Characterization and Comparison of the 10-2 SITA-Standard and Fast Algorithms

Purpose: To compare the 10-2 SITA-standard and SITA-fast visual field programs in patients with glaucoma. Methods: We enrolled 26 patients with open angle glaucoma with involvement of at least one paracentral location on 24-2 SITA-standard field test. Each subject performed 10-2 SITA-standard and SITA-fast tests. Within 2 months this sequence of tests was repeated. Results: SITA-fast was 30% shorter than SITA-standard (5.5 ± 1.1 vs 7.9 ± 1.1 minutes, P < 0.001). Mean MD was statistically significantly higher for SITA-standard compared with SITA-fast at first visit (Δ = 0.3 dB, P = 0.017) but not second visit. Inter-visit difference in MD or in number of depressed points was not significant for both programs. Bland-Altman analysis showed that clinically significant variations can exist in individual instances between the 2 programs and between repeat tests with the same program. Conclusions: The 10-2 SITA-fast algorithm is significantly shorter than SITA-standard. The two programs have similar long-term variability. Average same-visit between-program and same-program between-visit sensitivity results were similar for the study population, but clinically significant variability was observed for some individual test pairs. Group inter- and intra-program test results may be comparable, but in the management of the individual patient field change should be verified by repeat testing

Linking ecology, economics, and fleet dynamics to evaluate alternative management strategies for US West Coast trawl fisheries

Increasingly fishery managers are expected to take an ecosystem approach to fisheries management that accounts for the interrelationships of target species as well as non-target species and habitat. Fishery managers would benefit from coupled ecological-economic models that includes both the human and ecological aspects of the fishery and incorporates them in the context of the wider ecosystem. We augment an ecological simulation model (Atlantis) of the US West Coast marine ecosystem with fleet dynamic models that are consistent with the economic incentives created by the current and prospective fishery management systems for the West Coast groundfish fishery. The Atlantis model is a spatially explicit, age structured food web simulation model that incorporates oceanography, climate, and fishery dynamics. The model extends from the US/Canada Border to Point Conception, California, and out to the 1200 meter isobath. We use the model to evaluate alternative policies for setting total allowable catch (TACs) under different management systems including cumulative catch limits (i.e., status quo strategy), cumulative catch limits with full retention and increased observer coverage, and individual transferable quotas. In addition to providing insights into how alternative fishery management policies might affect the profitability and sustainability of primary fisheries, the model illustrates the wider ecosystem impacts of fishery management policies. The linking of fishery ecology and economics within Atlantis serves as a filter to identify management policies and strategies that are both economically and ecologically robust in the long term and avoid those that are not

Ocean Futures Under Ocean Acidification, Marine Protection, and Changing Fishing Pressures Explored Using a Worldwide Suite of Ecosystem Models

Ecosystem-based management (EBM) of the ocean considers all impacts on and uses of marine and coastal systems. In recent years, there has been a heightened interest in EBM tools that allow testing of alternative management options and help identify tradeoffs among human uses. End-to-end ecosystem modeling frameworks that consider a wide range of management options are a means to provide integrated solutions to the complex ocean management problems encountered in EBM. Here, we leverage the global advances in ecosystem modeling to explore common opportunities and challenges for ecosystem-based management, including changes in ocean acidification, spatial management, and fishing pressure across eight Atlantis (atlantis.cmar.csiro.au) end-to-end ecosystem models. These models represent marine ecosystems from the tropics to the arctic, varying in size, ecology, and management regimes, using a three-dimensional, spatially-explicit structure parametrized for each system. Results suggest stronger impacts from ocean acidification and marine protected areas than from altering fishing pressure, both in terms of guild-level (i.e., aggregations of similar species or groups) biomass and in terms of indicators of ecological and fishery structure. Effects of ocean acidification were typically negative (reducing biomass), while marine protected areas led to both “winners” and “losers” at the level of particular species (or functional groups). Changing fishing pressure (doubling or halving) had smaller effects on the species guilds or ecosystem indicators than either ocean acidification or marine protected areas. Compensatory effects within guilds led to weaker average effects at the guild level than the species or group level. The impacts and tradeoffs implied by these future scenarios are highly relevant as ocean governance shifts focus from single-sector objectives (e.g., sustainable levels of individual fished stocks) to taking into account competing industrial sectors\u27 objectives (e.g., simultaneous spatial management of energy, shipping, and fishing) while at the same time grappling with compounded impacts of global climate change (e.g., ocean acidification and warming)

Sustainable Transport Planning for Israel and Palestine

The paper presents the results of a trilateral research project carried out jointly by German, Israeli, and Palestinian institutions. The overall objective of the project was to develop and adapt models and tools for resource-preserving transport planning in the West Bank and the adjacent areas. Because of its high dynamics and the particular political circumstances, broader socio-economic and political considerations needed to be included in the analysis of present conditions and the exploration of future developments in this area. Compared to other countries, transport planning in Palestine is much more linked to sensitive issues such as security, Israeli settlements, bypass road s and checkpoints, which cannot always be separated in a clean way. To evaluate different policy options for transport planning, a modelling system has been developed consisting of a GIS database, integrated transport and environmental models and network extensions tools. The paper pres ents the integrated database and the modelling system developed, describes the scenarios implemented and compares the outcomes of the model runs with respect to their environmental and social impacts.The research project “GIS-Based Models and GIS-Tools for Sustainable Transport Planning in Israel and Palestine” was funded by the German Research Council (DFG) within the framework of their trilateral research programme bringing German, Israeli and Palestinian researchers together. The project was conducted in two phases. Phase 1 started in March 1997 and ended in February 1999. Phase 2 started in March 2000 and officially ended in February 2000. The project consortium wishes to thank the German Research Council for making this study possible through a generous research grant

Climate vulnerability assessment for Pacific salmon and steelhead in the California Current Large Marine Ecosystem.

Major ecological realignments are already occurring in response to climate change. To be successful, conservation strategies now need to account for geographical patterns in traits sensitive to climate change, as well as climate threats to species-level diversity. As part of an effort to provide such information, we conducted a climate vulnerability assessment that included all anadromous Pacific salmon and steelhead (Oncorhynchus spp.) population units listed under the U.S. Endangered Species Act. Using an expert-based scoring system, we ranked 20 attributes for the 28 listed units and 5 additional units. Attributes captured biological sensitivity, or the strength of linkages between each listing unit and the present climate; climate exposure, or the magnitude of projected change in local environmental conditions; and adaptive capacity, or the ability to modify phenotypes to cope with new climatic conditions. Each listing unit was then assigned one of four vulnerability categories. Units ranked most vulnerable overall were Chinook (O. tshawytscha) in the California Central Valley, coho (O. kisutch) in California and southern Oregon, sockeye (O. nerka) in the Snake River Basin, and spring-run Chinook in the interior Columbia and Willamette River Basins. We identified units with similar vulnerability profiles using a hierarchical cluster analysis. Life history characteristics, especially freshwater and estuary residence times, interplayed with gradations in exposure from south to north and from coastal to interior regions to generate landscape-level patterns within each species. Nearly all listing units faced high exposures to projected increases in stream temperature, sea surface temperature, and ocean acidification, but other aspects of exposure peaked in particular regions. Anthropogenic factors, especially migration barriers, habitat degradation, and hatchery influence, have reduced the adaptive capacity of most steelhead and salmon populations. Enhancing adaptive capacity is essential to mitigate for the increasing threat of climate change. Collectively, these results provide a framework to support recovery planning that considers climate impacts on the majority of West Coast anadromous salmonids

An integrated environmental and human systems modeling framework for Puget Sound restoration planning

Local, state, federal, tribal and private stakeholders have committed significant resources to restoring Puget Sound’s terrestrial-marine ecosystem. Though jurisdictional issues have promoted a fragmented approach to restoration planning, there is growing recognition that a more coordinated systems-based restoration approach is needed to achieve recovery goals. This presentation describes our collaborative effort to develop and apply an integrated environmental and human systems modeling framework for the Puget Sound Basin, inclusive of all marine and land areas (1,020 and 12,680 sq. mi.). Our goal is to establish a whole-basin systems modeling framework that dynamically simulates biophysical interactions and transfers (water, nutrients, contaminants, biota) across terrestrial-marine boundaries. The core environmental models include a terrestrial ecohydrological model (VELMA), an ocean circulation and biogeochemistry model (Salish Sea Model), and an ocean food web model (Atlantis). This environmental subsystem will be linked with an agent-based modeling subsystem (e.g., Envision) that allows human decision-makers to be represented in whole-basin simulations. The integrated environmental and human systems framework aims to facilitate discourse among different stakeholders and decision makers (agents) and enable them play out the ecological, social and economic consequences of alternative ecosystem restoration choices. All of these models are currently being applied in Puget Sound, but they have not yet been integrated. The linked models will better capture the propagation of human impacts throughout the terrestrial-marine ecosystem, and thereby provide a more effective decision support tool for addressing restoration of high priority environmental endpoints, such as the Vital Signs identified by the Puget Sound Partnership (http://www.psp.wa.gov/vitalsigns/). Our overview will include examples of existing stand-alone model applications, and conceptual plans for linking models across terrestrial-marine boundaries. The Puget Sound multi-model framework described here can potentially be expanded to address the entire Salish Sea transboundary ecosystem (https://www.eopugetsound.org/maps/salish-sea-basin-and-water-boundaries)

Strange Quark Matter and Compact Stars

Astrophysicists distinguish between three different types of compact stars. These are white dwarfs, neutron stars, and black holes. The former contain matter in one of the densest forms found in the Universe which, together with the unprecedented progress in observational astronomy, make such stars superb astrophysical laboratories for a broad range of most striking physical phenomena. These range from nuclear processes on the stellar surface to processes in electron degenerate matter at subnuclear densities to boson condensates and the existence of new states of baryonic matter--like color superconducting quark matter--at supernuclear densities. More than that, according to the strange matter hypothesis strange quark matter could be more stable than nuclear matter, in which case neutron stars should be largely composed of pure quark matter possibly enveloped in thin nuclear crusts. Another remarkable implication of the hypothesis is the possible existence of a new class of white dwarfs. This article aims at giving an overview of all these striking physical possibilities, with an emphasis on the astrophysical phenomenology of strange quark matter. Possible observational signatures associated with the theoretically proposed states of matter inside compact stars are discussed as well. They will provide most valuable information about the phase diagram of superdense nuclear matter at high baryon number density but low temperature, which is not accessible to relativistic heavy ion collision experiments.Comment: 58 figures, to appear in "Progress in Particle and Nuclear Physics"; References added for sections 1,2,3,5; Equation (116) corrected; Figs. 1 and 58 update

A study of general practitioners' perspectives on electronic medical records systems in NHS Scotland

&lt;b&gt;Background&lt;/b&gt; Primary care doctors in NHSScotland have been using electronic medical records within their practices routinely for many years. The Scottish Health Executive eHealth strategy (2008-2011) has recently brought radical changes to the primary care computing landscape in Scotland: an information system (GPASS) which was provided free-of-charge by NHSScotland to a majority of GP practices has now been replaced by systems provided by two approved commercial providers. The transition to new electronic medical records had to be completed nationally across all health-boards by March 2012. &lt;p&gt;&lt;/p&gt;&lt;b&gt; Methods&lt;/b&gt; We carried out 25 in-depth semi-structured interviews with primary care doctors to elucidate GPs' perspectives on their practice information systems and collect more general information on management processes in the patient surgical pathway in NHSScotland. We undertook a thematic analysis of interviewees' responses, using Normalisation Process Theory as the underpinning conceptual framework. &lt;p&gt;&lt;/p&gt; &lt;b&gt;Results&lt;/b&gt; The majority of GPs' interviewed considered that electronic medical records are an integral and essential element of their work during the consultation, playing a key role in facilitating integrated and continuity of care for patients and making clinical information more accessible. However, GPs expressed a number of reservations about various system functionalities - for example: in relation to usability, system navigation and information visualisation. &lt;b&gt;Conclusion &lt;/b&gt;Our study highlights that while electronic information systems are perceived as having important benefits, there remains substantial scope to improve GPs' interaction and overall satisfaction with these systems. Iterative user-centred improvements combined with additional training in the use of technology would promote an increased understanding, familiarity and command of the range of functionalities of electronic medical records among primary care doctors

Evaluation of the Cunningham Panel™ in pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS): Changes in antineuronal antibody titers parallel changes in patient symptoms

Comparison of pre- and post-treatment status revealed that the Cunningham Panel results correlated with changes in patient's neuropsychiatric symptoms. Based upon the change in the number of positive tests, the overall accuracy was 86%, the sensitivity and specificity were 88% and 83% respectively, and the Area Under the Curve (AUC) was 93.4%. When evaluated by changes in autoantibody levels, we observed an overall accuracy of 90%, a sensitivity of 88%, a specificity of 92% and an AUC of 95.7%. Assay reproducibility for the calcium/calmodulin-dependent protein kinase II (CaMKII) revealed a correlation coefficient of 0.90 (p < 1.67 × 10-6) and the ELISA assays demonstrated test-retest reproducibility comparable with other ELISA assays.Open access articleThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

The organizational impact of chronic heat: diffuse brood comb and decreased carbohydrate stores in honey bee colonies

Insect pollinators are vital to the stability of a broad range of both natural and anthropogenic ecosystems and add billions of dollars to the economy each year. Honey bees are perhaps the best studied insect pollinator due to their economic and cultural importance. Of particular interest to researchers are the wide variety of mechanisms honey bees use for thermoregulation, such as fanning cool air currents around the hive and careful selection of insulated nest sites. These behaviors help honey bees remain active through both winter freezes and summer heatwaves, and may allow honey bees to deal with the ongoing climate crisis more readily than other insect species. Surprisingly, little is known about how honey bee colonies manage chronic heat stress. Here we provide a review of honey bee conservation behavior as it pertains to thermoregulation, and then present a novel behavior displayed in honey bees—the alteration of comb arrangement in response to 6 weeks of increased hive temperature. We found that while overall quantities of brood remained stable between treatments, brood were distributed more diffusely throughout heated hives. We also found that heated hives contained significantly less honey and nectar stores than control hives, likely indicating an increase in energy expenditure. Our results support previous findings that temperature gradients play a role in how honey bees arrange their comb contents, and improves our understanding of how honey bees modify their behavior to survive extreme environmental challenges