Communicating about Extreme Heat: Results from Card Sorting and Think Aloud Interviews with Experts from Differing Domains

Climate trends indicate that extreme heat events are becoming more common and more severe over time, requiring improved strategies to communicate heat risk and protective actions. However, there exists a disconnect in heat-related communication from experts, who commonly include heat related jargon (i.e., technical language), to decision makers and the general public. The use of jargon has been shown to reduce meaningful engagement with and understanding of messages written by experts. Translating technical language into comprehensible messages that encourage decision makers to take action has been identified as a priority to enable impact-based decision support. Knowing what concepts and terms are perceived as jargon, and why, is a first step to increasing communication effectiveness. With this in mind, we focus on the mental models about extreme heat among two groups of domain experts –those trained in atmospheric science and those trained in emergency management to identify how each group understands terms and concepts about extreme heat. We use a hybrid data collection method of open card sorting and think-aloud interviews to identify how participants conceptualize and categorize terms and concepts related to extreme heat. While we find few differences within the sorted categories, we learn that the processes leading to decisions about the importance of including, or not including, technical information differs by group. The results lead to recommendations and priorities for communicating about extreme heat

Communicating Hazard Location through Text and Map in Earthquake Early Warnings: A Mixed Methods Study

The purpose of this research was to examine the effect of presenting hazard location in different formats on key warning message outcomes—understanding, personalizing, believing, deciding, and milling. We conducted two studies using experiment and focus group methods. In the experiment, we compared a standard ShakeAlert earthquake early warning message, which merely implied location, to three enhanced messages that communicated information about the earthquake epicenter via text, map, or a combined text-and-map format. Focus groups explored reactions to warning messages accompanied by different types of maps. Overall, the standard ShakeAlert message was associated with worse message outcomes compared to messages that explicitly stated the hazard location; communicating hazard location via text was associated with better message outcomes than the map or combined text-and-map format. Although participants preferred the combination text-and-map format, the text format was associated with significantly better message outcomes. Findings revealed that providing specific hazard location information leads to improvements in message outcomes; however, the format in which the information is communicated via text is the best strategy

Public perceptions of U.S. earthquake early warning post-alert messages: Findings from focus groups and interviews

In May 2020, a false earthquake alert message was sent to the city of Ridgecrest, CA, in the U.S.A., an area that just 10 months prior had experienced a significant series of earthquake events. The false alert was followed by a post-alert message, indicating that the message was cancelled and under investigation. This event, the first of its kind in the U.S.A., provided an opportunity to learn about public perceptions of the post-alert message, including what individuals understood about the threat and their safety, and what actions they should take as a result. We conducted individual interviews with 40 persons in the Ridgecrest community, followed by a series of focus groups in Southern California to discuss post-alert messages, and to learn about information people most needed following false earthquake alerts. We found that individuals with and without prior earthquake experience expressed confusion about content describing the investigatory actions of the organization and had a largely negative response toward content that complimented those who took action in response to the initial earthquake early warning. While current post-alert messages are intended to reinforce the good intentions of the organization and the protective actions taken by message receivers, the message issued was perceived by members of the public to be largely ineffective in achieving either objective because it did not provide the information they desired most—an explicit statement about their safety. Instead, message receivers need information that primarily affirms their current level of safety so they can return to normal functionin

Ember Alerts: Assessing Wireless Emergency Alert (WEA) Messages in Wildfires Using the Warning Response Model

When evacuation is necessary in a wildfire event, affected communities must be alerted and warned of the imminent danger and instructed on what to do to protect themselves. One channel available to message providers in the United States is Wireless Emergency Alerts (WEAs) disseminated via IPAWS. Recent wildfire events have shed light on the need to improve WEA strategies and messages when alerting exposed populations of imminent fire threat. The purpose of this article is to assess how, when and where WEAs have been used in US wildfires; whether they comply with guidance set out by Mileti and Sorensen’s Warning Response Model (WRM); and whether the expansion in characters (from 90 to 360) of WEA messages has influenced compliance with the WRM. A quantitative content analysis was conducted of WEA messages sent during US wildfires from January 2020-April 2022. A total of 1,284 messages were manually coded based upon the content and style categories identified in the WRM. Descriptive analyses (and Chi-square tests) were performed to illustrate how 90-character and 360-character WEA messages differ by key content and style features. Results showed that certain content features (i.e., location, guidance, and the name of the hazard) were included more often than others (i.e., source, hazard description, hazard consequences, and timing information) and that the inclusion of most content features increased with increasing message character length. Additionally, when assessing message ‘completeness’, the use of acronyms was prevalent in both 90- and 360-character wildfire WEAs; whereas the inclusion of URLs was linked to increased message length. Wildfire WEAs also displayed inconsistency both within and across states in their use of terminology to trigger evacuation. These findings, among others, have implications for theory highlighting a growing need to confirm that message receivers understand and can act on the messages sent, regardless of the language used. In addition, for message creators, recommendations for effective WEA messages for wildfires are provided

A study of changes in genetic and environmental influences on weight and shape concern across adolescence

The goal of the current study was to examine whether genetic and environmental influences on an important risk factor for disordered eating, weight and shape concern (WSC), remained stable over adolescence. This stability was assessed in two ways: whether new sources of latent variance were introduced over development, and whether the magnitude of variance contributing to the risk factor changed. We examined an 8-item WSC sub-scale derived from the Eating Disorder Examination using telephone interviews with female adolescents. From three waves of data collected from female-female same sex twin pairs from the Australian Twin Registry, a subset of the data (which included 351 pairs at Wave 1) was used to examine three age cohorts: 12-13, 13-15, and 14-16 years. The best fitting model contained genetic and environmental influences, both shared and non-shared. Biometric model fitting indicated that non-shared environmental influences were largely specific to each age cohort, and results suggested that latent shared environmental and genetic influences that were influential at 12-13 years continued to contribute to subsequent age cohorts, with independent sources of both emerging at ages 13-15. The magnitude of all three latent influences could be constrained to be the same across adolescence. Ages 13-15 was indicated as a time of risk for the development of high levels of WSC given that most specific environmental risk factors were significant at this time (e.g., peer teasing about weight, adverse life events), and indications of the emergence of new sources of latent genetic and environmental variance over this period.NHMRC Grants 324715 and 480420

Prevalence of unrecognised myocardial infarction in a low-intermediate risk asymptomatic cohort and its relation to systemic atherosclerosis

The study was funded by the Souter Charitable Foundation and the Chest, Heart and Stroke Scotland Charity. J.R.W.M. is supported by the Wellcome Trust through the Scottish Translational Medicine and Therapeutics Initiative (grant no. WT 085664) in the form of a clinical research fellowship.Aims :  Unrecognized myocardial infarctions (UMIs) have been described in 19-30% of the general population using late gadolinium enhancement (LGE) on cardiac magnetic resonance. However, these studies have focused on an unselected cohort including those with known cardiovascular disease (CVD). The aim of the current study was to ascertain the prevalence of UMIs in a non-high-risk population using magnetic resonance imaging (MRI). Methods and Results :  A total of 5000 volunteers aged >40 years with no history of CVD and a 10-year risk of CVD of <20%, as assessed by the ATP-III risk score, were recruited to the Tayside Screening for Cardiac Events study. Those with a B-type natriuretic peptide (BNP) level greater than their gender-specific median were invited for a whole-body MR angiogram and cardiac MR including LGE assessment. LGE was classed as absent, UMI, or non-specific. A total of 1529 volunteers completed the imaging study; of these, 53 (3.6%) were excluded because of either missing data or inadequate LGE image quality. Ten of the remaining 1476 (0.67%) displayed LGE. Of these, three (0.2%) were consistent with UMI, whereas seven were non-specific occurring in the mid-myocardium (n = 4), epicardium (n = 1), or right ventricular insertion points (n = 2). Those with UMI had a significantly higher BNP [median 116 (range 31-133) vs. 22.6 (5-175) pg/mL, P = 0.015], lower ejection fraction [54.6 (36-62) vs. 68.9 (38-89)%, P = 0.007], and larger end-systolic volume [36.3 (27-61) vs. 21.7 (5-65) mL/m(2), P = 0.014]. Those with non-specific LGE had lower diastolic blood pressure [68 (54-70) vs. 72 (46-98) mmHg, P = 0.013] but no differences in their cardiac function. Conclusion :  Despite previous reports describing high prevalence of UMI in older populations, in a predominantly middle-aged cohort, those who are of intermediate or low cardiovascular risk have a very low risk of having an unrecognized myocardial infarct.Publisher PDFPeer reviewe

Hallmarks of the Mott-Metal Crossover in the Hole-Doped Pseudospin-1/2 Mott Insulator Sr\u3csub\u3e2\u3c/sub\u3eIrO\u3csub\u3e4\u3c/sub\u3e

The physics of doped Mott insulators remains controversial after decades of active research, hindered by the interplay among competing orders and fluctuations. It is thus highly desired to distinguish the intrinsic characters of the Mott-metal crossover from those of other origins. Here we investigate the evolution of electronic structure and dynamics of the hole-doped pseudospin-1/2 Mott insulator Sr2IrO4. The effective hole doping is achieved by replacing Ir with Rh atoms, with the chemical potential immediately jumping to or near the top of the lower Hubbard band. The doped iridates exhibit multiple iconic low-energy features previously observed in doped cuprates—pseudogaps, Fermi arcs and marginal-Fermi-liquid-like electronic scattering rates. We suggest these signatures are most likely an integral part of the material’s proximity to the Mott state, rather than from many of the most claimed mechanisms, including preformed electron pairing, quantum criticality or density-wave formation

Left Ventricular Noncompaction:Anatomical Phenotype or Distinct Cardiomyopathy?

The present study was funded by the Souter Charitable Foundation and the Chest, Heart and Stroke Scotland Charity. Dr. Weir-McCall is supported by the Wellcome Trust through the Scottish Translational Medicine and Therapeutics Initiative (Grant no. WT 085664) in the form of a Clinical Research Fellowship.Background:  There is considerable overlap between left ventricular noncompaction (LVNC) and other cardiomyopathies. LVNC has been reported in up to 40% of the general population, raising questions about whether it is a distinct pathological entity, a remodeling epiphenomenon, or merely an anatomical phenotype. Objectives:   The authors determined the prevalence and predictors of LVNC in a healthy population using 4 cardiac magnetic resonance imaging diagnostic criteria. Methods:   Volunteers >40 years of age (N = 1,651) with no history of cardiovascular disease (CVD), a 10-year risk of CVD < 20%, and a B-type natriuretic peptide level greater than their gender-specific median underwent magnetic resonance imaging scan as part of the TASCFORCE (Tayside Screening for Cardiac Events) study. LVNC ratios were measured on the horizontal and vertical long axis cine sequences. All individuals with a noncompaction ratio of ≥2 underwent short axis systolic and diastolic LVNC ratio measurements, and quantification of noncompacted and compacted myocardial mass ratios. Those who met all 4 criteria were considered to have LVNC. Results:  Of 1,480 participants analyzed, 219 (14.8%) met ≥1 diagnostic criterion for LVNC, 117 (7.9%) met 2 criteria, 63 (4.3%) met 3 criteria, and 19 (1.3%) met all 4 diagnostic criteria. There was no difference in demographic or allometric measures between those with and without LVNC. Long axis noncompaction ratios were the least specific, with current diagnostic criteria positive in 219 (14.8%), whereas the noncompacted to compacted myocardial mass ratio was the most specific, only being met in 61 (4.4%). Conclusions:   A significant proportion of an asymptomatic population free from CVD satisfy all currently used cardiac magnetic resonance imaging diagnostic criteria for LVNC, suggesting that those criteria have poor specificity for LVNC, or that LVNC is an anatomical phenotype rather than a distinct cardiomyopathy.Publisher PDFPeer reviewe