34 research outputs found

    Changes in soil physical and hydrological properties due to Bromus tectorum (cheatgrass) invasion

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    Introduction of Bromus tectorum (cheatgrass) into western rangelands has had a profound effect on the diversity and health of native ecosystems. Introduced in the late 19th century, B. tectorum has rapidly out-competed native species and colonized large areas of the Great Basin region (Mack, 1981). The objective of this research is to assess changes in soil physical and hydrologic properties on former A. tridentata sites now invaded by B. tectorum and to quantify the scope of the alterations through time. Study site selection was based upon a range of A. tridentata stand replacing fire histories spanning approximately 20 years and subsequent colonization of each fire site by B. tectorum. Fire sites sampled were invaded by B. tectorum following a single fire event; the earliest plot was burned in 1985 with subsequent sites having fires in 1987, 1998, and 2002. Sites characterized by A. tridentata, and not burned, were sampled as controls. To assess soil physical and hydrological properties measures of aggregate stability; hydrophobicity; bulk density; surface strength; surface roughness; and infiltration (double-ring and tension infiltrometer) were made. T-test results indicate increased silt and clay particle size fractions and a decreased sand particle size fraction with colonization by B. tectorum. B. tectorum sites exhibited increased bulk density, aggregate stability, and surface strength along with decreasing surface roughness and saturated conductivity. No significant differences in unsaturated conductivity were represented by tension infiltrometer measurements. Sand sieve fractions indicate an increase in very coarse, coarse, and medium sand fractions and a decrease in fine and very fine sand fractions on B. tectorum sites. Results suggest that B. tectorum invasion is altering soil physical properties and in turn, surface hydrology

    Are treatment effects consistent with hypothesized mechanisms of action proposed for postoperative delirium interventions? Reanalysis of systematic reviews

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    Aim: Postoperative delirium (POD) is associated with increased morbidity and is poorly understood. The aim of this review was to identify putative mechanisms through re-analysis of randomized trials on treatment or prevention of POD. Materials & methods: A systematic review was performed to identify systematic reviews of treatments for POD. Constituent randomized controlled trials were identified, and interventions were grouped according to hypothesized mechanisms of action. Effects were meta-analyzed by hypothesized mechanism and timing of intervention. Results: A total of 116 randomized controlled trials described 47 individual interventions for POD, with nine mechanisms identified. The largest effects were observed for postoperative inflammation reduction, and preoperative reinforcement of sleep–wake cycle. Conclusion: This approach identifies treatments focused on mechanisms of action that may be front runners for future trials and interventions

    The effect of a supplementary ('Gist-based') information leaflet on colorectal cancer knowledge and screening intention: a randomized controlled trial.

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    Guided by Fuzzy Trace Theory, this study examined the impact of a 'Gist-based' leaflet on colorectal cancer screening knowledge and intentions; and tested the interaction with participants' numerical ability. Adults aged 45-59 years from four UK general practices were randomly assigned to receive standard information ('The Facts', n = 2,216) versus standard information plus 'The Gist' leaflet (Gist + Facts, n = 2,236). Questionnaires were returned by 964/4,452 individuals (22 %). 82 % of respondents reported having read the information, but those with poor numeracy were less likely (74 vs. 88 %, p < .001). The 'Gist + Facts' group were more likely to reach the criterion for adequate knowledge (95 vs. 91 %; p < .01), but this was not moderated by numeracy. Most respondents (98 %) intended to participate in screening, with no group differences and no interaction with numeracy. The improved levels of knowledge and self-reported reading suggest 'The Gist' leaflet may increase engagement with colorectal cancer screening, but ceiling effects reduced the likelihood that screening intentions would be affected

    Quantitative evaluation of an information leaflet to increase prompt help-seeking for gynaecological cancer symptoms

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    Background Provision of written information may improve awareness of cancer symptoms and encourage timely presentation in primary care. This study assessed changes in symptom knowledge, perceived barriers to help-seeking, anxiety and intention to seek help, following exposure to a leaflet to raise awareness of gynaecological cancer symptoms. Methods Women (N = 484) completed questionnaires before and after reading the leaflet. The primary outcome was change in anticipated time to help-seeking for 12 symptoms. Changes in symptom knowledge, barriers and anxiety, and their association with prompt help-seeking were evaluated using Wilcoxon signed rank tests and logistic regression analyses. Results After reading the leaflet, symptom knowledge increased (p &lt; 0.001), and perceived barriers (p &lt; 0.001) and anxiety (p = 0.008) decreased. The number of symptoms for which women anticipated seeking help promptly increased (p &lt; 0.001). Changes in knowledge (OR 4.21, 95 % CI 1.95-9.13) and perceived barriers (OR 4.60, 95 % CI 1.91-11.04) were independently associated with increased help-seeking. Conclusion Increased symptom knowledge and lowered perceived barriers were related to increased prompt anticipated help-seeking. This occurred without an increase in anxiety. This intervention is effective in altering knowledge, beliefs and help-seeking intentions for gynaecological cancer symptoms, at least in the short-term, and should be trialled in primary care. </div

    Insurance Companies Act 1982 Hybrid capital; admissibility for solvency

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    SIGLEAvailable from British Library Document Supply Centre-DSC:6938.393(1994/1) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

    Increasing awareness of gynecological cancer symptoms and reducing barriers to medical help seeking: does health literacy play a role?

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    Health literacy may influence the efficacy of print-based public health interventions. A key part of the U.K. cancer control strategy is to provide information to the public on earlier diagnoses with a view to improving the United Kingdom's relatively poor 1-year cancer survival statistics. This study examined the effect of health literacy on the efficacy of a gynecological cancer information leaflet. Participants (n = 451) were recruited from 17 Cancer Research UK events. Health literacy was assessed with the Newest Vital Sign test. Gynecological cancer symptom awareness and barriers to medical help seeking were assessed before and after participants read the leaflet. Symptom awareness improved, and barriers to medical help seeking were reduced (ps .05). As predicted, individuals with lower health literacy benefited less after exposure to the leaflet (ps < .01 for interactions). Despite careful consideration of information design principles in the development of the leaflet, more intensive efforts may be required to ensure that inequalities are not exacerbated by reliance on print-based public health interventions
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