1,850 research outputs found

    The Edgar Fahs Smith Memorial Library on the History of Chemistry

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    A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors

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    Background: To evaluate the effectiveness of interventions used in primary care to improve health literacy for change in smoking, nutrition, alcohol, physical activity and weight (SNAPW). Methods: A systematic review of intervention studies that included outcomes for health literacy and SNAPW behavioral risk behaviors implemented in primary care settings. We searched the Cochrane Library, Johanna Briggs Institute, Medline, Embase, CINAHL, Psychinfo, Web of Science, Scopus, APAIS, Australasian Medical Index, Google Scholar, Community of Science and four targeted journals (Patient Education and Counseling, Health Education and Behaviour, American Journal of Preventive Medicine and Preventive Medicine). Study inclusion criteria: Adults over 18 years; undertaken in a primary care setting within an Organisation for Economic Co-operation and Development (OECD) country; interventions with at least one measure of health literacy and promoting positive change in smoking, nutrition, alcohol, physical activity and/or weight; measure at least one outcome associated with health literacy and report a SNAPW outcome; and experimental and quasi-experimental studies, cohort, observational and controlled and non-controlled before and after studies. Papers were assessed and screened by two researchers (JT, AW) and uncertain or excluded studies were reviewed by a third researcher (MH). Data were extracted from the included studies by two researchers (JT, AW). Effectiveness studies were quality assessed. A typology of interventions was thematically derived from the studies by grouping the SNAPW interventions into six broad categories: individual motivational interviewing and counseling; group education; multiple interventions (combination of interventions); written materials; telephone coaching or counseling; and computer or web based interventions. Interventions were classified by intensity of contact with the subjects (High ≥ 8 points of contact/hours; Moderate \u3e3 and \u3c8; Low ≤ 3 points of contact hours) and setting (primary health, community or other). Studies were analyzed by intervention category and whether significant positive changes in SNAPW and health literacy outcomes were reported. Results: 52 studies were included. Many different intervention types and settings were associated with change in health literacy (73% of all studies) and change in SNAPW (75% of studies). More low intensity interventions reported significant positive outcomes for SNAPW (43% of studies) compared with high intensity interventions (33% of studies). More interventions in primary health care than the community were effective in supporting smoking cessation whereas the reverse was true for diet and physical activity interventions. Conclusion: Group and individual interventions of varying intensity in primary health care and community settings are useful in supporting sustained change in health literacy for change in behavioral risk factors. Certain aspects of risk behavior may be better handled in clinical settings while others more effectively in the community. Our findings have implications for the design of programs

    Absolute probability estimates of lethal vessel strikes to North Atlantic right whales in Roseway Basin, Scotian Shelf

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    Author Posting. © Ecological Society of America, 2012. This article is posted here by permission of Ecological Society of America for personal use, not for redistribution. The definitive version was published in Ecological Applications 22 (2012): 2021–2033, doi:10.1890/11-1841.1.Vessel strikes are the primary source of known mortality for the endangered North Atlantic right whale (Eubalaena glacialis). Multi-institutional efforts to reduce mortality associated with vessel strikes include vessel-routing amendments such as the International Maritime Organization voluntary “area to be avoided” (ATBA) in the Roseway Basin right whale feeding habitat on the southwestern Scotian Shelf. Though relative probabilities of lethal vessel strikes have been estimated and published, absolute probabilities remain unknown. We used a modeling approach to determine the regional effect of the ATBA, by estimating reductions in the expected number of lethal vessel strikes. This analysis differs from others in that it explicitly includes a spatiotemporal analysis of real-time transits of vessels through a population of simulated, swimming right whales. Combining automatic identification system (AIS) vessel navigation data and an observationally based whale movement model allowed us to determine the spatial and temporal intersection of vessels and whales, from which various probability estimates of lethal vessel strikes are derived. We estimate one lethal vessel strike every 0.775–2.07 years prior to ATBA implementation, consistent with and more constrained than previous estimates of every 2–16 years. Following implementation, a lethal vessel strike is expected every 41 years. When whale abundance is held constant across years, we estimate that voluntary vessel compliance with the ATBA results in an 82% reduction in the per capita rate of lethal strikes; very similar to a previously published estimate of 82% reduction in the relative risk of a lethal vessel strike. The models we developed can inform decision-making and policy design, based on their ability to provide absolute, population-corrected, time-varying estimates of lethal vessel strikes, and they are easily transported to other regions and situations.This research was supported by the Environment Canada Habitat Stewardship Programme, the Canadian Whale Institute, and R. K. Smedbol (St. Andrews Biological Station)

    Fecundity variation in Icelandic summer-spawning herring and implications for reproductive potential

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    An exploration of fish fecundity aimed at estimating the reproductive potential of a stock requires comprehensive and quantitative examinations of the influencing factors. Here, Icelandic summer-spawning herring (Clupea harengus) are used to quantify potential fecundity (F P , number of eggs) and relative fecundity [RF P ¼ F P (body weight ÿ ovary weight) ÿ1 ] as functions of length (L) and weight (W ) in mature prespawning herring. Using a coupled examination of atresia (oocyte degeneration in the ovary) and the maturation stage of oocytes as characterized by size, we show that atresia has no meaningful effect on fecundity estimates if determined near the spawning time. Among prespawning herring, F P is a strong function of L or W (r 2 ¼ 0.84 in either case). Fulton's condition factor K

    Passive tracer reconstruction as a least-squares problem with a semi-Lagrangian constraint: An application to fish eggs and larvae

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    A variational, data assimilation, algorithm was developed for reconstruction of a two-dimensional, nonstationary, passive tracer field in the ocean with open boundaries and a known velocity field. The observations, spatial smoothing terms and passive tracer conservation equation were included as weak constraints. The algorithm was tested with simulated, nonstationary, pseudo-oceanographic data integrated for a 7-day period. Simulations were run to determine the robustness of the algorithm and the effect of theoretical, simulated \u27sampling events,\u27 mimicking the standard oceanographic survey. We explored the sensitivity of the reconstructed tracer fields to the distribution of the pseudo-oceanographic sampling strategy, essentially an antenna problem, and to errors in the velocity field and the observations. The algorithm was applied to observations of silver hake ( Merluccius bilinearis) eggs and larvae obtained in August 1998 on the Scotian Shelf. Finally, the evolution of fish eggs and larvae concentration was found. The corresponding mortality rate of fish eggs and larvae was determined to be 0.28 day-1, with errors of 0.03 day-1. The approach, which is quite general and could be applied to many different problems requiring minimization subject to constraints, allows for error analysis of the results

    The behavioral responses of a nocturnal burrowing marsupial (Lasiorhinus latifrons) to drone flight

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    The use of drones in wildlife research and management is increasing. Recent evidence has demonstrated the impact of drones on animal behavior, but the response of nocturnal animals to drone flight remains unknown. Utilizing a lightweight commercial drone, the behavioral response of southern hairy-nosed wombats (Lasiorhinus latifrons) to drone flights was observed at Kooloola Station, Swan Reach, South Australia. All wombats flown over during both day and night flights responded behaviorally to the presence of drones. The response differed based on time of day. The most common night-time behavior elicited by drone flight was retreat, compared to stationary alertness behavior observed for daytime drone flights. The behavioral response of the wombats increased as flight altitude decreased. The marked difference of behavior between day and night indicates that this has implications for studies using drones. The behavior observed during flights was altered due to the presence of the drone, and therefore, shrewd study design is important (i.e., acclimation period to drone flight). Considering the sensory adaptations of the target species and how this may impact its behavioral response when flying at night is essential.Taylor Headland, Bertram Ostendorf, David Taggar
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