Age-Related Changes in Detecting Unexpected Air Traffic and Instrument Malfunctions

The projected increase in elderly general aviation pilots in North America has raised concerns that aviation safety will be compromised. The present research used a flight simulator to examine change detection in young vs. older recreational pilots. Change detection was assessed in terms of the ability to detect unexpected and potentially critical events: the introduction of nearby air traffic and instrument malfunctions. The results show that older pilots missed more potentially critical events than their younger counterparts

STATUS AND MANAGEMENT OF MOOSE IN THE PARKLAND AND GRASSLAND NATURAL REGIONS OF ALBERTA

Moose (Alces alces) naturally colonized the Parkland Natural Region of Alberta during the 1980s and early 1990s, and later colonized the Grassland Natural Region by the early 2000s. We summarize population data during 1996–2016 for these regions, examining density, population trends, productivity, distribution, management, and moose-human conflicts to determine population status and sustainability. Within the Parkland, aerial surveys from one frequently monitored Wildlife Management Unit (WMU) indicated a significant increase (R2 = 0.7476, P < 0.001) in density, representing an annual rate of change of 1.07. Pooled data from an additional 21 Parkland WMUs indicated a mean annual rate of change of 1.11. Mean density for the 22 Parkland WMUs over the study period was 0.19 ± 0.06 moose/km2, and aerial surveys indicated a mean of 74.4 ± 3.6 calves/100 cows and 51.9 ± 2.9 bulls/100 cows. Within the Grassland, winter aerial survey data from 4 WMUs indicated a mean density of 0.05 ± 0.01 moose/km2, and 72.5 ± 6.75 calves/100 cows and 108.8 ± 34.4 bulls/100 cows. Hunting in these regions has been managed with a limited entry hunt. Resident rifle hunting opportunity for moose in the Parkland and Grassland increased 4.2-fold between 1996 and 2015. Opportunity in this region also represented an increasing proportion of that available province-wide, from 3.4% in 1996 to 19.8% in 2015

Accounts from developers of generic health state utility instruments explain why they produce different QALYs: a qualitative study

Purpose and setting: Despite the label generic health state utility instruments (HSUIs), empirical evidence shows that different HSUIs generate different estimates of Health-Related Quality of Life (HRQoL) in the same person. Once a HSUI is used to generate a QALY, the difference between HSUIs is often ignored, and decision-makers act as if \u27a QALY is a QALY is a QALY\u27. Complementing evidence that different generic HSUIs produce different empirical values, this study addresses an important gap by exploring how HSUIs differ, and processes that produced this difference. 15 developers of six generic HSUIs used for estimating the QOL component of QALYs: Quality of Well-Being (QWB) scale; 15 Dimension instrument (15D); Health Utilities Index (HUI); EuroQol EQ-5D; Short Form-6 Dimension (SF-6D), and the Assessment of Quality of Life (AQoL) were interviewed in 2012-2013. Principal findings: We identified key factors involved in shaping each instrument, and the rationale for similarities and differences across measures. While HSUIs have a common purpose, they are distinctly discrete constructs. Developers recalled complex developmental processes, grounded in unique histories, and these backgrounds help to explain different pathways taken at key decision points during the HSUI development. The basis for the HSUIs was commonly not equivalent conceptually: differently valued concepts and goals drove instrument design and development, according to each HSUI\u27s defined purpose. Developers drew from different sources of knowledge to develop their measure depending on their conceptualisation of HRQoL. Major conclusions/contribution to knowledge: We generated and analysed first-hand accounts of the development of the HSUIs to provide insight, beyond face value, about how and why such instruments differ. Findings enhance our understanding of why the six instruments developed the way they did, from the perspective of key developers of those instruments. Importantly, we provide additional, original explanation for why a QALY is not a QALY is not a QALY

COgnitive behavioural therapy versus standardised medical care for adults with Dissociative non-Epileptic Seizures (CODES): statistical and economic analysis plan for a randomised controlled trial.

BACKGROUND: Dissociative seizures (DSs), also called psychogenic non-epileptic seizures, are a distressing and disabling problem for many patients in neurological settings with high and often unnecessary economic costs. The COgnitive behavioural therapy versus standardised medical care for adults with Dissociative non-Epileptic Seizures (CODES) trial is an evaluation of a specifically tailored psychological intervention with the aims of reducing seizure frequency and severity and improving psychological well-being in adults with DS. The aim of this paper is to report in detail the quantitative and economic analysis plan for the CODES trial, as agreed by the trial steering committee. METHODS: The CODES trial is a multicentre, pragmatic, parallel group, randomised controlled trial performed to evaluate the clinical effectiveness and cost-effectiveness of 13 sessions of cognitive behavioural therapy (CBT) plus standardised medical care (SMC) compared with SMC alone for adult outpatients with DS. DISCUSSION: The objectives and design of the trial are summarised, and the aims and procedures of the planned analyses are illustrated. The proposed analysis plan addresses statistical considerations such as maintaining blinding, monitoring adherence with the protocol, describing aspects of treatment and dealing with missing data. The formal analysis approach for the primary and secondary outcomes is described, as are the descriptive statistics that will be reported. This paper provides transparency to the planned inferential analyses for the CODES trial prior to the extraction of outcome data. It also provides an update to the previously published trial protocol and guidance to those conducting similar trials. TRIAL REGISTRATION: ISRCTN registry ISRCTN05681227 (registered on 5 March 2014); ClinicalTrials.gov NCT02325544 (registered on 15 December 2014)

Clinical- and cost-effectiveness of the STAR care pathway compared to usual care for patients with chronic pain after total knee replacement: study protocol for a UK randomised controlled trial.

Approximately 20% of patients experience chronic pain after total knee replacement. There is little evidence for effective interventions for the management of this pain, and current healthcare provision is patchy and inconsistent. Given the complexity of this condition, multimodal and individualised interventions matched to pain characteristics are needed. We have undertaken a comprehensive programme of work to develop a care pathway for patients with chronic pain after total knee replacement. This protocol describes the design of a randomised controlled trial to evaluate the clinical- and cost-effectiveness of a complex intervention care pathway compared with usual care.This article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site

Habitat Use by Nuttall’s Cottontails (Sylvilagus nuttallii nuttallii) at their Northern Range Edge (British Columbia, Canada)

in Canada, Nuttall’s Cottontails (Sylvilagus nuttallii nuttallii) occur in southcentral British Columbia (BC), where they are federally listed as a species of special Concern due to their presumed small populations and limited distribution in fragmented habitats. Their habitat use and movement patterns are poorly known at this northern edge of their distribution. We used livetrapping, radio-collaring, and fecal pellet surveys to examine Nuttall’s Cottontails’ use of remaining patches of native habitat as well as use of human-impacted areas. Cottontails were present in low densities and only about half of presumably suitable patches of native sagebrush-steppe were occupied. Cottontails were more likely to occur in shrubby habitat, but at a fine scale cottontails used areas that had a lower density of shrubs and finer substrates. movement patterns differed significantly between areas of varying habitat quality, with longer movements in natural habitat. one radio-collared male cottontail used anthropogenic habitats adjacent to native habitat; this use corresponds with landowner reports. However, it is not clear whether Nuttall’s Cottontails are able to use anthropogenically-impacted areas to maintain populations or in areas where such habitats are not near native habitats. our results suggest that these animals are rare and occur primarily in remnant patches of shrub-steppe within BC

Age-Related Changes in Detecting Unexpected Air Traffic and Instrument Malfunctions

The projected increase in elderly general aviation pilots in North America has raised concerns that aviation safety will be compromised. The present research used a flight simulator to examine change detection in young vs. older recreational pilots. Change detection was assessed in terms of the ability to detect unexpected and potentially critical events: the introduction of nearby air traffic and instrument malfunctions. The results show that older pilots missed more potentially critical events than their younger counterparts

Social influences on female mate choice in the guppy, Poecilia reticulata: Generalized and repeatable trait-copying behaviour

In vertebrates, the mating preferences of individual females can be flexible and the probability of a female mating with a particular male can be significantly increased by her having previously observed another conspecific female affiliate and mate with that same male. In theory, such mate-choice-copying behaviour has potentially important consequences for both the genetic and social ('cultural') transmission of female mating preferences. For copying to result in the 'cultural inheritance' of mating preferences, individual females must not only copy the mate choice decisions of other females but they also should tend to repeat this type of behaviour (i.e. make similar mating decisions) subsequently and to generalize their socially induced preference for a particular male to other males that share his distinctive characteristics. Here, we show experimentally that individual female guppies, Poecilia reticulata, not only copy the observed mating preferences of other females for particular males, but that the preference now assumed via copying is subsequently repeated and generalized to other males of a similar colour phenotype. These results provide empirical evidence for social enhancement of female preference for particular phenotypic traits of chosen males rather than for the particular males possessing those traits, and thus have important implications for our understanding of the role of social learning in the evolution of female mating preferences and of male epigamic traits

Improving outcomes for hospitalised First Nations peoples though greater cultural safety and better communication: the Communicate Study Partnership study protocol

Abstract Background The Communicate Study is a partnership project which aims to transform the culture of healthcare systems to achieve excellence in culturally safe care for First Nations people. It responds to the ongoing impact of colonisation which results in First Nations peoples experiencing adverse outcomes of hospitalisation in Australia’s Northern Territory. In this setting, the majority of healthcare users are First Nations peoples, but the majority of healthcare providers are not. Our hypotheses are that strategies to ensure cultural safety can be effectively taught, systems can become culturally safe and that the provision of culturally safe healthcare in first languages will improve experiences and outcomes of hospitalisation. Methods We will implement a multicomponent intervention at three hospitals over 4 years. The main intervention components are as follows: cultural safety training called ‘Ask the Specialist Plus’ which incorporates a locally developed, purpose-built podcast, developing a community of practice in cultural safety and improving access to and uptake of Aboriginal language interpreters. Intervention components are informed by the ‘behaviour change wheel’ and address a supply–demand model for interpreters. The philosophical underpinnings are critical race theory, Freirean pedagogy and cultural safety. There are co-primary qualitative and quantitative outcome measures: cultural safety, as experienced by First Nations peoples at participating hospitals, and proportion of admitted First Nations patients who self-discharge. Qualitative measures of patient and provider experience, and patient-provider interactions, will be examined through interviews and observational data. Quantitative outcomes (documentation of language, uptake of interpreters (booked and completed), proportion of admissions ending in self-discharge, unplanned readmission, hospital length of stay, costs and cost benefits of interpreter use) will be measured using time-series analysis. Continuous quality improvement will use data in a participatory way to motivate change. Programme evaluation will assess Reach, Effectiveness, Adoption, Implementation and Maintenance (‘RE-AIM’). Discussion The intervention components are innovative, sustainable and have been successfully piloted. Refinement and scale-up through this project have the potential to transform First Nations patients’ experiences of care and health outcomes. Trial registration Registered with ClinicalTrials.gov Protocol Record 200864