364 research outputs found

    Ulcerative Colitis Physician Team-Work in the Treatment

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68011/2/10.1177_000992286400300203.pd

    Putting local knowledge and context to work for Gunnison sage-grouse conservation

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    Successful conservation requires adequate understanding of focal species and ecology, practices that may assist species survival, and a community of people willing and able to conserve the species. For many species at risk, we operate with imperfect knowledge in complex conservation contexts. In this case study involving the Gunnison sage-grouse (Centrocercus minimus), we interviewed 26 community-defined local experts, including both those with and without related academic degrees, to assess the utility of local knowledge for understanding and informing conservation opportunities.This project suggests several benefits of integrating local knowledge that apply specifically to rare and endemic populations, including the ability to gain (1) access to a deeper temporal perspective, (2) observations made during different seasons and life-history stages, and (3) insights regarding the applicability of management strategies formed and science conducted on similar species. The contributions of local experts also can help identify conflicting narratives of species decline and, therefore, important future research directions. The patterns of expert referrals in this project provide evidence that long-term collaboration in conservation has created a pool of local Gunnison sage-grouse experts with technical training and long-term experience. Systematic assessment of the pool of local experts may improve long-term conservation by providing increased insight into the conservation context

    Improved numerical stability of stationary black hole evolution calculations

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    We experiment with modifications of the BSSN form of the Einstein field equations (a reformulation of the ADM equations) and demonstrate how these modifications affect the stability of numerical black hole evolution calculations. We use excision to evolve both non-rotating and rotating Kerr-Schild black holes in octant and equatorial symmetry, and without any symmetry assumptions, and obtain accurate and stable simulations for specific angular momenta J/M of up to about 0.9M.Comment: 13 pages, 11 figures, 1 typo in Eq. (20) correcte

    The effect of optimised patient information materials on recruitment in a lung cancer screening trial: an embedded randomised recruitment trial.

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    BACKGROUND: Written participant information materials are important for ensuring that potential trial participants receive necessary information so that they can provide informed consent. However, such materials are frequently long and complex, which may negatively impact patient understanding and willingness to participate. Improving readability, ease of comprehension and presentation may assist with improved participant recruitment. The Systematic Techniques for Assisting Recruitment to Trials (MRC START) study aimed to develop and evaluate interventions to improve trial recruitment. This study aimed to assess the effectiveness of an optimised participant information brochure and cover letter developed by MRC START regarding response and participant recruitment rates. METHODS: We conducted a study within a trial (SWAT) embedded in the EarlyCDT Lung Cancer Scotland (ECLS) trial that aimed to assess the effectiveness of a new test in reducing the incidence of patients with late-stage lung cancer at diagnosis compared with standard care. Potential participants approached for ECLS were randomised to receive the original participant information brochure and accompanying letter (control group) or optimised versions of these materials which had undergone user testing and a process of re-writing, re-organisation and professional graphic design (intervention group). The primary outcome was the number of patients recruited to ECLS. The secondary outcome was the proportion of patients expressing an interest in participating in ECLS. RESULTS: In total, 2262 patients were randomised, 1136 of whom were sent the intervention materials and 1126 of whom were sent the control materials. The proportion of patients enrolled and randomised into ECLS was 180 of 1136 (15.8%) in the intervention group and 176 of 1126 (15.6%) in the control group (OR = 1.016, 95% CI, 0.660 to 1.564). The proportion of patients who positively responded to the invitation was 224 of 1136 (19.7%) in the intervention group and 205 of 1126 (18.2%) in the control group (OR = 1.103, 95% CI, 0.778 to 1.565). CONCLUSIONS: Optimised patient information materials made little difference to the proportion of patients positively responding to a trial invitation or to the proportion subsequently randomised to the host trial. TRIAL REGISTRATION: ClinicalTrials.gov, NCT01925625 . Registered on 15 August 2015. Study Within A Trial, SWAT-23. Registered on 12 April 2016

    allodb: An R package for biomass estimation at globally distributed extratropical forest plots

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    Allometric equations for calculation of tree above-ground biomass (AGB) form the basis for estimates of forest carbon storage and exchange with the atmosphere. While standard models exist to calculate forest biomass across the tropics, we lack a standardized tool for computing AGB across boreal and temperate regions that comprise the global extratropics. Here we present an integrated R package, allodb, containing systematically selected published allometric equations and proposed functions to compute AGB. The data component of the package is based on 701 woody species identified at 24 large Forest Global Earth Observatory (ForestGEO) forest dynamics plots representing a wide diversity of extratropical forests. A total of 570 parsed allometric equations to estimate individual tree biomass were retrieved, checked and combined using a weighting function designed to ensure optimal equation selection over the full tree size range with smooth transitions across equations. The equation dataset can be customized with built-in functions that subset the original dataset and add new equations. Although equations were curated based on a limited set of forest communities and number of species, this resource is appropriate for large portions of the global extratropics and can easily be expanded to cover novel forest types

    Nothing a Hot Bath Won't Cure: Infection Rates of Amphibian Chytrid Fungus Correlate Negatively with Water Temperature under Natural Field Settings

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    Dramatic declines and extinctions of amphibian populations throughout the world have been associated with chytridiomycosis, an infectious disease caused by the pathogenic chytrid fungus Batrachochytrium dendrobatidis (Bd). Previous studies indicated that Bd prevalence correlates with cooler temperatures in the field, and laboratory experiments have demonstrated that Bd ceases growth at temperatures above 28°C. Here we investigate how small-scale variations in water temperature correlate with Bd prevalence in the wild. We sampled 221 amphibians, including 201 lowland leopard frogs (Rana [Lithobates] yavapaiensis), from 12 sites in Arizona, USA, and tested them for Bd. Amphibians were encountered in microhabitats that exhibited a wide range of water temperatures (10–50°C), including several geothermal water sources. There was a strong inverse correlation between the water temperature in which lowland leopard frogs were captured and Bd prevalence, even after taking into account the influence of year, season, and host size. In locations where Bd was known to be present, the prevalence of Bd infections dropped from 75–100% in water <15°C, to less than 10% in water >30°C. A strong inverse correlation between Bd infection status and water temperature was also observed within sites. Our findings suggest that microhabitats where water temperatures exceed 30°C provide lowland leopard frogs with significant protection from Bd, which could have important implications for disease dynamics, as well as management applications
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