4,857 research outputs found

    Manual for the District Fisheries Analysis System (FAS): A Package for Fisheries Management and Research. Part 1: Fish Population Survey Data (DOC9 Data Base)

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    Report issued on: issued September, 1987INHS Technical Report prepared for unspecified recipien

    Acceptability of artificial intelligence (AI)-enabled chatbots, video consultations and live webchats as online platforms for sexual health advice

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    Objectives Sexual and reproductive health (SRH) services are undergoing a digital transformation. This study explored the acceptability of three digital services, (i) video consultations via Skype, (ii) live webchats with a health advisor and (iii) artificial intelligence (AI)-enabled chatbots, as potential platforms for SRH advice. Methods A pencil-and-paper 33-item survey was distributed in three clinics in Hampshire, UK for patients attending SRH services. Logistic regressions were performed to identify the correlates of acceptability. Results In total, 257 patients (57% women, 50% aged <25 years) completed the survey. As the first point of contact, 70% preferred face-to-face consultations, 17% telephone consultation, 10% webchats and 3% video consultations. Most would be willing to use video consultations (58%) and webchat facilities (73%) for ongoing care, but only 40% found AI chatbots acceptable. Younger age (<25 years) (OR 2.43, 95% CI 1.35 to 4.38), White ethnicity (OR 2.87, 95% CI 1.30 to 6.34), past sexually transmitted infection (STI) diagnosis (OR 2.05, 95% CI 1.07 to 3.95), self-reported STI symptoms (OR 0.58, 95% CI 0.34 to 0.97), smartphone ownership (OR 16.0, 95% CI 3.64 to 70.5) and the preference for a SRH smartphone application (OR 1.95, 95% CI 1.13 to 3.35) were associated with video consultations, webchats or chatbots acceptability. Conclusions Although video consultations and webchat services appear acceptable, there is currently little support for SRH chatbots. The findings demonstrate a preference for human interaction in SRH services. Policymakers and intervention developers need to ensure that digital transformation is not only cost-effective but also acceptable to users, easily accessible and equitable to all populations using SRH services

    Attendance of MSM at Genitourinary Medicine services in England: implications for selective HPV vaccination programme (a short communication)

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    Background Human papillomaviruses (HPV) immunisation programmes for female adolescents in the UK offer relatively little benefit to men who have sex with men (MSM). Targeted HPV vaccination for MSM may reduce the high incidence of HPV-related disease among MSM. We used national data from sexual health clinics to calculate the number of MSM attending these clinics throughout England from 2009 to 2014 and to identify their characteristics, to inform the implementation of a targeted HPV vaccination programme in MSM. Methods We used the Genitourinary Medicine Clinic Activity Dataset (GUMCADv2) to obtain data for men aged 15–70 years who had attended a GUM clinic in England from 2009 to 2014. We analysed both numbers of MSM attending and number of GUM attendances, age at first attendance, ethnicity and geographical area of the clinic in England. Results A total of 374 983 MSM attended sexual health services in England between 2009 and 2014. Median age of presentation was 32 years (IQR 25–41) and showed regional geographical variation. Of all men attending sexual health clinics in England, the highest proportion of those identifying as MSM was in London (21%). Excluding visits within 1 month of an initial attendance, 49% of all MSM re-attended within 12 months and 58% within 24 months. MSM aged ≥36 years reattended more frequently than younger MSM. 51% reattended at least twice within 24 months of initial visit. Conclusions The majority of MSM reattend clinic at least once within a 24-month period, potentially facilitating the delivery of a three-dose HPV vaccination programme. This would reduce the burden on sexual health clinics and cost to local authorities due to extra visits if HPV vaccination were to be delivered through these services

    Manual for the Fish Population Surveys (DOC9 Package) for the District Fisheries Analysis System (FAS)

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    Update of Aquatic Biology Technical Report 87/11; final report of project F-69-R (1-3), Data Base Management and Analysis of Fisheries in ImpoundmentsReport issued on: issued October 1990INHS Technical Report prepared for Illinois Department of Conservatio

    The Fisheries Analysis System (FAS): Creel Survey and Lake Analyses

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    F-69-R(1-3)Report issued on: October 1990Final report of Project F-69-R(1-3), Data Base Management and Analysis of Fisheries in Impoundments, conducted under of memorandum of understanding between Illinois Department of Conservation and the University of Illinois, supported through Fed(TRUNCATED

    Developing the evidence-base for school sex education programmes: Contributions of an augmented Theory of Planned Behaviour, gender and school year across three contraceptive methods

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    Background Positive adolescent sexual health is supported by effective school based sex education. Methods to promote positive sexual health need to reflect determinants of contraception intention, which must include understanding gender and age (year group) differences. To date, there has been limited theory-based exploration of these determinants in school-age participants, placing limitations on sexual health educators to tailor learning most effectively. MethodsCross sectional survey data was collected from UK school pupils (N = 1378) aged 12-16 years. Measures included Theory of Planned Behaviour, Prototype Willingness, anticipated regret and knowledge items. Linear regression determined significant predictors of intention to use condoms, the oral contraceptive pill and the emergency contraceptive pill. t-tests and ANOVAs were used to assess differences by gender and school year. ResultsThree distinct predictive models emerged for condom, pill and EC, predicting 36%, 18% and 23% variance respectively. Attitude, gender and anticipated regret for unprotected sex significantly predicted intention for all types (p<.001). The influence of other explanatory variables differed by contraceptive. Girls scored higher on all variables except condom intention, and intention scores peaked in year 10. ConclusionCondoms, pill and EC intention have different predictive profiles, with girls more strongly motivated and year 10 a crucial stage for intention. Social comparisons and control beliefs exert differential effects across contraceptive types whilst attitudes and anticipated regret are consistently strong influences. Findings suggest clear scope for supporting sexual health and wellbeing through modified school sex education

    Use of single versus multiple biotic communities as indicators of biological integrity in northern prairie wetlands

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    AbstractAs much as 70% of prairie wetlands in Canada have been lost. Although further degradation of natural wetlands is considered to be somewhat offset by wetland construction and restoration, Canada lacks bioassessment tools that can track ecosystem health in prairie wetlands. Indices of biological integrity (IBIs) use one or more biotic communities to compare the biological condition of a particular site to conditions found in least-impacted reference sites. Using the IBI approach, we evaluated the potential of 5 biotic communities to assess wetland health in northern prairie wetlands in Canada. Vegetation in the wet meadow, emergent and open-water zones as well as wetland-dependent songbirds and waterbirds were sampled at 81 semi-permanent/permanent natural and compensation wetlands spanning an environmental stress gradient. Metrics with strong linear relationships to the stress gradient (R2>0.2) were combined into an IBI for each biotic community and were subsequently validated at a suite of test sites. After validation, the entire data set was combined and each IBI was evaluated based on its linear relationship to environmental stress. Wet meadow zone vegetation was a strong indicator of environmental stress (R2=0.68, p<0.001), as was the wetland-dependent songbird community (R2=0.59, p<0.001). The emergent zone vegetation community was a relatively weak and inconsistent indicator of environmental stress, while the open-water zone vegetation and waterbird communities were poor indicators. To evaluate whether monitoring more than one biotic community provided additional information about a site's biological and environmental condition, we produced a two-taxon IBI that combined wet meadow zone vegetation and wetland-dependent songbird metrics. The two-taxon IBI had a marginally stronger linear relationship to the stress gradient (R2=0.72, p<0.001) than any single biotic community alone, although we argue that this added information would not warrant the extra cost, effort, and logistical barriers of sampling both plants and birds. The wet meadow zone vegetation and wetland-dependent songbird IBIs were strong surrogates of one another (R2=0.57), suggesting that wet meadow zone vegetation can be used to predict the health of wetland-dependent songbirds, and visa versa. Our results suggest that habitat for healthy wet meadow zone vegetation and wetland-dependent songbird communities is being degraded as compensation sites are replacing their natural analogs

    Delivering alcohol identification and brief advice (IBA) in housing settings: a step too far or opening doors?

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    Within the UK, there is a drive to encourage the delivery of alcohol screening (or identification) and brief advice (IBA) in a range of contexts beyond primary care and hospitals where the evidence is strongest. However, the evidence base for effectiveness in non-health contexts is not currently established. This paper considers the case of housing provided by social landlords, drawing on two research studies which were conducted concurrently. One study examined the feasibility of delivering alcohol IBA in housing settings and the other the role of training in delivering IBA in non-health contexts including housing. This paper draws mainly on the qualitative data collected for both studies to examine the appropriateness and feasibility of delivering IBA in a range of social housing settings by the housing workforce. Findings suggest that while it is feasible to deliver IBA in housing settings, there are similar challenges and barriers to those already identified in relation to primary care. These include issues around role inadequacy, role legitimacy and the lack of support to work with people with alcohol problems. Results indicate that the potential may lie in focusing training efforts on specific roles to deliver IBA rather than it being expected of all staff

    Novel steady state of a microtubule assembly in a confined geometry

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    We study the steady state of an assembly of microtubules in a confined volume, analogous to the situation inside a cell where the cell boundary forms a natural barrier to growth. We show that the dynamical equations for growing and shrinking microtubules predict the existence of two steady states, with either exponentially decaying or exponentially increasing distribution of microtubule lengths. We identify the regimes in parameter space corresponding to these steady states. In the latter case, the apparent catastrophe frequency near the boundary was found to be significantly larger than that in the interior. Both the exponential distribution of lengths and the increase in the catastrophe frequency near the cell margin is in excellent agreement with recent experimental observations.Comment: 8 pages, submitted to Phys. Rev.

    Subtilisin enzymes: A note on time-resolved fluorescence and circular dichroism properties

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    AbstractThis note briefly corrects previous information about the time-resolved fluorescence properties of preparations of subtilisin Carlsberg and subtilisin BPN′. We confirm the observation of segmental motion of the single tryptophan in subtilisin Carlsberg by analysis of the time-resolved fluorescence anisotropy, and present circular dichroism and spectroscopic data on the two proteins. Near-UV properties clearly differentiate between the two proteins. Far-UV circular dichroism confirms that the two subtilisins have closely similar secondary structure in solution; the multi-component analysis is consistent with the established X-ray conformations, but the quantitative agreement is still somewhat imperfect
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