13 research outputs found

    Assessing the pre-implementation context for financial navigation in rural and non-rural oncology clinics

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    BackgroundFinancial navigation (FN) is an evidence-based intervention designed to address financial toxicity for cancer patients. FN's success depends on organizations' readiness to implement and other factors that may hinder or support implementation. Tailored implementation strategies can support practice change but must be matched to the implementation context. We assessed perceptions of readiness and perceived barriers and facilitators to successful implementation among staff at nine cancer care organizations (5 rural, 4 non-rural) recruited to participate in the scale-up of a FN intervention. To understand differences in the pre-implementation context and inform modifications to implementation strategies, we compared findings between rural and non-rural organizations.MethodsWe conducted surveys (n = 78) and in-depth interviews (n = 73) with staff at each organization. We assessed perceptions of readiness using the Organizational Readiness for Implementing Change (ORIC) scale. In-depth interviews elicited perceived barriers and facilitators to implementing FN in each context. We used descriptive statistics to analyze ORIC results and deductive thematic analysis, employing a codebook guided by the Consolidated Framework for Implementation Research (CFIR), to synthesize themes in barriers and facilitators across sites, and by rurality.ResultsResults from the ORIC scale indicated strong perceptions of organizational readiness across all sites. Staff from rural areas reported greater confidence in their ability to manage the politics of change (87% rural, 76% non-rural) and in their organization's ability to support staff adjusting to the change (96% rural, 75% non-rural). Staff at both rural and non-rural sites highlighted factors reflective of the Intervention Characteristics (relative advantage) and Implementation Climate (compatibility and tension for change) domains as facilitators. Although few barriers to implementation were reported, differences arose between rural and non-rural sites in these perceived barriers, with non-rural staff more often raising concerns about resistance to change and compatibility with existing work processes and rural staff more often raising concerns about competing time demands and limited resources.ConclusionsStaff across both rural and non-rural settings identified few, but different, barriers to implementing a novel FN intervention that they perceived as important and responsive to patients' needs. These findings can inform how strategies are tailored to support FN in diverse oncology practices

    Search for eccentric black hole coalescences during the third observing run of LIGO and Virgo

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    Despite the growing number of confident binary black hole coalescences observed through gravitational waves so far, the astrophysical origin of these binaries remains uncertain. Orbital eccentricity is one of the clearest tracers of binary formation channels. Identifying binary eccentricity, however, remains challenging due to the limited availability of gravitational waveforms that include effects of eccentricity. Here, we present observational results for a waveform-independent search sensitive to eccentric black hole coalescences, covering the third observing run (O3) of the LIGO and Virgo detectors. We identified no new high-significance candidates beyond those that were already identified with searches focusing on quasi-circular binaries. We determine the sensitivity of our search to high-mass (total mass M>70 M⊙) binaries covering eccentricities up to 0.3 at 15 Hz orbital frequency, and use this to compare model predictions to search results. Assuming all detections are indeed quasi-circular, for our fiducial population model, we place an upper limit for the merger rate density of high-mass binaries with eccentricities 0<e≀0.3 at 0.33 Gpc−3 yr−1 at 90\% confidence level

    Subtle structures with not-so-subtle functions: A dataset of arthropod constructs and their host plants

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    The construction of shelters on plants by arthropods might influence other organisms via changes in colonization, community richness, species composition and functionality. Arthropods, including beetles, caterpillars, sawflies, spiders, and wasps often interact with host plants via the construction of shelters, building a variety of structures such as leaf ties, tents, rolls, and bags; leaf and stem galls, and hollowed out stems. Such constructs might have both an adaptive value in terms of protection (i.e., serve as shelters) but may also exert a strong influence on terrestrial community diversity in the engineered and neighboring hosts via colonization by secondary occupants. While different traits of the host plant (e.g., physical, chemical and architectural features) may affect the potential for ecosystem engineering by insects, such effects have been, to a certain degree, overlooked. Further analyses of how plant traits affect the occurrence of shelters may thus enrich our understanding of the organizing principles of plant-based communities. This dataset includes more than a thousand unique records of ecosystem engineering by arthropods, in the form of structures built on plants. All records have been published in the literature, and span both natural structures (90.6% of the records) and structures artificially created byresearchers (9% of the records). The data were gathered between 1932 and 2021, across more than 50 countries and several ecosystems, ranging from polar to tropical zones. Besides data on host plants and engineers, we aggregated data on the type of constructs and the identity of inquilines using these structures. This dataset highlights the importance of these subtle structures for the organization of terrestrial arthropod communities, enabling hypotheses testing in ecological studiesaddressing ecosystem engineering and facilitation mediated by constructs.Fil: Pereira, CĂĄssio Cardoso. Universidade Federal de Minas Gerais; BrasilFil: Novais, Samuel. Instituto de EcologĂ­a; MĂ©xicoFil: Barbosa, Milton. Universidade Federal de Minas Gerais; BrasilFil: Negreiros, Daniel. Universidade Federal de Minas Gerais; BrasilFil: Gonçalves Souza, Thiago. Universidade Federal de Pernambuco; BrasilFil: Roslin, Tomas. Swedish University Of Agricultural Sciences; SueciaFil: Marquis, Robert. University of Missouri; Estados UnidosFil: Marino, Nicholas. Universidade Federal do Rio de Janeiro; BrasilFil: Novotny, Vojtech. Biology Centre of the Academy of Sciences of the Czech Republic; RepĂșblica ChecaFil: Orivel, Jerome. Universite de Guyane; GuyanaFil: Sui, Shen. New Guinea Binatang Research Center; GuineaFil: Aires, Gustavo. Universidade Federal de Pernambuco; BrasilFil: Antoniazzi, Reuber. University of Texas at Austin; Estados UnidosFil: DĂĄttilo, Wesley. Instituto de EcologĂ­a; MĂ©xicoFil: Breviglieri, Crasso. Universidade Estadual de Campinas; BrasilFil: Busse, Annika. Bavarian Forest National Park; AlemaniaFil: Gibb, Heloise. La Trobe University. Department Of Ecology, Environment And Evolution; AustraliaFil: Izzo, Thiago. Universidade Federal do Mato Grosso do Sul; BrasilFil: Kadlec, Tomas. Czech University Of Life Sciences Prague; RepĂșblica ChecaFil: Kemp, Victoria. Queen Mary University of London; Reino UnidoFil: Kersch Becker, Monica. University of Alabama at Birmingahm; Estados UnidosFil: Knapp, Michal. Czech University Of Life Sciences Prague; RepĂșblica ChecaFil: Kratina, Pavel. Queen Mary University of London; Reino UnidoFil: Luke, Rebecca. Royal Holloway University of London; Reino UnidoFil: Majnari, Stefan. University Of Zagreb, Faculty Of Science; CroaciaFil: Maritz, Robin. University of the Western Cape; SudĂĄfricaFil: Martins, Paulo Mateus. Universidade Federal de Pernambuco; BrasilFil: Mendesil, Esayas. Jimma University; EtiopĂ­aFil: Michalko, Jaroslav. Slovak Academy of Sciences; EslovaquiaFil: Mrazova, Anna. Biology Centre of the Academy of Sciences of the Czech Republic; RepĂșblica ChecaFil: Peri, Mirela Serti. University Of Zagreb. Faculty Of Science; CroaciaFil: Petermann, Jana. University Of Salzburg. Department Of Biosciences; AustriaFil: Ribeiro, SĂ©rvio. Universidade Federal de Ouro Preto; BrasilFil: Sam, Katerina. University of Missouri; Estados UnidosFil: Trzcinski, M. Kurtis. University of British Columbia; CanadĂĄFil: Vieira, Camila. Universidade Federal de UberlĂąndia; BrasilFil: Westwood, Natalie. University of British Columbia; CanadĂĄFil: Bernaschini, Maria Laura. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro CientĂ­fico TecnolĂłgico Conicet - CĂłrdoba. Instituto Multidisciplinario de BiologĂ­a Vegetal. Universidad Nacional de CĂłrdoba. Facultad de Ciencias Exactas FĂ­sicas y Naturales. Instituto Multidisciplinario de BiologĂ­a Vegetal; ArgentinaFil: Carvajal, Valentina. Universidad de Caldas; ColombiaFil: GonzĂĄlez, Ezequiel. Czech University of Life Sciences Prague; RepĂșblica ChecaFil: Jausoro, Mariana. Universidad Nacional de Chilecito. Departamento de Ciencias Basicas y Tecnologicas; Argentina. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro CientĂ­fico TecnolĂłgico Conicet - CĂłrdoba. Instituto Multidisciplinario de BiologĂ­a Vegetal. Universidad Nacional de CĂłrdoba. Facultad de Ciencias Exactas FĂ­sicas y Naturales. Instituto Multidisciplinario de BiologĂ­a Vegetal; ArgentinaFil: Kaensin, Stanis. New Guinea Binatang Research Center; GuineaFil: Ospina, Fabiola. Universidad de Caldas; ColombiaFil: PĂ©rez, Jacob CristĂłbal. Universidad AutĂłnoma del Estado de MĂ©xico; MĂ©xicoFil: Quesada, Mauricio. Universidad AutĂłnoma del Estado de MĂ©xico; MĂ©xicoFil: Rogy, Pierre. University of British Columbia; CanadĂĄFil: Srivastava, Diane S.. University of British Columbia; CanadĂĄFil: Szpryngiel, Scarlett. The Swedish Museum of Natural History; SueciaFil: Tack, Ayco J. M.. Stockholms Universitet; SueciaFil: Teder, Tiit. University of Tartu; EstoniaFil: Videla, Martin. Consejo Nacional de Investigaciones CientĂ­ficas y TĂ©cnicas. Centro CientĂ­fico TecnolĂłgico Conicet - CĂłrdoba. Instituto Multidisciplinario de BiologĂ­a Vegetal. Universidad Nacional de CĂłrdoba. Facultad de Ciencias Exactas FĂ­sicas y Naturales. Instituto Multidisciplinario de BiologĂ­a Vegetal; ArgentinaFil: Viljur, Mari Liis. University of Tartu; EstoniaFil: Koricheva, Julia. Royal Holloway University of London; Reino UnidoFil: Fernandes, Geraldo Wilson Afonso. Universidade Federal de Minas Gerais; BrasilFil: Romero, Gustavo Q.. Universidade Estadual de Campinas; BrasilFil: Cornelissen, Tatiana. Universidade Federal de Minas Gerais. Instituto de CiĂȘncias BiolĂłgicas; Brasi
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