The effect of postal questionnaire burden on response rate and answer patterns following admission to intensive care: a randomised controlled trial

Abstract Background The effects of postal questionnaire burden on return rates and answers given are unclear following treatment on an intensive care unit (ICU). We aimed to establish the effects of different postal questionnaire burdens on return rates and answers given. Methods Design: A parallel group randomised controlled trial. We assigned patients by computer-based randomisation to one of two questionnaire packs (Group A and Group B). Setting: Patients from 26 ICUs in the United Kingdom. Inclusion criteria: Patients who had received at least 24 h of level 3 care and were 16 years of age or older. Patients did not know that there were different questionnaire burdens. The study included 18,490 patients. 12,170 were eligible to be sent a questionnaire pack at 3 months. We sent 12,105 questionnaires (6112 to group A and 5993 to group B). Interventions: The Group A pack contained demographic and EuroQol group 5 Dimensions 3 level (EQ-5D-3 L) questionnaires, making four questionnaire pages. The Group B pack also contained the Hospital Anxiety and Depression Score (HADS) and the Post-Traumatic Stress Disorder Check List-Civilian (PCL-C) questionnaires, making eight questionnaire pages in total. Main outcome measure: Questionnaire return rate 3 months after ICU discharge by group. Results In group A, 2466/6112 (40.3%) participants responded at 3 months. In group B 2315/ 5993 (38.6%) participants responded (difference 1.7% CI for difference 0–3.5% p = 0.053). Group A reported better functionality than group B in the EQ-5D-3 L mobility (41% versus 37% reporting no problems p = 0.003) and anxiety/depression (59% versus 55% reporting no problems p = 0.017) domains. Conclusions In survivors of intensive care, questionnaire burden had no effect on return rates. However, questionnaire burden affected answers to the same questionnaire (EQ-5D-3 L). Trial registration ISRCTN69112866 (assigned 02/05/2006)

GBTrans: A commensal search for radio pulses with the Green Bank twenty metre telescope

We describe GBTrans, a real-time search system designed to find fast radio bursts (FRBs) using the 20-m radio telescope at the Green Bank Observatory. The telescope has been part of the Skynet educational program since 2015. We give details of the observing system and report on the non-detection of FRBs from a total observing time of 503 days. Single pulses from four known pulsars were detected as part of the commensal observing. The system is sensitive enough to detect approximately half of all currently known FRBs and we estimate that our survey probed redshifts out to about 0.3 corresponding to an effective survey volume of around 124,000~Mpc$^3$. Modeling the FRB rate as a function of fluence, $F$, as a power law with $F^{-\alpha}$, we constrain the index $\alpha < 2.5$ at the 90% confidence level. We discuss the implications of this result in the context of constraints from other FRB surveys.Comment: 7 pages, 6 figure

Enhanced images and new models of the Wilkes Subglacial Basin help constrain the variability in geological boundary conditions for the East Antarctic Ice Sheet

The Wilkes Subglacial Basin (WSB) is a huge tectonic feature formed by Cenozoic lithospheric flexure coupled with Mesozoic to Cenozoic extension localised in sub-basins (Paxman et al., 2019, JGR). The deep northern WSB underlies the catchments of the Matusevich, Cook, Ninnis and Mertz glaciers that are largely marine-based, which renders them more vulnerable to past and predicted future ocean and climate warming. Here we present airborne radar and enhanced magnetic and gravity views of the northern WSB that help unveil the spatial variability in geological boundary conditions for this key sector of the East Antarctic Ice Sheet (EAIS). Residual gravity anomalies obtained by stripping out Moho effects were compared with aeromagnetic anomaly images to glean new perspectives into intra-crustal features. Depth to magnetic and gravity source estimates were then used to help derive the first combined 2D forward models for the region. We first examine a model crossing the northern WSB extending from the Matusevich Glacier to the deep Cook Basins. The model reveals a major crustal boundary along the eastern margin of the WSB interpreted as separating the Ross Orogen from a composite Precambrian Wilkes Terrane buried beneath Devonian to Jurassic sediments and early Cambrian metasediments. By analogy with the better understood Rennick Graben in northern Victoria Land, the Cook basins are interpreted as glacially over deepened grabens. The Cook basins clearly play a major role in EAIS dynamics, as they steer fast glacial flow deep into the interior of East Antarctica where they connect to the Central Basins. Our new model across these basins shows that the inferred Precambrian basement is both shallower and of more felsic bulk composition compared to the Cook basins. This fundamental difference in basement depth, bulk composition and thickness of sedimentary cover is likely to exert major influences on geothermal heat variability in this key sector of the EAIS

Airborne radar sounding evidence for deformable sediments and outcropping bedrock beneath Thwaites Glacier, West Antarctica

The geologic and morphologic records of prior ice sheet configurations show evidence of rapid, back-stepping, meltwater intensive retreats. However, the potential for such a retreat in a contemporary glacier depends on the lithology of the current ice sheet bed, which lies beneath kilometers of ice, making its physical properties difficult to constrain. We use radar sounding and marine bathymetry data to compare the bed configuration of Thwaites Glacier to the bed of paleo-Pine Island Glacier. Using observed and modeled radar scattering, we show that the tributaries and upper trunk of Thwaites Glacier are underlain by ice flow-aligned bedforms consistent with deformable sediment and that the lower trunk is grounded on a region of high bed roughness consistent with outcropping bedrock. This is the same configuration as paleo-Pine Island Glacier during its retreat across the inner continental shelf

Patterns of participation over four rounds of annual fecal immunochemical test-based screening for colorectal cancer: what predicts rescreening?

Published online: 01 August 2017Background: Participation at the recommended intervals is critical for screening to be effective in reducing colorectal cancer (CRC) incidence. This study describes patterns of screening participation over four rounds of fecal immunochemical testing (FIT) to identify whether demographic variables and prior screening satisfaction are significantly associated with patterns of re-participation. Methods: Baseline surveys were mailed to 4000 South Australians randomly selected from the electoral-roll. Respondents (n = 1928/48.2%) were offered four annual FIT rounds. Screening participation and satisfaction at each round were recorded. Results: Study participation was 58.5, 66.9, 73.1 and 71.4% respectively over four rounds. Three participation patterns were described: consistent participation (43.1%), consistent non-participation (26.4%) and inconsistent participation (changeable; 30.5%), including intermittent and sustained change patterns. Sustained change described those who changed participatory behavior and then maintained for at least two rounds (n = 375/19.5%). Older people, and those not working were most likely to sustain participation. Younger invitees, especially men, were more likely to change participatory behavior and sustain the change. People with higher disadvantage, less education, not working and with no prior (pre-trial) screening experience were more likely to start participating and drop out. People dissatisfied with a prior screening test, including finding aspects embarrassing or unpleasant, were also more likely not to participate in annual screening or to drop out. Conclusions: The findings identify those at risk of non- or inconsistent participation in rescreening. They should aid targeting of interventions for demographic groups at risk and ensuring screening experiences are not perceived as unpleasant or difficult.Joanne M. Osborne, Carlene Wilson, Amy Duncan, Stephen R. Cole, Ingrid Flight, Deborah Turnbull, Donna L. Hughes and Graeme P. Youn

Qualitative study exploring the key determinants of information gathering to inform the management of over-the-counter (OTC) consultations in community pharmacies

Peer reviewedPublisher PD

Modeling 5 Years of Subglacial Lake Activity in the MacAyeal Ice Stream (Antarctica) Catchment Through Assimilation of ICESat Laser Altimetry

Subglacial lakes beneath Antarctica’s fast-moving ice streams are known to undergo ~1km3 volume changes on annual timescales. Focusing on the MacAyeal Ice Stream (MacIS) lake system, we create a simple model for the response of subglacial water distribution to lake discharge events through assimilation of lake volume changes estimated from Ice, Cloud and land Elevation Satellite (ICESat) laser altimetry. We construct a steady-state water transport model in which known subglacial lakes are treated as either sinks or sources depending on the ICESat-derived filling or drainingrates. The modeled volume change rates of five large subglacial lakes in the downstream portion of MacIS are shown to be consistent with observed filling rates if the dynamics of all upstream lakes are considered. However, the variable filling rate of the northernmost lake suggests the presence of an undetected lake of similar size upstream. Overall, we show that, for this fast-flowing ice stream, most subglacial lakes receive \u3e90% of their water from distant distributed sources throughout the catchment, and we confirm that water is transported from regions of net basal melt to regions of net basal freezing. Our study provides a geophysically based means of validating subglacial water models in Antarctica and is a potential way to parameterize subglacial lake discharge events in large-scale ice-sheet models where adequate data are available

Distribution of subglacial sediments across the Wilkes Subglacial Basin, East Antarctica

Topography, sediment distribution, and heat flux are all key boundary conditions governing the dynamics of the East Antarctic Ice Sheet (EAIS). EAIS stability is most at risk in Wilkes Land across vast expanses of marine-based catchments including the 1400 km × 600 km expanse of the Wilkes Subglacial Basin (WSB) region. Data from a recent regional aerogeophysical survey (Investigating the Cryospheric Evolution of the Central Antarctic Plate (ICECAP)/IceBridge) are combined with two historical surveys (Wilkes basin/Transantarctic Mountains System Exploration-Ice-house Earth: Stability or DYNamism? (WISE-ISODYN) and Wilkes Land Transect (WLK)) to improve our understanding of the vast subglacial sedimentary basins impacting WSB ice flow and geomorphology across geologic time. Analyzing a combination of gravity, magnetic and ice-penetrating radar data, we present the first detailed subglacial sedimentary basin model for the WSB that defines distinct northern and southern subbasin isopachs with average sedimentary basin thicknesses of 1144 m ± 179 m and 1623 m ± 254 m, respectively. Notably, more substantial southern subbasin sedimentary deposition in the WSB interior supports a regional Wilkes Land hypothesis that basin-scale ice flow and associated glacial erosion is dictated by tectonic basement structure and the inherited geomorphology of preglacial fluvial networks. Orbital, temperate/polythermal glacial cycles emanating from adjacent alpine highlands during the early Miocene to late Oligocene likely preserved critical paleoclimatic data in subglacial sedimentary strata. Substantially thinner northern WSB subglacial sedimentary deposits are generally restricted to fault-controlled, channelized basins leading to prominent outlet glacier catchments suggesting a more dynamic EAIS during the Pliocene