents to give the study social and educational significance.Includes bibliographical referencesJuris Docto

Smoking and health-related quality of life in English general population: Implications for economic evaluations

Copyright @ 2012 Vogl et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This article has been made available through the Brunel Open Access Publishing Fund.Background: Little is known as to how health-related quality of life (HRQoL) when measured by generic instruments such as EQ-5D differ across smokers, ex-smokers and never-smokers in the general population; whether the overall pattern of this difference remain consistent in each domain of HRQoL; and what implications this variation, if any, would have for economic evaluations of tobacco control interventions. Methods: Using the 2006 round of Health Survey for England data (n = 13,241), this paper aims to examine the impact of smoking status on health-related quality of life in English population. Depending upon the nature of the EQ-5D data (i.e. tariff or domains), linear or logistic regression models were fitted to control for biology, clinical conditions, socio-economic background and lifestyle factors that an individual may have regardless of their smoking status. Age- and gender-specific predicted values according to smoking status are offered as the potential 'utility' values to be used in future economic evaluation models. Results: The observed difference of 0.1100 in EQ-5D scores between never-smokers (0.8839) and heavy-smokers (0.7739) reduced to 0.0516 after adjusting for biological, clinical, lifestyle and socioeconomic conditions. Heavy-smokers, when compared with never-smokers, were significantly more likely to report some/severe problems in all five domains - mobility (67%), self-care (70%), usual activity (42%), pain/discomfort (46%) and anxiety/depression (86%) -. 'Utility' values by age and gender for each category of smoking are provided to be used in the future economic evaluations. Conclusion: Smoking is significantly and negatively associated with health-related quality of life in English general population and the magnitude of this association is determined by the number of cigarettes smoked. The varying degree of this association, captured through instruments such as EQ-5D, may need to be fed into the design of future economic evaluations where the intervention being evaluated affects (e.g. tobacco control) or is affected (e.g. treatment for lung cancer) by individual's (or patients') smoking status

Measuring the impact of health problems among adults with limited mobility in Thailand: further validation of the Perceived Impact of Problem Profile

This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

Constructing a Predator Exclusionary Fence to Protect Hawaiian Petrels (Pterodroma sandwichensis) at Hawai῾i Volcanoes National Park

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.Remnant nesting colonies of endangered Hawaiian Petrels, or ‘Ua’u (Pterodroma sandwichensis), on Mauna Loa, Hawai’i Island, are primarily threatened by feral cats. At Hawai῾i Volcanoes National Park, trapping success has been variable due several challenges, including the difficulty of accessing remote, subalpine (9,000’) sites. To create a core area free from cat predation, the park, with support from multiple partners, constructed a five mile barrier fence encircling 640 acres of the richest known concentration of subalpine Hawaiian Petrel nests on Mauna Loa. We report on key fence design elements, pilot studies, step by step construction details, concurrent and subsequent monitoring, and lessons learned throughout the project for the benefit of other managers considering exclusionary fencing

Portable electronic vision enhancement systems in comparison with optical magnifiers for near vision activities:an economic evaluation alongside a randomized crossover trial

Purpose: To determine the incremental cost-effectiveness of portable electronic vision enhancement system (p-EVES) devices compared with optical low vision aids (LVAs), for improving near vision visual function, quality of life and well-being of people with a visual impairment. Methods: An AB/BA randomized crossover trial design was used. Eighty-two participants completed the study. Participants were current users of optical LVAs who had not tried a p-EVES device before and had a stable visual impairment. The trial intervention was the addition of a p-EVES device to the participant's existing optical LVA(s) for 2 months, and the control intervention was optical LVA use only, for 2 months. Cost-effectiveness and cost-utility analyses were conducted from a societal perspective. Results: The mean cost of the p-EVES intervention was £448. Carer costs were £30 (4.46 hr) less for the p-EVES intervention compared with the LVA only control. The mean difference in total costs was £417. Bootstrapping gave an incremental cost-effectiveness ratio (ICER) of £736 (95% CI £481 to £1525) for a 7% improvement in near vision visual function. Cost per quality-adjusted life year (QALY) ranged from £56 991 (lower 95% CI = £19 801) to £66 490 (lower 95% CI = £23 055). Sensitivity analysis varying the commercial price of the p-EVES device reduced ICERs by up to 75%, with cost per QALYs falling below £30 000. Conclusion: Portable electronic vision enhancement system (p-EVES) devices are likely to be a cost-effective use of healthcare resources for improving near vision visual function, but this does not translate into cost-effective improvements in quality of life, capability or well-being.</p

Measuring the impact and distress of health problems from the individual's perspective: development of the Perceived Impact of Problem Profile (PIPP)

BACKGROUND: The aim of this study was to develop and conduct preliminary validation of the Perceived Impact of Problem Profile (PIPP). Based on the biopsychosocial model of health and functioning, the PIPP was intended as a generic research and clinical measurement tool to assess the impact and distress of health conditions from the individuals' perspective. The ICF classification system was used to guide the structure of the PIPP with subscales included to assess impact on self-care, mobility, participation, relationships and psychological well-being. While the ICF focuses on the classification of objective health and health related status, the PIPP broadens this focus to address the individuals' subjective experience of their health condition. METHODS: An item pool of 23 items assessing both impact and distress on five key domains was generated. These were administered to 169 adults with mobility impairment. Rasch analysis using RUMM2020 was conducted to assess the psychometric properties of each set of items. Preliminary construct validation of the PIPP was performed using the EQ5D. RESULTS: For both the Impact and Distress scales of the PIPP, the five subscales (Self-care, Mobility, Participation, Relationships, and Psychological Well-being) showed adequate psychometric properties, demonstrating fit to the Rasch model. All subscales showed adequate person separation reliability and no evidence of differential item functioning for sex, age, educational level or rural vs urban residence. Preliminary validity testing using the EQ5D items provided support for the subscales. CONCLUSION: This preliminary study, using a sample of adults with mobility impairment, provides support for the psychometric properties of the PIPP as a potential clinical and research measurement tool. The PIPP provides a brief, but comprehensive means to assess the key ICF components, focusing on the individuals' perspective of the impact and distress caused by their health condition. Further validation of its use across different health conditions and varying cultural settings is required

Rasch analysis of the Multiple Sclerosis Impact Scale (MSIS-29)

<p>Abstract</p> <p>Background</p> <p>Multiple Sclerosis (MS) is a degenerative neurological disease that causes impairments, including spasticity, pain, fatigue, and bladder dysfunction, which negatively impact on quality of life. The Multiple Sclerosis Impact Scale (MSIS-29) is a disease-specific health-related quality of life (HRQoL) instrument, developed using the patient's perspective on disease impact. It consists of two subscales assessing the physical (MSIS-29-PHYS) and psychological (MSIS-29-PSYCH) impact of MS. Although previous studies have found support for the psychometric properties of the MSIS-29 using traditional methods of scale evaluation, the scale has not been subjected to a detailed Rasch analysis. Therefore, the objective of this study was to use Rasch analysis to assess the internal validity of the scale, and its response format, item fit, targeting, internal consistency and dimensionality.</p> <p>Methods</p> <p>Ninety-two persons with definite MS residing in the community were recruited from a tertiary hospital database. Patients completed the MSIS-29 as part of a larger study. Rasch analysis was undertaken to assess the psychometric properties of the MSIS-29.</p> <p>Results</p> <p>Rasch analysis showed overall support for the psychometric properties of the two MSIS-29 subscales, however it was necessary to reduce the response format of the MSIS-29-PHYS to a 3-point response scale. Both subscales were unidimensional, had good internal consistency, and were free from item bias for sex and age. Dimensionality testing indicated it was not appropriate to combine the two subscales to form a total MSIS score.</p> <p>Conclusion</p> <p>In this first study to use Rasch analysis to fully assess the psychometric properties of the MSIS-29 support was found for the two subscales but not for the use of the total scale. Further use of Rasch analysis on the MSIS-29 in larger and broader samples is recommended to confirm these findings.</p

Measuring the impact and distress of osteoarthritis from the patients' perspective

<p>Abstract</p> <p>Background</p> <p>To assess the internal construct validity of the Perceived Impact of Problem Profile (PIPP), a patient based outcome measure based on the International Classification of Functioning, Disability and Health (ICF), which assesses impact and distress, in an osteoarthritis (OA) cohort.</p> <p>Methods</p> <p>A questionnaire comprising the 23-item PIPP, which assesses five domains (mobility, participation, self care, psychological well being and relationships), the Western Ontario McMasters University Osteoarthritis Index (WOMAC), the General Well-Being Index (GWBI), and the Hospital Anxiety and Depression Scale (HADS) was posted to people with clinician diagnosed OA. Assessment of the internal construct validity of the PIPP was undertaken using Rasch analysis performed with RUMM2020 software and concurrent validity through comparator measures.</p> <p>Results</p> <p>Two hundred and fifty-nine participants with OA responded. Analysis of the five individual domains of the PIPP indicated that there was good fit to the Rasch model, with high person separation reliability. One item required removal from the Mobility subscale and the Participation subscale. There were strong correlations between the PIPP Mobility scores and the WOMAC disability and pain subscales (rho = .73 and rho = .68), and between the PIPP Psychological well-being and HADS Depression (rho = .71) and GWBI (rho = -.69). High inter-correlations between the impact and distress subscales for each domain (range rho = .85 to .96), suggested redundancy of the latter.</p> <p>Conclusion</p> <p>This study demonstrates that the PIPP has good psychometric properties in an OA population. The PIPP, using just the impact subscales, provides a brief, reliable and valid means of assessing the impact of OA from the individual's perspective and operationalizing the bio-psychosocial model by the application of a single multi-domain questionnaire.</p

The Role Of Condition-Specific Preference-Based Measures In Health Technology Assessment

A condition-specific preference-based measure (CSPBM) is a measure of health related quality of life (HRQoL) that is specific to a certain condition or disease and that can be used to obtain the quality adjustment weight of the quality adjusted life year (QALY) for use in economic models. This article provides an overview of the role of CSPBMs, the development of CSPBMs, and presents a description of existing CSPBMs in the literature. The article also provides an overview of the psychometric properties of CSPBMs in comparison to generic preference-based measures (generic PBMs), and considers the advantages and disadvantages of CSPBMs in comparison to generic PBMs. CSPBMs typically include dimensions that are important for that condition but may not be important across all patient groups. There are a large number of CSPBMs across a wide range of conditions, and these vary from covering a wide range of dimensions to more symptomatic or uni-dimensional measures. Psychometric evidence is limited but suggests that CSPBMs offer an advantage in more accurate measurement of milder health states. The mean change and standard deviation can differ for CSPBMs and generic PBMs, and this may impact on incremental cost-effectiveness ratios. CSPBMs have a useful role in HTA where a generic PBM is not appropriate, sensitive or responsive. However due to issues of comparability across different patient groups and interventions, their usage in health technology assessment is often limited to conditions where it is inappropriate to use a generic PBM or sensitivity analyses