Integrated Risk Assessment for the Blue Economy

With the anticipated boom in the ‘blue economy’ and associated increases in industrialization across the world’s oceans, new and complex risks are being introduced to ocean ecosystems. As a result, conservation and resource management increasingly look to factor in potential interactions among the social, ecological and economic components of these systems. Investigation of these interactions requires interdisciplinary frameworks that incorporate methods and insights from across the social and biophysical sciences. Risk assessment methods, which have been developed across numerous disciplines and applied to various real-world settings and problems, provide a unique connection point for cross-disciplinary engagement. However, research on risk is often conducted in distinct spheres by experts whose focus is on narrow sources or outcomes of risk. Movement toward a more integrated treatment of risk to ensure a balanced approach to developing and managing ocean resources requires cross-disciplinary engagement and understanding. Here, we provide a primer on risk assessment intended to encourage the development and implementation of integrated risk assessment processes in the emerging blue economy. First, we summarize the dominant framework for risk in the ecological/biophysical sciences. Then, we discuss six key insights from the long history of risk research in the social sciences that can inform integrated assessments of risk: (1) consider the subjective nature of risk, (2) understand individual social and cultural influences on risk perceptions, (3) include diverse expertise, (4) consider the social scales of analysis, (5) incorporate quantitative and qualitative approaches, and (6) understand interactions and feedbacks within systems. Finally, we show how these insights can be incorporated into risk assessment and management, and apply them to a case study of whale entanglements in fishing gear off the United States west coast

Computerized Literature Searching in a Teaching Family Practice Center

Computerized literature searching was introduced into a family practice residency office site after a series of training sessions. BRS Colleague was the searching program used. Over 15 months, 147 searches were conducted, primarily by faculty. Because residents used the system infrequently, they preferred to find a faculty member to help with the search rather than complete the search by themselves. The mean number of searches per faculty user was 6.4 and the median number of documents found per search was 15. The users were moderately satisfied with the search process (2.4 on a scale of 1 as excellent to 5 as unusable). Search strategies tended to be unsophisticated, often using only one of several possible related search terms. Most searches took a limited amount of time (5 to 20 minutes). The program was sufficiently successful to warrant continuation. Computerized literature searching offers a method to meet the physicians\u27 needs for ready access to information on patient-related questions

Computerized Literature Searching in a Teaching Family Practice Center

Computerized literature searching was introduced into a family practice residency office site after a series of training sessions. BRS Colleague was the searching program used. Over 15 months, 147 searches were conducted, primarily by faculty. Because residents used the system infrequently, they preferred to find a faculty member to help with the search rather than complete the search by themselves. The mean number of searches per faculty user was 6.4 and the median number of documents found per search was 15. The users were moderately satisfied with the search process (2.4 on a scale of 1 as excellent to 5 as unusable). Search strategies tended to be unsophisticated, often using only one of several possible related search terms. Most searches took a limited amount of time (5 to 20 minutes). The program was sufficiently successful to warrant continuation. Computerized literature searching offers a method to meet the physicians\u27 needs for ready access to information on patient-related questions

Vitamin D binding protein isoforms as candidate predictors of disease extension in childhood arthritis

AbstractIntroduction.Juvenile idiopathic arthritis (JIA) comprises a poorly understood group of chronic autoimmune diseases with variable clinical outcomes. We investigated whether the synovial fluid (SF) proteome could distinguish a subset of patients in whom disease extends to affect a large number of joints.Methods.SF samples from 57 patients were obtained around time of initial diagnosis of JIA, labeled with Cy dyes and separated by two-dimensional electrophoresis. Multivariate analyses were used to isolate a panel of proteins which distinguish patient subgroups. Proteins were identified using MALDI-TOF mass spectrometry with expression verified by immunochemical methods. Protein glycosylation status was confirmed by hydrophilic interaction liquid chromatography.Results.A truncated isoform of vitamin D binding protein (VDBP) is present at significantly reduced levels in the SF of oligoarticular patients at risk of disease extension, relative to other subgroups (p<0.05). Furthermore, sialylated forms of immunopurified synovial VDBP were significantly reduced in extended oligoarticular patients (p<0.005).Conclusion.Reduced conversion of VDBP to a macrophage activation factor may be used to stratify patients to determine risk of disease extension in JIA patients