The effect of mode and context on survey results: analysis of data from the Health Survey for England 2006 and the Boost Survey for London.

BACKGROUND: Health-related data at local level could be provided by supplementing national health surveys with local boosts. Self-completion surveys are less costly than interviews, enabling larger samples to be achieved for a given cost. However, even when the same questions are asked with the same wording, responses to survey questions may vary by mode of data collection. These measurement differences need to be investigated further. METHODS: The Health Survey for England in London ('Core') and a London Boost survey ('Boost') used identical sampling strategies but different modes of data collection. Some data were collected by face-to-face interview in the Core and by self-completion in the Boost; other data were collected by self-completion questionnaire in both, but the context differed. Results were compared by mode of data collection using two approaches. The first examined differences in results that remained after adjusting the samples for differences in response. The second compared results after using propensity score matching to reduce any differences in sample composition. RESULTS: There were no significant differences between the two samples for prevalence of some variables including long-term illness, limiting long-term illness, current rates of smoking, whether participants drank alcohol, and how often they usually drank. However, there were a number of differences, some quite large, between some key measures including: general health, GHQ12 score, portions of fruit and vegetables consumed, levels of physical activity, and, to a lesser extent, smoking consumption, the number of alcohol units reported consumed on the heaviest day of drinking in the last week and perceived social support (among women only). CONCLUSION: Survey mode and context can both affect the responses given. The effect is largest for complex question modules but was also seen for identical self-completion questions. Some data collected by interview and self-completion can be safely combined

U-Th dating, taphonomy, and taxonomy of shell middens at Klasies River main site indicate stable and systematic coastal exploitation by MIS 5c-d

The archaeological record, particularly of shellfish, from the Klasies River main site (KRM) is important in understanding the fluctuating nature of coastal occupational patterns and changing coastal ecologies. In this paper, we provide new uranium–thorium (U-Th) dates for one of the earlier phases of coastal exploitation at KRM, and the microstratigraphic analyses generate novel information about the taphonomy of shell-bearing deposits from the Later Stone Age (LSA) to the MSA I period that, in turn, provide a broader context for middening at the site. A wide range of syndepositional taphonomic processes related to human activities and post-depositional effects include burning, fragmentation and compaction, chemical alteration, and cementation. Despite such issues influencing recovery, shellfish data are informative and are presented from three layers of the Witness Baulk: Shell Midden One (SMONE), Black Occupational Soils (BOS), and Silty Black Soils (SBLS). These coarse shell midden deposits exhibit visible decalcification coupled with cementation with secondary carbonate formation in association with conditions of high moisture and soft sedimentation deformation of the underlying sediments of SBLS. This stratigraphy section is chronologically anchored for the first time using U-Th dating of speleothems associated with a hiatus after the deposition of BOS. The three ages, 110,060 ± 1,100, 109,800 ± 970, and 106,000 ± 2,100 years, place the BOS layer as the base of the SASL sub-member at over 110 ka, making the underlying middens from the LBS member even older. The zooarchaeological analyses of the three layers indicate coastal ecological changes from more sheltered conditions prior to the hiatus, with the exploitation of alikreukel and brown mussels predominating. Before 110 ka, in BOS and SBLS, more exposed coastal conditions occurred, and the diversity of exploited shellfish increased. SMONE and BOS are associated with MSA II/Mossel Bay lower lithic technology and SBLS with MSA I technology, indicating asynchronous coastal ecological and technological changes. The MIS 5c-d evidence for early coastal occupation at KRM provides details on the period during which coastal occupation became stable and systematic on the South African coast and puts the KRM amongst the handful of sites with shell-bearing deposits, occurring prior to 110 ka in South Africa.publishedVersio

Evaluation of a Chlamydia trachomatis-specific, commercial, real-time PCR for use with ocular swabs.

BACKGROUND: Trachoma, the leading infectious cause of blindness worldwide, is caused by conjunctival Chlamydia trachomatis infection. Trachoma is diagnosed clinically by observation of conjunctival inflammation and/or scarring; however, there is evidence that monitoring C. trachomatis infection may be required for elimination programmes. There are many commercial and 'in-house' nucleic acid amplification tests for the detection of C. trachomatis DNA, but the majority have not been validated for use with ocular swabs. This study evaluated a commercial assay, the Fast-Track Vaginal swab kit, using conjunctival samples from trachoma-endemic areas. An objective, biostatistical-based method for binary classification of continuous PCR data was developed, to limit potential user-bias in diagnostic settings. METHODS: The Fast-Track Vaginal swab assay was run on 210 ocular swab samples from Guinea-Bissau and Tanzania. Fit of individual amplification curves to exponential or sigmoid models, derivative and second derivative of the curves and final fluorescence value were examined for utility in thresholding for determining positivity. The results from the Fast-Track Vaginal swab assay were evaluated against a commercial test (Amplicor CT/NG) and a non-commercial test (in-house droplet digital PCR), both of whose performance has previously been evaluated. RESULTS: Significant evidence of exponential amplification (R2 > 0.99) and final fluorescence > 0.15 were combined for thresholding. This objective approach identified a population of positive samples, however there were a subset of samples that amplified towards the end of the cycling protocol (at or later than 35 cycles), which were less clearly defined. The Fast-Track Vaginal swab assay showed good sensitivity against the commercial (95.71) and non-commercial (97.18) tests. Specificity was lower against both (90.00 and 96.55, respectively). CONCLUSIONS: This study defined a simple, automated protocol for binary classification of continuous, real-time qPCR data, for use in an end-point diagnostic test. This method identified a population of positive samples, however, as with manual thresholding, a subset of samples that amplified towards the end of the cycling program were less easily classified. When used with ocular swabs, the Fast-Track Vaginal swab assay had good sensitivity for C. trachomatis detection, but lower specificity than the commercial and non-commercial assays it was evaluated against, possibly leading to false positives

The effect of survey method on survey participation: Analysis of data from the Health Survey for England 2006 and the Boost Survey for London

BACKGROUND: There is a need for local level health data for local government and health bodies, for health surveillance and planning and monitoring of policies and interventions. The Health Survey for England (HSE) is a nationally-representative survey of the English population living in private households, but sub-national analyses can be performed only at a regional level because of sample size. A boost of the HSE was commissioned to address the need for local level data in London but a different mode of data collection was used to maximise participant numbers for a given cost. This study examines the effects on survey and item response of the different survey modes. METHODS: Household and individual level data are collected in HSE primarily through interviews plus individual measures through a nurse visit. For the London Boost, brief household level data were collected through interviews and individual level data through a longer self-completion questionnaire left by the interviewer and collected later. Sampling and recruitment methods were identical, and both surveys were conducted by the same organisation. There was no nurse visit in the London Boost. Data were analysed to assess the effects of differential response rates, item non-response, and characteristics of respondents. RESULTS: Household response rates were higher in the 'Boost' (61%) than 'Core' (HSE participants in London) sample (58%), but the individual response rate was considerably higher in the Core (85%) than Boost (65%). There were few differences in participant characteristics between the Core and Boost samples, with the exception of ethnicity and educational qualifications. Item non-response was similar for both samples, except for educational level. Differences in ethnicity were corrected with non-response weights, but differences in educational qualifications persisted after non-response weights were applied. When item non-response was added to those reporting no qualification, participants' educational levels were similar in the two samples. CONCLUSION: Although household response rates were similar, individual response rates were lower using the London Boost method. This may be due to features of London that are particularly associated with lower response rates for the self-completion element of the Boost method, such as the multi-lingual population. Nevertheless, statistical adjustments can overcome most of the demographic differences for analysis. Care must be taken when designing self-completion questionnaires to minimise item non-response

Vitamin D intake and risk of CVD and all-cause mortality: evidence from the Caerphilly Prospective Cohort Study

OBJECTIVE: Prospective data on the associations between vitamin D intake and risk of CVD and all-cause mortality are limited and inconclusive. The aim of the present study was to investigate the associations between vitamin D intake and CVD risk and all-cause mortality in the Caerphilly Prospective Cohort Study. DESIGN: The associations of vitamin D intake with CVD risk markers were examined cross-sectionally at baseline and longitudinally at 5-year, 10-year and >20-year follow-ups. In addition, the predictive value of vitamin D intake for CVD events and all-cause mortality after >20 years of follow-up was examined. Logistic regression and general linear regression were used for data analysis. SETTING: Participants in the UK. SUBJECTS: Men (n 452) who were free from CVD and type 2 diabetes at recruitment. RESULTS: Higher vitamin D intake was associated with increased HDL cholesterol (P=0·003) and pulse pressure (P=0·04) and decreased total cholesterol:HDL cholesterol (P=0·008) cross-sectionally at baseline, but the associations were lost during follow-up. Furthermore, higher vitamin D intake was associated with decreased concentration of plasma TAG at baseline (P=0·01) and at the 5-year (P=0·01), but not the 10-year examination. After >20 years of follow-up, vitamin D was not associated with stroke (n 72), myocardial infarctions (n 142), heart failure (n 43) or all-cause mortality (n 281), but was positively associated with increased diastolic blood pressure (P=0·03). CONCLUSIONS: The study supports associations of higher vitamin D intake with lower fasting plasma TAG and higher diastolic blood pressure

Development of a Low Toxicity Urine Pretreatment for Water Recovery in Space

Wastewater stabilization was an essential component of the spacecraft water cycle. The purpose of stabilizing wastewater was two-fold. First, stabilization prevents the breakdown of urea into ammonia, a toxic gas at high concentrations. Second, it prevents the growth of microorganisms, thereby mitigating hardware and water quality issues due to due biofilm and planktonic growth. Current stabilization techniques involve oxidizers and strong acids (pH=2) such as chromic and sulfuric acid, which are highly toxic and pose a risk to crew health. The purpose of this effort was to explore less toxic stabilization techniques, such as food-grade and commercial care preservatives. Additionally, certain preservatives were tested in the presence of a low-toxicity organic acid. Triplicate 300-mL volumes of urine were dosed with a predetermined quantity of stabilizer and stored for two weeks. During that time, pH, total organic carbon (TOC), ammonia, and turbidity were monitored. Those preservatives that showed the lowest visible microbial growth and stable pH were further tested in a six-month stability study. The results of the six-month study are also included in this paper. Additionally, the pretreatment formulations were tested to determine if the pretreated urine could be distilled to remove 85% of the water, as would occur on the ISS. The goal of the pretreatment was to produce no solids in the resulting brine at 85% water recovery

Effects of phonological feedback on the selection of syntax: Evidence from between-language syntactic priming

Research on word production in bilinguals has often shown an advantage for cognate words. According to some accounts, this cognate effect is caused by feedback from a level that represents information about phonemes (or graphemes) to a level concerned with the word. In order to investigate whether phonological feedback influences the selection of words and syntactic constructions in late bilinguals, we investigated syntactic priming between Dutch and English genitive constructions (e.g., the fork of the girl vs. the girl’s fork). The head nouns of prime and target constructions were always translation equivalents. Half of these were Dutch–English cognates with a large phonological overlap (e.g., vork–fork), the other half were non-cognates that had very few phonemes in common (e.g., eend–duck). Cognate status boosted between-language syntactic priming. Further analyses showed a continuous effect of phonological overlap for cognates and non-cognates, indicating that this boost was at least partly caused by feedback from the translation equivalents’ shared phonemes