sparr: Analyzing Spatial Relative Risk Using Fixed and Adaptive Kernel Density Estimation in R

The estimation of kernel-smoothed relative risk functions is a useful approach to examining the spatial variation of disease risk. Though there exist several options for performing kernel density estimation in statistical software packages, there have been very few contributions to date that have focused on estimation of a relative risk function per se . Use of a variable or adaptive smoothing parameter for estimation of the individual densities has been shown to provide additional benefits in estimating relative risk and specific computational tools for this approach are essentially absent. Furthermore, little attention has been given to providing methods in available software for any kind of subsequent analysis with respect to an estimated risk function. To facilitate analyses in the field, the R package sparr is introduced, providing the ability to construct both fixed and adaptive kernel-smoothed densities and risk functions, identify statistically significant fluctuations in an estimated risk function through the use of asymptotic tolerance contours, and visualize these objects in flexible and attractive ways.

sparr: Analyzing Spatial Relative Risk Using Fixed and Adaptive Kernel Density Estimation in R

The estimation of kernel-smoothed relative risk functions is a useful approach to examining the spatial variation of disease risk. Though there exist several options for performing kernel density estimation in statistical software packages, there have been very few contributions to date that have focused on estimation of a relative risk function per se. Use of a variable or adaptive smoothing parameter for estimation of the individual densities has been shown to provide additional benefits in estimating relative risk and specific computational tools for this approach are essentially absent. Furthermore, little attention has been given to providing methods in available software for any kind of subsequent analysis with respect to an estimated risk function. To facilitate analyses in the field, the R package sparr is introduced, providing the ability to construct both fixed and adaptive kernel-smoothed densities and risk functions, identify statistically significant fluctuations in an estimated risk function through the use of asymptotic tolerance contours, and visualize these objects in flexible and attractive ways

The association between retinal vein ophthalmodynamometric force change and optic disc excavation

Aim: Retinal vein ophthalmodynamometric force (ODF) is predictive of future optic disc excavation in glaucoma, but it is not known if variation in ODF affects prognosis. We aimed to assess whether a change in ODF provides additional prognostic information. Methods: 135 eyes of 75 patients with glaucoma or being glaucoma suspects had intraocular pressure (IOP), visual fields, stereo optic disc photography and ODF measured on an initial visit and a subsequent visit at mean 82 (SD 7.3) months later. Corneal thickness and blood pressure were recorded on the latter visit. When venous pulsation was spontaneous, the ODF was recorded as 0 g. Change in ODF was calculated. Flicker stereochronoscopy was used to determine the occurrence of optic disc excavation, which was modelled against the measured variables using multiple mixed effects logistic regression. Results: Change in ODF (p=0.046) was associated with increased excavation. Average IOP (p=0.66) and other variables were not associated. Odds ratio for increased optic disc excavation of 1.045 per gram ODF change (95% CI 1.001 to 1.090) was calculated. Conclusion: Change in retinal vein ODF may provide additional information to assist with glaucoma prognostication and implies a significant relationship between venous change and glaucoma patho-physiology

Nowhere to Run; Nowhere to Hide: The Reality of Being a Law Library Director in Times of Great Opportunity and Significant Challenges

This is an edited version of remarks presented at \u27Nowhere to Run, Nowhere to Hide\u27: The Reality of Being a Law Library Director in Times of Great Opportunity and Significant Challenges, January 5, 2015, at the Association of American Law Schools Annual Meeting, Washington, D.C

Invasive Phragmites australis Management Outcomes and Native Plant Recovery Are Context Dependent

The outcomes of invasive plant removal efforts are influenced by management decisions, but are also contingent on the uncontrolled spatial and temporal context of management areas. Phragmites australis is an aggressive invader that is intensively managed in wetlands across North America. Treatment options have been understudied, and the ecological contingencies of management outcomes are poorly understood. We implemented a 5‐year, multi‐site experiment to evaluate six Phragmites management treatments that varied timing (summer or fall) and types of herbicide (glyphosate or imazapyr) along with mowing, plus a nonherbicide solarization treatment. We evaluated treatments for their influence on Phragmites and native plant cover and Phragmites inflorescence production. We assessed plant community trajectories and outcomes in the context of environmental factors. The summer mow, fall glyphosate spray treatment resulted in low Phragmites cover, high inflorescence reduction, and provided the best conditions for native plant recruitment. However, returning plant communities did not resemble reference sites, which were dominated by ecologically important perennial graminoids. Native plant recovery following initial Phragmites treatments was likely limited by the dense litter that resulted from mowing. After 5 years, Phragmites mortality and native plant recovery were highly variable across sites as driven by hydrology. Plots with higher soil moisture had greater reduction in Phragmites cover and more robust recruitment of natives compared with low moisture plots. This moisture effect may limit management options in semiarid regions vulnerable to water scarcity. We demonstrate the importance of replicating invasive species management experiments across sites so the contingencies of successes and failures can be better understood

Spatial and Temporal Variation in Brackish Wetland Seedbanks: Implications for Wetland Restoration Following \u3ci\u3ePhragmites\u3c/i\u3e Control

Chesapeake Bay tidal wetlands are experiencing a broad-scale, aggressive invasion by the non-native, clonal grass Phragmites australis. The grass is often managed with herbicides in efforts to restore native plant communities and wildlife habitat. Management efforts, however, can act as a disturbance, resulting in increased light availability, potentially fostering reinvasion from soil seedbanks. If native vegetation establishes quickly from seedbanks, the site should have greater resiliency against invasion, while disturbed sites where native plants do not rapidly establish may be rapidly colonized by P. australis. We surveyed the soil seedbank of three vegetation cover types in five Chesapeake Bay subestuaries: areas where P. australis had been removed, where P. australis was left intact, and with native, reference vegetation. We determined the total germination, the proportion of the seedbank that was attributable to invasive species, the richness, the functional diversity, and the overall composition of the seedbanks in each of the cover types (i.e., plots). After 2 years of herbicide treatment in the P. australis removal plots, vegetation cover type impacted the total germination or the proportion of invasive species in the seedbank. In contrast, we also found that seedbank functional composition in tidal brackish wetlands was not influenced by vegetation cover type in most cases. Instead, plots within a subestuary had similar seedbank functional composition across the years and were composed of diverse functional groups. Based on these findings, we conclude that plant community recovery following P. australis removal is not seed-limited, and any lack of native vegetation recruitment is likely the result of yet-to-be-determined abiotic factors. These diverse seedbanks could lead to resilient wetland communities that could resist invasions. However, due to the prevalence of undesirable species in the seedbank, passive revegetation following invasive plant removal may speed up their re-establishment. The need for active revegetation will need to be assessed on a case-by-case basis to ensure restoration goals are achieved

Computation of Equilibrium Distributions of Markov Traffic-Assignment Models

Markov traffic-assignment models explicitly represent the day-to-day evolving interaction between traffic congestion and drivers' information acquisition and choice processes. Such models can, in principle, be used to investigate traffic flows in stochastic equilibrium, yielding estimates of the equilibrium mean and covariance matrix of link or route traffic flows. However, in general these equilibrium moments cannot be written down in closed form. While Monte Carlo simulations of the assignment process may be used to produce “empirical” estimates, this approach can be extremely computationally expensive if reliable results (relatively free of Monte Carlo error) are to be obtained. In this paper an alternative method of computing the equilibrium distribution is proposed, applicable to the class of Markov models with linear exponential learning filters. Based on asymptotic results, this equilibrium distribution may be approximated by a Gaussian process, meaning that the problem reduces to determining the first two multivariate moments in equilibrium. The first of these moments, the mean flow vector, may be estimated by a conventional traffic-assignment model. The second, the flow covariance matrix, is estimated through various linear approximations, yielding an explicit expression. The proposed approximations are seen to operate well in a number of illustrative examples. The robustness of the approximations (in terms of network input data) is discussed, and shown to be connected with the “volatility” of the traffic assignment process

A qualitative exploration of the effect of visual field loss on daily life in home-dwelling stroke survivors

Objective: To explore the effect of visual field loss on the daily life of community-dwelling stroke survivors. Design: A qualitative interview study. Participants: Adult stroke survivors with visual field loss of at least six months’ duration. Methods: Semi-structured interviews were conducted with a non-purposive sample of 12 stroke survivors in their own homes. These were recorded, transcribed verbatim and analyzed with the framework method, using an inductive approach. Results: Two key analytical themes emerged. ‘Perception, experience and knowledge’ describes participant’s conflicted experience of having knowledge of their impaired vision but lacking perception of that visual field loss and operating under the assumption that they were viewing an intact visual scene when engaged in activities. Inability to recognize and deal with visual difficulties, and experiencing the consequences, contributed to their fear and loss of self-confidence. ‘Avoidance and adaptation’ were two typologies of participant response to visual field loss. Initially, all participants consciously avoided activities. Some later adapted to vision loss using self-directed head and eye scanning techniques. Conclusions: Visual field loss has a marked impact on stroke survivors. Stroke survivors lack perception of their visual loss in everyday life, resulting in fear and loss of confidence. Activity avoidance is a common response, but in some, it is replaced by self-initiated adaptive techniques

Complementary Therapies for Significant Dysfunction from Tinnitus: Treatment Review and Potential for Integrative Medicine

Tinnitus is a prevalent and costly chronic condition; no universally effective treatment exists. Only 20% of patients who report tinnitus actually seek treatment, and when treated, most patients commonly receive sound-based and educational (SBE) therapy. Additional treatment options are necessary, however, for nonauditory aspects of tinnitus (e.g., anxiety, depression, and significant interference with daily life) and when SBE therapy is inefficacious or inappropriate. This paper provides a comprehensive review of (1) conventional tinnitus treatments and (2) promising complementary therapies that have demonstrated some benefit for severe dysfunction from tinnitus. While there has been no systematic study of the benefits of an Integrative Medicine approach for severe tinnitus, the current paper reviews emerging evidence suggesting that synergistic combinations of complementary therapies provided within a whole-person framework may augment SBE therapy and empower patients to exert control over their tinnitus symptoms without the use of medications, expensive devices, or extended programs