Is Accurate Understanding of Global Warming Necessary to Promote Willingness to Sacrifice?

Although not definitive, the authors\u27 study suggests potential benefits from having a general public better informed about global climate change. They find, e.g., that accurate information appears to increase willingness to accept personal sacrifice

Using Psychodynamic, Cognitive Behavioral, and Control Mastery Prototypes to Predict Change: A New Look at an Old Paradigm for Long-Term Single-Case Research

This article illustrates a method of testing models of change in individual long-term psychotherapy cases. A depressed client was treated with 208 sessions of control mastery therapy (CMT), an unmanualized approach that integrates elements of psychodynamic therapy (PDT) and cognitive behavioral therapy (CBT). Panels of experts developed prototypes of ideal PDT, CBT, and CMT process using the Psychotherapy Process Q-set (PQS; J. S. Ablon & E. E. Jones, 1999; E. E. Jones, L. A. Parke, & S. Pulos, 1992; E. E. Jones & S. M. Pulos, 1993). Independent observers rated every 4th session (N = 53) with the PQS. Using correlations between ideal and actual PQS ratings followed by paired t tests, the authors compared adherence to the CMT prototype with adherence to plausible alternative models advocated by the PDT and CBT experts. Bivariate time series analyses determined whether prototype adherence predicted an estimated index of symptom change. Results showed that the therapist\u27s behavior was most consistent with the CMT prototype and that this aspect of the CMT prototype along with particular aspects of the other prototypes influenced estimated symptom change. The results, which replicate and extend earlier findings, support the validity of this approach to studying long-term therapies but also highlight its limitations

Drivers and Seasonal Variability of Redox-Sensitive Metal Chemistry in a Shallow Subterranean Estuary

The subterranean estuary (STE) has been historically defined in terms of the mixing of saline and fresh water, in an analogy to surface estuaries. However, redox gradients are also a defining characteristic of the STE and influence its role as a source or sink for metals in the environment. Approaching the STE from a redox-focused biogeochemical perspective (e.g., considering the role of microbial respiration and availability of organic matter) provides the ability to quantify drivers of metal transport across spatial and temporal scales. This study measured the groundwater composition of a shallow STE over 2 years and used multiple linear regression to characterize the influence of salinity and redox chemistry on the behavior of redox-sensitive metals (RSMs) including Mo, U, V, and Cr. Molybdenum and uranium were both supplied to the STE by surface water, but differed in their removal mechanisms and seasonal behavior. Molybdenum showed non-conservative removal by reaction with sulfide in all seasons. Sulfide concentrations at this site were consistently higher than required for quantitative reaction with Mo (10 µM sulfide), evidently leading to quantitative removal at the same depth regardless of season. In contrast, U appeared to depend directly on microbial activity for removal, and showed more extensive removal at shallower depths in summer. Both V and Cr were elevated in meteoric groundwater (2.5–297 nM and 2.6–236 nM, respectively), with higher endmember concentrations in summer. Both V and Cr also showed non-conservative addition within the STE relative to conservative mixing among the observed endmembers. The mobility of V and Cr in the STE, and therefore their supply to the coastal ocean, was controlled by the availability of dissolved organic matter and Fe, suggesting V and Cr were potentially complexed in the colloidal fraction. Complexation by different organic matter pools led to seasonal variations in V but greater interannual variability of Cr. These results reveal distinct behaviors of RSMs in response to seasonal biogeochemical processes that drive microbial activity, organic matter composition, and complexation by inorganic species

The impact of mining and mining exploration on range resources and pastoral pursuits in the Pilbara, Gascoyne, Murchison and Goldfields regions of Western Australia

Mining activity occurs very widely over relatively small areas of the rangelands. However, it is an intense landuse which can create significant offsite effects. Mining activity is most common around metamorphic \u27greenstone\u27 belts and broad drainages. Pastoralists reported both benefits and adverse affects as a consequence of mining activity. The main grievances related to unnecessary and excessive disturbance of pastoral land and the failure of operators to inform the pastoralist of their intentions

Notes

Notes by Benedict R. Danko, Patrick F. Coughlin, William J. O\u27Connor, John E. Lindberg, Lawrence S. May, Jr., Arthur L. Beaudette, and Mark Harry Berens

The Association Between an Established Chief Experience Officer Role and Hospital Patient Experience Scores

The healthcare industry is currently reacting to multiple stakeholders demanding improvements to the patient experience. Some healthcare organizations are implementing new management structures, i.e., the role of Chief Experience Officer (CXO). This study statistically reviewed descriptors associated with hospitals that have and have not created and filled the role of CXO and, more importantly, measured the association between the CXO role and results of patients’ perceptions of their experience of care as measured by publicly reported Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) results. This study was conducted utilizing data gather on hospitals in three states, California, Florida, and New York. The results of the study yield insight into the organization characteristics of hospitals and the market factors associated with those hospitals that have filled the CXO role. Hospitals with a formal CXO role are larger, more likely to be for profit, and operate in metro areas of these states with higher per capita income. In addition, hospitals that have a formal CXO role are also more likely to have higher HCAHPS scores as determined by the patient recommendation question as well as the hospital overall rating question included in the HCAHPS survey

Age Differences in Driving-Specific Tests of Executive Function

The purpose of the present study was to examine age differences in executive function as measured by novel driving-specific tests of executive function using a novel driving simulator. Developmental changes in executive function have been implicated as possible contributing factors to elevated crash statistics for both older adult (over age 65) and adolescent (between age 15 and 20) populations, however for different reasons. Poorer older adult driving performance has been partially attributed to general age-related cognitive decline in executive function mediated by age-related frontal-lobe atrophy and neural disconnection. Immature executive function has been implicated in poorer adolescent driving performance and is thought to be expressed in situations where the developmentally high sensitivity of the socio-emotional reward system outcompetes the regulatory influence of the under developed executive system. Using a new, high fidelity, virtual reality driving simulator, we created drivingspecific tests to assess executive function. These operational tests employed driving-relevant stimuli, with driving-relevant challenges, that required drivingrelevant responses, in a driving-relevant context. Fifteen older adult and 20 adolescent drivers completed these driving-specific executive function tests. We hypothesized that poorer older adult driving performance would be reflected on these driving specific tests of executive function due to general cognitive decline and that, given the absence of social-emotional reward, adolescents would outperform older adults. Analyses of both bivariate correlations and group comparisons generally supported these predictions

Holocene Paleoflood Hydrology of the Lower Deschutes River, Oregon

Flood deposits at four sites along the lower Deschutes River, Oregon, were analyzed to determine magnitude and frequency of late Holocene flooding. Deposit stratigraphy was combined with hydraulic modeling at two sites to determine ranges of likely discharges for individual deposits. Combining these results with gaged flood data provides improved flood frequency estimates at the Axford site. The completeness and age spans of preserved flood chronologies differed among the four sites, but results were consistent for the largest floods of the last 5000 years. Single floods exceeded 2860-3800 mVs -4600 cal yr BP, 1060-1810 mVs -1300 cal yr BP, and 1210-2000 m3/s \u3c290 cal yr BP (corresponding to the historic flood of 1861). No floods have exceeded 2860-3770 mVs since the flood of -4600 cal yr BP. Incorporating these results into a flood frequency analysis based on maximum likelihood estimators gives slightly higher flood quantile estimates and narrower confidence limits compared with analysis of gage data alone. Discharge and 2(5 uncertainty for the 100-yr flood calculated using combined paleoflood and gaged records is 1120 +310/-240 mVs, compared with 930 +650/-250 m3/s from analysis of only gaged floods. This revised estimate for the 100-yr flood is slightly greater than our estimate of 1060 m3/s for the February 1996 flood at Axford, a finding consistent with historical records of two floods comparable to the 1996 flood in the last 140 years and with stratigraphic records of several like floods during the last ~1000 years

Statins and Exercise Training Response in Heart Failure Patients: Insights From HF-ACTION.

OBJECTIVES: The aim of this study was to assess for a treatment interaction between statin use and exercise training (ET) response. BACKGROUND: Recent data suggest that statins may attenuate ET response, but limited data exist in patients with heart failure (HF). METHODS: HF-ACTION (Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training) was a randomized trial of 2,331 patients with chronic HF with ejection fraction ≤35% who were randomized to usual care with or without ET. We evaluated whether there was a treatment interaction between statins and ET response for the change in quality of life and aerobic capacity (peak oxygen consumption and 6-min walk distance) from baseline to 3 months. We also assessed for a treatment interaction among atorvastatin, simvastatin, and pravastatin and change in these endpoints with ET. Multiple linear regression analyses were performed for each endpoint, adjusting for baseline covariates. RESULTS: Of 2,331 patients in the HF-ACTION trial, 1,353 (58%) were prescribed statins at baseline. Patients treated with statins were more likely to be older men with ischemic HF etiology but had similar use of renin angiotensin system blockers and beta-blockers. There was no evidence of a treatment interaction between statin use and ET on changes in quality of life or exercise capacity, nor was there evidence of differential association between statin type and ET response for these endpoints (all p values \u3e0.05). CONCLUSIONS: In a large chronic HF cohort, there was no evidence of a treatment interaction between statin use and short-term change in aerobic capacity and quality of life with ET. These findings contrast with recent reports of an attenuation in ET response with statins in a different population, highlighting the need for future prospective studies. (Exercise Training Program to Improve Clinical Outcomes in Individuals With Congestive Heart Failure; NCT00047437)