A Preliminary Assessment of the Change Recipients' Perceptions of the "4+4+4 Reform Initiative": Has Anything Changed?

ERIC Educational Resources Information Center

Summak, M. Semih

2016-01-01

The purpose of the present study was to assess change recipients' perceptions of 4+4+4 reform initiative put in effect in Turkish education system and to explore if anything has changed within the one-year interval. This research is a qualitative longitudinal case study conducted in 2013 and 2014 in a large city in Southeastern Turkey. Pragmatist…

Are They Living What They Learn?: Assessing Knowledge and Attitude Change in Introductory Politics Courses

ERIC Educational Resources Information Center

Martin, Pamela; Tankersley, Holley; Ye, Min

2012-01-01

Many assessment studies are devoted to discovering whether student knowledge increases after successful completion of a specific course; fewer studies attempt to examine whether students undergo a change in their values and attitudes as a result of that coursework. Given the continuing emphasis on assessment and the fulfillment of core curriculum…

Primary Assessment Activity and Learner Perceptions of Attitude Change in Four MOOCs

ERIC Educational Resources Information Center

Watson, Sunnie Lee; Watson, William R.; Kim, Woori

2017-01-01

This study seeks to examine perceptions of attitudinal change in relation to the primary assessment activity within four Massive Open Online Courses (MOOCs) that were designed for attitudinal learning. The purpose of this study was twofold. First, we sought to understand if by focusing on assessing cognitive learning (quizzes) as opposed to…

Assessing a change mechanism in a randomized home-visiting trial: Reducing disrupted maternal communication decreases infant disorganization.

PubMed

Tereno, Susana; Madigan, Sheri; Lyons-Ruth, Karlen; Plamondon, Andre; Atkinson, Leslie; Guedeney, Nicole; Greacen, Tim; Dugravier, Romain; Saias, Thomas; Guedeney, Antoine

2017-05-01

Although randomized interventions trials have been shown to reduce the incidence of disorganized attachment, no studies to date have identified the mechanisms of change responsible for such reductions. Maternal sensitivity has been assessed in various studies and shown to change with intervention, but in the only study to formally assess mediation, changes in maternal sensitivity did not mediate changes in infant security of attachment (Cicchetti, Rogosch, & Toth, 2006). Primary aims of the current randomized controlled intervention trial in a high-risk population were to fill gaps in the literature by assessing whether the intervention (a) reduced disorganization, (b) reduced disrupted maternal communication, and (c) whether reductions in disrupted maternal communication mediated changes in infant disorganization. The results indicated that, compared to controls (n = 52), both infant disorganization and disrupted maternal communication were significantly reduced in the intervention group (n = 65) that received regular home-visiting during pregnancy and the first year of life. Furthermore, reductions in disrupted maternal communication partially accounted for the observed reductions in infant disorganization compared to randomized controls. The results are discussed in relation to the societal cost effectiveness of early attachment-informed interventions for mothers and infants, as well as the importance of formally assessing underlying mechanisms of change in order to improve and appropriately target preventive interventions.

Development of the LaComm 1.0, A French medical communication analysis software: A study assessing its sensitivity to change.

PubMed

Gibon, Anne-Sophie; Durieux, Jean-François; Merckaert, Isabelle; Delvaux, Nicole; Farvacques, Christine; Libert, Yves; Marchal, Serge; Moucheux, Angélique; Slachmuylder, Jean-Louis; Razavi, Darius

2017-02-01

To test and compare the sensitivity to change of a communication analysis software, the LaComm 1.0, to the CRCWEM's using data from a randomized study assessing the efficacy of a communication skills training program designed for nurses. The program assessment included the recording of two-person simulated interviews at baseline and after training or 3 months later. Interview transcripts were analyzed using the CRCWEM and the LaComm 1.0 tools. One hundred and nine oncology nurses (mainly graduated or certified) were included in the study. The CRCWEM detected 5 changes out of 13 expected changes (38%) (e.g., more open directive questions after training) and the LaComm 1.0, 4 changes out of 7 expected changes (57%) (e.g., more empathic statements after training). For open directive question, the effect sizes of the group-by-time changes were slightly different between tools (CRCWEM: Cohen's d=0.97; LaComm 1.0: Cohen's d=0.67). This study shows that the LaComm 1.0 is sensitive to change. The LaComm 1.0 is a valid method to assess training effectiveness in French. The use of the Lacomm 1.0 in future French communication skills training programs will allow comparisons of studies. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Detection and attribution of flood change across the United States

NASA Astrophysics Data System (ADS)

Archfield, Stacey

2017-04-01

In the United States, there have a been an increasing number of studies quantifying trends in the annual maximum flood; yet, few studies examine trends in floods that may occur more than once in a given year and even fewer assess trends in floods on rivers that have undergone substantial changes due to urbanization, land-cover change, and agricultural drainage practices. Previous research has shown that, for streamgages having minimal direct human intervention, trends in the peak magnitude, frequency, duration and volume of frequent floods (floods occurring at an average of two events per year relative to a base period) across the United States show large changes; however, few trends are found to be statistically significant. This study extends previous research to provide a comprehensive assessment of flood change across the United States that includes streamgages having experienced confounding alterations to streamflow (urbanization, storage, and land-cover changes) that provides a comprehensive assessment of flood change. Attribution of these changes is also explored.

The national assessment of shoreline change: A GIS compilation of vector shorelines and associated shoreline change data for the New England and Mid-Atlantic Coasts

USGS Publications Warehouse

Himmelstoss, Emily A.; Kratzmann, Meredith G.; Hapke, Cheryl; Thieler, E. Robert; List, Jeffrey

2010-01-01

Sandy ocean beaches are a popular recreational destination, often surrounded by communities containing valuable real estate. Development is on the rise despite the fact that coastal infrastructure is subjected to flooding and erosion. As a result, there is an increased demand for accurate information regarding past and present shoreline changes. The U.S. Geological Survey's National Assessment of Shoreline Change Project has compiled a comprehensive database of digital vector shorelines and shoreline-change rates for the New England and Mid-Atlantic Coasts. There is currently no widely accepted standard for analyzing shoreline change. Existing measurement and rate-calculation methods vary from study to study and preclude combining results into statewide or regional assessments. The impetus behind the National Assessment project was to develop a standardized method that is consistent from coast to coast for measuring changes in shoreline position. The goal was to facilitate the process of periodically and systematically updating the results in an internally consistent manner.

Increasing Student Metacognition and Learning through Classroom-Based Learning Communities and Self-Assessment †

PubMed Central

Siegesmund, Amy

2016-01-01

Student overconfidence challenges success in introductory biology. This study examined the impact of classroom learning communities and self-assessment on student metacognition and subsequent impact on student epistemological beliefs, behaviors, and learning. Students wrote weekly self-assessments reflecting on the process of learning and received individual feedback. Students completed a learning strategies inventory focused on metacognition and study behaviors at the beginning and end of the semester and a Student Assessment of their Learning Gains (SALG) at the end of the semester. Results indicated significant changes in both metacognition and study behaviors over the course of the semester, with a positive impact on learning as determined by broad and singular measures. Self-assessments and SALG data demonstrated a change in student beliefs and behaviors. Taken together, these findings argue that classroom learning communities and self-assessment can increase student metacognition and change student epistemological beliefs and behaviors. PMID:27158301

Binational climate change vulnerability assessment of migratory birds in the Great Lakes Basins: Tools and impediments.

PubMed

Rempel, Robert S; Hornseth, Megan L

2017-01-01

Climate change is a global concern, requiring international strategies to reduce emissions, however, climate change vulnerability assessments are often local in scope with assessment areas restricted to jurisdictional boundaries. In our study we explored tools and impediments to understanding and responding to the effects of climate change on vulnerability of migratory birds from a binational perspective. We apply and assess the utility of a Climate Change Vulnerability Index on 3 focal species using distribution or niche modeling frameworks. We use the distributional forecasts to explore possible changes to jurisdictional conservation responsibilities resulting from shifting distributions for: eastern meadowlark (Sturnella magna), wood thrush (Hylocichla mustelina), and hooded warbler (Setophaga citrina). We found the Climate Change Vulnerability Index to be a well-organized approach to integrating numerous lines of evidence concerning effects of climate change, and provided transparency to the final assessment of vulnerability. Under this framework, we identified that eastern meadowlark and wood thrush are highly vulnerable to climate change, but hooded warbler is less vulnerable. Our study revealed impediments to assessing and modeling vulnerability to climate change from a binational perspective, including gaps in data or modeling for climate exposure parameters. We recommend increased cross-border collaboration to enhance the availability and resources needed to improve vulnerability assessments and development of conservation strategies. We did not find evidence to suggest major shifts in jurisdictional responsibility for the 3 focal species, but results do indicate increasing responsibility for these birds in the Canadian Provinces. These Provinces should consider conservation planning to help ensure a future supply of necessary habitat for these species.

Binational climate change vulnerability assessment of migratory birds in the Great Lakes Basins: Tools and impediments

PubMed Central

2017-01-01

Climate change is a global concern, requiring international strategies to reduce emissions, however, climate change vulnerability assessments are often local in scope with assessment areas restricted to jurisdictional boundaries. In our study we explored tools and impediments to understanding and responding to the effects of climate change on vulnerability of migratory birds from a binational perspective. We apply and assess the utility of a Climate Change Vulnerability Index on 3 focal species using distribution or niche modeling frameworks. We use the distributional forecasts to explore possible changes to jurisdictional conservation responsibilities resulting from shifting distributions for: eastern meadowlark (Sturnella magna), wood thrush (Hylocichla mustelina), and hooded warbler (Setophaga citrina). We found the Climate Change Vulnerability Index to be a well-organized approach to integrating numerous lines of evidence concerning effects of climate change, and provided transparency to the final assessment of vulnerability. Under this framework, we identified that eastern meadowlark and wood thrush are highly vulnerable to climate change, but hooded warbler is less vulnerable. Our study revealed impediments to assessing and modeling vulnerability to climate change from a binational perspective, including gaps in data or modeling for climate exposure parameters. We recommend increased cross-border collaboration to enhance the availability and resources needed to improve vulnerability assessments and development of conservation strategies. We did not find evidence to suggest major shifts in jurisdictional responsibility for the 3 focal species, but results do indicate increasing responsibility for these birds in the Canadian Provinces. These Provinces should consider conservation planning to help ensure a future supply of necessary habitat for these species. PMID:28225817

Technological changes in the healthcare sector. A method to assess change readiness.

PubMed

Kristensen, M; Nøhr, C

2000-01-01

This paper describes the theory, method and recent results of a study developing methods for assessment of change readiness. The empirical focus is on development and implementation of clinical IT systems in the Danish healthcare sector. To assess change readiness, a questionnaire has been developed. The questionnaire has been tested in a hospital department as a part of a pre analysis related to development and implementation of an IT quality assurance system. The study shows a general positive attitude to the IT system and the organisational changes, related to the implementation and use of the system. It also supplies the project organisation with specific information, useful to the project organisation to continue the essential dialogue with the healthcare professionals during the change process. Furthermore it provides a useful tool for planning the ongoing developing processes. Several other healthcare organisations are at the moment entering the study.

Longitudinal construct validity of the minimum data set health status index.

PubMed

Jones, Aaron; Feeny, David; Costa, Andrew P

2018-05-24

The Minimum Data Set Health Status Index (MDS-HSI) is a generic, preference-based health-related quality of life (HRQOL) measure derived by mapping items from the Resident Assessment Instrument - Minimum Data Set (RAI-MDS) assessment onto the Health Utilities Index Mark 2 classification system. While the validity of the MDS-HSI has been examined in cross-sectional settings, the longitudinal validity has not been explored. The objective of this study was to investigate the longitudinal construct validity of the MDS-HSI in a home care population. This study utilized a retrospective cohort of home care patients in the Hamilton-Niagara-Haldimand-Brant health region of Ontario, Canada with at least two RAI-MDS Home Care assessments between January 2010 and December 2014. Convergent validity was assessed by calculating Spearman rank correlations between the change in MDS-HSI and changes in six validated indices of health domains that can be calculated from the RAI-MDS assessment. Known-groups validity was investigated by fitting multivariable linear regression models to estimate the mean change in MDS-HSI associated with clinically important changes in the six health domain indices and 15 disease symptoms from the RAI-MDS Home Care assessment, controlling for age and sex. The cohort contained 25,182 patients with two RAI-MDS Home Care assessments. Spearman correlations between the MDS-HSI change and changes in the health domain indices were all statistically significant and in the hypothesized small to moderate range [0.1 < ρ < 0.5]. Clinically important changes in all of the health domain indices and 13 of the 15 disease symptoms were significantly associated with clinically important changes in the MDS-HSI. The findings of this study support the longitudinal construct validity of the MDS-HSI in home care populations. In addition to evaluating changes in HRQOL among home care patients in clinical research, economic evaluation, and health technology assessment, the MDS-HSI may be used in system-level applications using routinely collected population-level data.

Can Interim Assessments Be Used for Instructional Change? Policy Brief. RB-51

ERIC Educational Resources Information Center

Goertz, Margaret E.; Olah, Leslie Nabors; Riggan, Matthew

2009-01-01

The purpose of this exploratory study was to examine the use of interim assessments and the policy supports that promote their use to change instruction, focusing on elementary school mathematics. The authors use the term "interim assessments" to refer to assessments that: a) evaluate student knowledge and skills, typically within a…

Long-term changes after brief dynamic psychotherapy: symptomatic versus dynamic assessments.

PubMed

Høglend, P; Sørlie, T; Sørbye, O; Heyerdahl, O; Amlo, S

1992-08-01

Dynamic change in psychotherapy, as measured by theory-related or mode-specific instruments, have been criticized for being too intercorrelated with symptomatic change measures. In this study, long-term changes after brief dynamic psychotherapy were studied in 45 moderately disturbed neurotic patients by a reliable outcome battery. The factor structure of all the change variables suggested that they tapped 2 distinct and stable sources of variance: dynamic and symptomatic change. The categories of overall dynamic change were different from categories of change on the Global Assessment Scale. A small systematic difference was found between the categories of overall dynamic change and the categories of target complaints change also, due to false solutions of dynamic conflicts.

Insight, social functioning and readmission to hospital in patients with schizophrenia-spectrum disorders: prospective associations.

PubMed

Startup, Mike; Jackson, Mike C; Startup, Sue

2010-06-30

It has been claimed that insight is capable of predicting important clinical outcomes among people with schizophrenia. However, the supporting evidence is sparse. Although many cross-sectional studies have been undertaken, only prospective studies can provide convincing evidence. The aims of the present research were to assess the ability of insight to predict subsequent readmissions to hospital and social functioning. Patients with schizophrenia-spectrum disorders (N=90) were recruited at the time of an acute psychotic episode and then re-assessed after 6, 12, and 24 months. Assessments included insight, three measures of social functioning, and symptoms of psychosis. There was no evidence that having been readmitted to hospital since a previous assessment was associated with insight at the previous assessment. None of the associations between insight at one assessment and social functioning at subsequent assessments was significant. Changes in insight were associated with changes in contemporary functioning, but it was found that changes in insight made no significant contributions to changes in functioning which were independent of changes in symptoms. The general aim of improving clinical outcomes would probably be better met with interventions designed to improve functioning rather than interventions to improve insight.

Integrated Assessment Methodologies For Land Use Changes and Flood Plain Restoration As Alternative Flood Protection Strategies In The River Basins of Rhine and Meuse

NASA Astrophysics Data System (ADS)

Brouwer, Roy; van Ek, Remco; Bouma, Jetske

Water policy and management decisions become increasingly better informed. Often a large number of studies is carried out before a decision is taken. In the Netherlands, some of these studies, such as environmental impact assessment, are obligatory by law if serious environmental impacts are expected. However, an integrated assessment based on these separate studies is lacking. In this study, an attempt was made to combine and where possible integrate procedures and methods from environmental, social and economic impact assessment. The main objective of the study is to assess, separately and in combination, the ecological, social and economic consequences of land use changes and floodplain restoration as alternative flood protection strategies in the river basins of the rivers Rhine and Meuse in the Netherlands. Based on scenarios of climate change, land subsidence and sea level rise over the next fifty years the associated hy drological changes are translated into the corresponding ecological, economic and social impacts, using a combination of expert judgement and advanced modelling techniques. These impacts are assessed and evaluated with the help of integrated assessment methods such as cost-benefit and multi-criteria analysis in order to support decision-making towards the implementation of new policy regarding flood protection. The outcome of the integrated assessment is related to other water policy objectives, including restoration of the resilience of water systems and nature conservation.

Climate change vulnerability assessments as catalysts for social learning: four case studies in south-eastern Australia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Preston, Benjamin L

2012-01-01

Technical assessments of vulnerability and/or risk are increasingly being undertaken to assess the impacts of climate change. Underlying this is the belief that they will bring clarity to questions regarding the scale of institutional investments required, plausible adaptation policies and measures, and the timing of their implementation. Despite the perceived importance of technical assessments in 'evidence-based' decision environments, assessments cannot be undertaken independent of values and politics, nor are they capable of eliminating the uncertainty that clouds decision-making on climate adaptation As such, assessments can trigger as many questions as they answer, leaving practitioners and stakeholders to question their value.more » This paper explores the value of vulnerability/risk assessments in climate change adaptation planning processes as a catalyst for learning in four case studies in Southeastern Australia. Data were collected using qualitative interviews with stakeholders involved in the assessments and analysed using a social learning framework. This analysis revealed that detailed and tangible strategies or actions often do not emerge directly from technical assessments. However, it also revealed that the assessments became important platforms for social learning. In providing these platforms, assessments present opportunities to question initial assumptions, explore multiple framings of an issue, generate new information, and galvanise support for collective actions. This study highlights the need for more explicit recognition and understanding of the important role social learning plays in climate change vulnerability assessments and adaptation planning more broadly.« less

Flood risk in a changing world - a coupled transdisciplinary modelling framework for flood risk assessment in an Alpine study area

NASA Astrophysics Data System (ADS)

Huttenlau, Matthias; Schneeberger, Klaus; Winter, Benjamin; Pazur, Robert; Förster, Kristian; Achleitner, Stefan; Bolliger, Janine

2017-04-01

Devastating flood events have caused substantial economic damage across Europe during past decades. Flood risk management has therefore become a topic of crucial interest across state agencies, research communities and the public sector including insurances. There is consensus that mitigating flood risk relies on impact assessments which quantitatively account for a broad range of aspects in a (changing) environment. Flood risk assessments which take into account the interaction between the drivers climate change, land-use change and socio-economic change might bring new insights to the understanding of the magnitude and spatial characteristic of flood risks. Furthermore, the comparative assessment of different adaptation measures can give valuable information for decision-making. With this contribution we present an inter- and transdisciplinary research project aiming at developing and applying such an impact assessment relying on a coupled modelling framework for the Province of Vorarlberg in Austria. Stakeholder engagement ensures that the final outcomes of our study are accepted and successfully implemented in flood management practice. The study addresses three key questions: (i) What are scenarios of land- use and climate change for the study area? (ii) How will the magnitude and spatial characteristic of future flood risk change as a result of changes in climate and land use? (iii) Are there spatial planning and building-protection measures which effectively reduce future flood risk? The modelling framework has a modular structure comprising modules (i) climate change, (ii) land-use change, (iii) hydrologic modelling, (iv) flood risk analysis, and (v) adaptation measures. Meteorological time series are coupled with spatially explicit scenarios of land-use change to model runoff time series. The runoff time series are combined with impact indicators such as building damages and results are statistically assessed to analyse flood risk scenarios. Thus, the regional flood risk can be expressed in terms of expected annual damage and damages associated with a low probability of occurrence. We consider building protection measures explicitly as part of the consequence analysis of flood risk whereas spatial planning measures are already considered as explicit scenarios in the course of land-use change modelling.

National assessment of shoreline change: A GIS compilation of vector shorelines and associated shoreline change data for the sandy shorelines of Kauai, Oahu, and Maui, Hawaii

USGS Publications Warehouse

Romine, Bradley M.; Fletcher, Charles H.; Genz, Ayesha S.; Barbee, Matthew M.; Dyer, Matthew; Anderson, Tiffany R.; Lim, S. Chyn; Vitousek, Sean; Bochicchio, Christopher; Richmond, Bruce M.

2012-01-01

Sandy ocean beaches are a popular recreational destination, and often are surrounded by communities that consist of valuable real estate. Development is increasing despite the fact that coastal infrastructure may be repeatedly subjected to flooding and erosion. As a result, the demand for accurate information regarding past and present shoreline changes is increasing. Working with researchers from the University of Hawaii, investigators with the U.S. Geological Survey's National Assessment of Shoreline Change Project have compiled a comprehensive database of digital vector shorelines and shoreline-change rates for the islands of Kauai, Oahu, and Maui, Hawaii. No widely accepted standard for analyzing shoreline change currently exists. Current measurement and rate-calculation methods vary from study to study, precluding the combination of study results into statewide or regional assessments. The impetus behind the National Assessment was to develop a standardized method for measuring changes in shoreline position that is consistent from coast to coast. The goal was to facilitate the process of periodically and systematically updating the measurements in an internally consistent manner. A detailed report on shoreline change for Kauai, Maui, and Oahu that contains a discussion of the data presented here is available and cited in the Geospatial Data section of this report.

The National assessment of shoreline shange—A GIS compilation of vector shorelines and associated shoreline change data for the Pacific Northwest coast

USGS Publications Warehouse

Kratzmann, Meredith G.; Himmelstoss, Emily A.; Ruggiero, Peter; Thieler, E. Robert; Reid, David

2013-01-01

Sandy ocean beaches are a popular recreational destination and are often surrounded by communities that consist of valuable real estate. Development along sandy coastal areas is increasing despite the fact that coastal infrastructure may be repeatedly subjected to flooding and erosion. As a result, the demand for accurate information regarding past and present shoreline changes is increasing. Investigators with the U.S. Geological Survey's National Assessment of Shoreline Change Project have compiled a comprehensive database of digital vector shorelines and rates of shoreline change for the Pacific Northwest coast including the states of Washington and Oregon. No widely accepted standard for analyzing shoreline change currently exists. Current measurement and methods for calculating rates of change vary from study to study, precluding the combination of study results into statewide or regional assessments. The impetus behind the national assessment was to develop a standardized method that is consistent from coast to coast for measuring changes in shoreline position. The goal was to facilitate the process of periodically and systematically updating the measurements in an internally consistent manner. A detailed report on shoreline change for the Pacific Northwest coast that contains a discussion of the data presented here is available and cited in the Geospatial Data section of this report.

Climate change vulnerability for species-Assessing the assessments.

PubMed

Wheatley, Christopher J; Beale, Colin M; Bradbury, Richard B; Pearce-Higgins, James W; Critchlow, Rob; Thomas, Chris D

2017-09-01

Climate change vulnerability assessments are commonly used to identify species at risk from global climate change, but the wide range of methodologies available makes it difficult for end users, such as conservation practitioners or policymakers, to decide which method to use as a basis for decision-making. In this study, we evaluate whether different assessments consistently assign species to the same risk categories and whether any of the existing methodologies perform well at identifying climate-threatened species. We compare the outputs of 12 climate change vulnerability assessment methodologies, using both real and simulated species, and validate the methods using historic data for British birds and butterflies (i.e. using historical data to assign risks and more recent data for validation). Our results show that the different vulnerability assessment methods are not consistent with one another; different risk categories are assigned for both the real and simulated sets of species. Validation of the different vulnerability assessments suggests that methods incorporating historic trend data into the assessment perform best at predicting distribution trends in subsequent time periods. This study demonstrates that climate change vulnerability assessments should not be used interchangeably due to the poor overall agreement between methods when considering the same species. The results of our validation provide more support for the use of trend-based rather than purely trait-based approaches, although further validation will be required as data become available. © 2017 The Authors. Global Change Biology Published by John Wiley & Sons Ltd.

Maximal strength and power assessment in novice weight trainers.

PubMed

Cronin, John B; Henderson, Melanie E

2004-02-01

The purpose of this study was to investigate whether changes in maximal strength and power output occurred over time in the absence of strength and power training in novice weight trainers. It also investigated whether differences existed between upper- and lower-body assessments and unilateral and bilateral assessments. The power output and maximal strength (1 repetition maximum [1RM]) of 10 male novice subjects were measured on 4 occasions, each assessment 7-10 days apart. The exercises used to measure the upper- and lower-body strength and power outputs were the bench press and supine squat, respectively. Significant (p < 0.05) changes in unilateral (9.8-16.8%) and bilateral 1RM (6.8-15.0%) leg strength were found, the first assessment being significantly different from all other assessments and assessment 2 significantly different from assessment 4. Changes in the upper body (10-13.6%) were also observed. The only significant difference was between assessment 1 and the other testing occasions. No differences in power output were observed for both the upper and lower body during the study. It would seem that considerable changes in maximal strength occur rapidly and in the absence of any formal strength training program in novice weight trainers.

An approach for estimating item sensitivity to within-person change over time: An illustration using the Alzheimer's Disease Assessment Scale-Cognitive subscale (ADAS-Cog).

PubMed

Dowling, N Maritza; Bolt, Daniel M; Deng, Sien

2016-12-01

When assessments are primarily used to measure change over time, it is important to evaluate items according to their sensitivity to change, specifically. Items that demonstrate good sensitivity to between-person differences at baseline may not show good sensitivity to change over time, and vice versa. In this study, we applied a longitudinal factor model of change to a widely used cognitive test designed to assess global cognitive status in dementia, and contrasted the relative sensitivity of items to change. Statistically nested models were estimated introducing distinct latent factors related to initial status differences between test-takers and within-person latent change across successive time points of measurement. Models were estimated using all available longitudinal item-level data from the Alzheimer's Disease Assessment Scale-Cognitive subscale, including participants representing the full-spectrum of disease status who were enrolled in the multisite Alzheimer's Disease Neuroimaging Initiative. Five of the 13 Alzheimer's Disease Assessment Scale-Cognitive items demonstrated noticeably higher loadings with respect to sensitivity to change. Attending to performance change on only these 5 items yielded a clearer picture of cognitive decline more consistent with theoretical expectations in comparison to the full 13-item scale. Items that show good psychometric properties in cross-sectional studies are not necessarily the best items at measuring change over time, such as cognitive decline. Applications of the methodological approach described and illustrated in this study can advance our understanding regarding the types of items that best detect fine-grained early pathological changes in cognition. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Biofeedback for anismus: has placebo effect been overlooked?

PubMed

Meagher; Sun; Kennedy; Smart; Lubowski

1999-03-01

Multiple uncontrolled studies have concluded that biofeedback is successful in treating anismus. This study's objective was to assess the physiological effects of placebo and biofeedback treatment on patients with anismus and to correlate changes with clinical improvement. Twelve patients with symptoms and electrophysiological findings of anismus were studied. Initial assessment included a detailed history, symptom assessment by linear analogue scales, anorectal manometric and electrophysiological studies, colon transit scintigraphy, and scintigraphic proctography. Patients underwent 5 days of placebo treatment, followed 1 week later by re-assessment of symptoms and physiological studies. Five days of biofeedback was then given followed by another complete re-assessment 1 week later. A final interview was performed 2 months later. All assessments were by an independent observer who was not responsible for the treatments. Seven patients reported an overall improvement in symptoms following placebo treatment. A total of seven patients reported improvement following biofeedback, three of whom had already reported an improvement with placebo. One patient who reported improvement following placebo had worsening of symptoms following biofeedback. The only symptoms or tests which changed more with biofeedback than placebo were anal pressure and electromyographic activity on attempted defaecation in the left lateral position. There was no demonstrable correlation between change in symptoms and change in physiological tests. The scintigraphic 'ejection fraction' of the rectum was unchanged by treatment. Clinical improvement in previous studies may in part be due to placebo effect and observer bias. Improvement with biofeedback may be due to physiological changes which are not detected with conventional anorectal physiological tests.

Using Classroom Assessment To Change Both Teaching and Learning.

ERIC Educational Resources Information Center

Steadman, Mimi

1998-01-01

Summarizes results of a study on implementation and impact of classroom assessment techniques (CATs) in community colleges, examining how classroom assessment has been applied by teachers, documenting changes in teaching behaviors, and considering costs and benefits. Also examines students' experiences and satisfaction with courses taught using…

Postgraduate Education to Support Organisation Change: A Reflection on Reflection

ERIC Educational Resources Information Center

Stewart, Jim; Keegan, Anne; Stevens, Pam

2008-01-01

Purpose: This paper aims to explore how teaching and assessing reflective learning skills can support postgraduate practitioners studying organisational change and explores the challenges for tutors in assessing these journals. Design/methodology/approach: Assessment criteria were developed from the literature on reflective practice and…

Changes in baseline concussion assessment scores following a school bus crash.

PubMed

Poland, Kristin M; McKay, Mary Pat; Zonfrillo, Mark R; Barth, Thomas H; Kaminski, Ronald

2016-09-01

The objective of this article is to present concussion assessment data for 30 male athletes prior to and after being involved in a large school bus crash. The athletes on the bus, all male and aged 14-18 years, were participants in their school's concussion management program that included baseline and postinjury testing using Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). This case study described changes in concussion assessment scores for 30 male athletes following a primarily frontal school bus crash. Data from the school's concussion management program, including baseline test data and postinjury assessment data, were reviewed. Athletes who required multiple postinjury assessments by the program were identified as having had significant cognitive changes as a result of the bus crash. Twenty-nine of 30 athletes were injured. One had lumbar compression fractures; others had various lacerations, abrasions, contusions, sprains, and nasal fractures. ImPACT data (postcrash) were available for all 30 athletes and 28 had available precrash baseline data. A total of 16 athletes (53.3%) had significant cognitive changes indicated by changes in their concussion assessment scores, some of which took months to improve. This case study highlights a unique opportunity to evaluate concussion assessment data from 30 male athletes involved in a high-speed school bus crash. Further, these data provide additional insight into assessing the effectiveness of current school bus occupant protection systems.

A new economic assessment index for the impact of climate change on grain yield

NASA Astrophysics Data System (ADS)

Dong, Wenjie; Chou, Jieming; Feng, Guolin

2007-03-01

The impact of climate change on agriculture has received wide attention by the scientific community. This paper studies how to assess the grain yield impact of climate change, according to the climate change over a long time period in the future as predicted by a climate system model. The application of the concept of a traditional “yield impact of meteorological factor (YIMF)” or “yield impact of weather factor” to the grain yield assessment of a decadal or even a longer timescale would be suffocated at the outset because the YIMF is for studying the phenomenon on an interannual timescale, and it is difficult to distinguish between the trend caused by climate change and the one resulting from changes in non-climatic factors. Therefore, the concept of the yield impact of climatic change (YICC), which is defined as the difference in the per unit area yields (PUAY) of a grain crop under a changing and an envisaged invariant climate conditions, is presented in this paper to assess the impact of global climate change on grain yields. The climatic factor has been introduced into the renowned economic Cobb-Douglas model, yielding a quantitative assessment method of YICC using real data. The method has been tested using the historical data of Northeast China, and the results show that it has an encouraging application outlook.

National assessment of shoreline change: historical change along the north coast of Alaska, U.S.-Canadian border to Icy Cape

USGS Publications Warehouse

Gibbs, Ann E.; Richmond, Bruce M.

2015-01-01

Similar to the earlier reports in this series, this report summarizes the methods of analysis, documents and describes the results of the analysis, and explains historical trends and rates of shoreline change. This Alaska shoreline change assessment differs from previously published shoreline change assessments in that: (1) only two historical shorelines (from the 1940s and 2000s eras) were available for the Alaska study area whereas four or more shorelines (from 1850 to 2002) were available for the other assessments and, thus, only end-point rates for one long-term analysis period are reported here, compared to a combination of long-term and short-term rates as reported in other studies; (2) modern (2000s era) shorelines in this study represent a visually derived land-water interface position versus an elevation based, tidally referenced shoreline position; and (3) both exposed open-ocean and sheltered mainland-lagoon shorelines and rates of change are included in this study compared to other locations where only exposed open-ocean sandy shorelines or bluff edges were evaluated. No distinction was made between sand or gravel beaches, and the base of the unconsolidated coastal bluff was considered the shoreline where no fronting beach existed.

Design of formative assessment model for professional behavior using stages of change theory

PubMed Central

Hashemi, Akram; Mirzazadeh, Azim; Shirazi, Mandana; Asghari, Fariba

2016-01-01

Background: Professionalism is a core competency of physicians. This study was conducted to design a model for formative assessment of professional commitment in medical students according to stages of change theory. Methods: In this qualitative study, data were collected through literature review & focus group interviews in the Tehran University of Medical Sciences in 2013 and analyzed using content analysis approach. Results: Review of the literature and results of focus group interviews led to design a formative assessment model of professional commitment in three phases, including pre-contemplation, contemplation, and readiness for behavior change that each one has interventional and assessment components. In the second phase of the study, experts’ opinion collected in two main categories: the educational environment (factors related to students, students’ assessment and educational program); and administrative problems (factors related to subcultures, policymakers or managers and budget). Moreover, there was a section of recommendations for each category related to curriculum, professors, students, assessments, making culture, the staff and reinforcing administrative factors. Conclusion: This type of framework analysis made it possible to develop a conceptual model that could be effective on forming the professional commitment and behavioral change in medical students. PMID:28210576

Design of formative assessment model for professional behavior using stages of change theory.

PubMed

Hashemi, Akram; Mirzazadeh, Azim; Shirazi, Mandana; Asghari, Fariba

2016-01-01

Background: Professionalism is a core competency of physicians. This study was conducted to design a model for formative assessment of professional commitment in medical students according to stages of change theory. Methods: In this qualitative study, data were collected through literature review & focus group interviews in the Tehran University of Medical Sciences in 2013 and analyzed using content analysis approach. Results: Review of the literature and results of focus group interviews led to design a formative assessment model of professional commitment in three phases, including pre-contemplation, contemplation, and readiness for behavior change that each one has interventional and assessment components. In the second phase of the study, experts' opinion collected in two main categories: the educational environment (factors related to students, students' assessment and educational program); and administrative problems (factors related to subcultures, policymakers or managers and budget). Moreover, there was a section of recommendations for each category related to curriculum, professors, students, assessments, making culture, the staff and reinforcing administrative factors. Conclusion: This type of framework analysis made it possible to develop a conceptual model that could be effective on forming the professional commitment and behavioral change in medical students.

National assessment of shoreline change: a GIS compilation of vector shorelines and associated shoreline change data for the north coast of Alaska, U.S.-Canadian border to Icy Cape

USGS Publications Warehouse

Gibbs, Ann E.; Karen A. Ohman,; Richmond, Bruce M.

2015-01-01

There is no widely accepted standard for analyzing shoreline change. Existing shoreline data measurements and rate calculation methods vary from study to study and prevent combining results into state-wide or regional assessments. The impetus behind the National Assessment project was to develop a standardized method of measuring changes in shoreline position that is consistent from coast to coast. The goal was to facilitate the process of periodically and systematically updating the results in an internally consistent manner. A detailed report on shoreline change for the north coast of Alaska that contains a discussion of the data presented here is available and cited in section, "Geospatial Data."

Measures for assessing practice change in medical practitioners

PubMed Central

Hakkennes, Sharon; Green, Sally

2006-01-01

Background There are increasing numbers of randomised trials and systematic reviews examining the efficacy of interventions designed to bring about a change in clinical practice. The findings of this research are being used to guide strategies to increase the uptake of evidence into clinical practice. Knowledge of the outcomes measured by these trials is vital not only for the interpretation and application of the work done to date, but also to inform future research in this expanding area of endeavour and to assist in collation of results in systematic reviews and meta-analyses. Methods The objective of this review was to identify methods used to measure change in the clinical practices of health professionals following an intervention aimed at increasing the uptake of evidence into practice. All published trials included in a recent, comprehensive Health Technology Assessment of interventions to implement clinical practice guidelines and change clinical practice (n = 228) formed the sample for this study. Using a standardised data extraction form, one reviewer (SH), extracted the relevant information from the methods and/or results sections of the trials. Results Measures of a change of health practitioner behaviour were the most common, with 88.8% of trials using these as outcome measures. Measures that assessed change at a patient level, either actual measures of change or surrogate measures of change, were used in 28.8% and 36.7% of studies (respectively). Health practitioners' knowledge and attitudes were assessed in 22.8% of the studies and changes at an organisational level were assessed in 17.6%. Conclusion Most trials of interventions aimed at changing clinical practice measured the effect of the intervention at the level of the practitioner, i.e. did the practitioner change what they do, or has their knowledge of and/or attitude toward that practice changed? Less than one-third of the trials measured, whether or not any change in practice, resulted in a change in the ultimate end-point of patient health status. PMID:17150111

Measures for assessing practice change in medical practitioners.

PubMed

Hakkennes, Sharon; Green, Sally

2006-12-06

There are increasing numbers of randomised trials and systematic reviews examining the efficacy of interventions designed to bring about a change in clinical practice. The findings of this research are being used to guide strategies to increase the uptake of evidence into clinical practice. Knowledge of the outcomes measured by these trials is vital not only for the interpretation and application of the work done to date, but also to inform future research in this expanding area of endeavour and to assist in collation of results in systematic reviews and meta-analyses. The objective of this review was to identify methods used to measure change in the clinical practices of health professionals following an intervention aimed at increasing the uptake of evidence into practice. All published trials included in a recent, comprehensive Health Technology Assessment of interventions to implement clinical practice guidelines and change clinical practice (n = 228) formed the sample for this study. Using a standardised data extraction form, one reviewer (SH), extracted the relevant information from the methods and/or results sections of the trials. Measures of a change of health practitioner behaviour were the most common, with 88.8% of trials using these as outcome measures. Measures that assessed change at a patient level, either actual measures of change or surrogate measures of change, were used in 28.8% and 36.7% of studies (respectively). Health practitioners' knowledge and attitudes were assessed in 22.8% of the studies and changes at an organisational level were assessed in 17.6%. Most trials of interventions aimed at changing clinical practice measured the effect of the intervention at the level of the practitioner, i.e. did the practitioner change what they do, or has their knowledge of and/or attitude toward that practice changed? Less than one-third of the trials measured, whether or not any change in practice, resulted in a change in the ultimate end-point of patient health status.

National assessment of shoreline change—Summary statistics for updated vector shorelines and associated shoreline change data for the north coast of Alaska, U.S.-Canadian Border to Icy Cape

USGS Publications Warehouse

Gibbs, Ann E.; Richmond, Bruce M.

2017-09-25

Long-term rates of shoreline change for the north coast of Alaska, from the U.S.-Canadian border to the Icy Cape region of northern Alaska, have been updated as part of the U.S. Geological Survey’s National Assessment of Shoreline Change Project. Short-term shoreline change rates are reported for the first time. Additional shoreline position data were used to compute rates where the previous rate-of-change assessment only included two shoreline positions at a given location. The calculation of uncertainty associated with the long-term average rates has also been updated to match refined methods used in other study regions of the National Assessment of Shoreline Change Project. The average rates of this report have a reduced amount of uncertainty compared to those presented in the first assessment for this region.

Weight change and physical function in older women: findings from the Nun Study.

PubMed

Tully, C L; Snowdon, D A

1995-12-01

To investigate the association between change in weight and decline in physical function in older women. Longitudinal study of a defined population of Catholic sisters (nuns) whose weight and function were assessed twice, an average of 584 days apart. Unique life communities (convents) located throughout the United States. 475 Catholic sisters who were 75 to 99 years of age (M = 82.1, SD = 4.8) and were independent in at least one Activity of Daily Living (ADL) at the first assessment of weight and function. None. At each assessment, weight, ADLs, and cognitive function were evaluated as part of the Nun Study--a longitudinal study of aging and Alzheimer's disease. Annual percent weight change was calculated using weights from the two assessments, as well as the number of days that elapsed between assessments. Mean weight at first assessment was 140 pounds (range 78 to 232, SD = 27). The mean annual percent weight change was 0.1% (range 22% loss to 16% gain, SD = 3.8). Age- and initial weight-adjusted findings indicated that those participants with an annual percent weight loss of 3% or greater had 2.7 to 3.9 times the risk of becoming dependent in each ADL, compared to the sisters with no weight change. The elevated risk persisted in those who were mentally intact or were independent in their eating habits. Monitoring of weight may be an easy and inexpensive method of identifying older individuals at increased risk of disability.

Climate Change Through a Poverty Lens

NASA Astrophysics Data System (ADS)

Rozenberg, J.; Hallegatte, S.

2017-12-01

Analysis of the economic impact of climate change typically considers regional or national economies and assesses its impact on macroeconomic aggregates such as gross domestic product. These studies therefore do not investigate the distributional impacts of climate change within countries or the impacts on poverty. This Perspective aims to close this gap and provide an assessment of climate change impacts at the household level to investigate the consequences of climate change for poverty and for poor people. It does so by combining assessments of the physical impacts of climate change in various sectors with household surveys. In particular, it highlights how rapid and inclusive development can reduce the future impact of climate change on poverty.

Climate change through a poverty lens

NASA Astrophysics Data System (ADS)

Hallegatte, Stephane; Rozenberg, Julie

2017-04-01

Analysis of the economic impact of climate change typically considers regional or national economies and assesses its impact on macroeconomic aggregates such as gross domestic product. These studies therefore do not investigate the distributional impacts of climate change within countries or the impacts on poverty. This Perspective aims to close this gap and provide an assessment of climate change impacts at the household level to investigate the consequences of climate change for poverty and for poor people. It does so by combining assessments of the physical impacts of climate change in various sectors with household surveys. In particular, it highlights how rapid and inclusive development can reduce the future impact of climate change on poverty.

Incorporating climate change into ecosystem service assessments and decisions: a review.

PubMed

Runting, Rebecca K; Bryan, Brett A; Dee, Laura E; Maseyk, Fleur J F; Mandle, Lisa; Hamel, Perrine; Wilson, Kerrie A; Yetka, Kathleen; Possingham, Hugh P; Rhodes, Jonathan R

2017-01-01

Climate change is having a significant impact on ecosystem services and is likely to become increasingly important as this phenomenon intensifies. Future impacts can be difficult to assess as they often involve long timescales, dynamic systems with high uncertainties, and are typically confounded by other drivers of change. Despite a growing literature on climate change impacts on ecosystem services, no quantitative syntheses exist. Hence, we lack an overarching understanding of the impacts of climate change, how they are being assessed, and the extent to which other drivers, uncertainties, and decision making are incorporated. To address this, we systematically reviewed the peer-reviewed literature that assesses climate change impacts on ecosystem services at subglobal scales. We found that the impact of climate change on most types of services was predominantly negative (59% negative, 24% mixed, 4% neutral, 13% positive), but varied across services, drivers, and assessment methods. Although uncertainty was usually incorporated, there were substantial gaps in the sources of uncertainty included, along with the methods used to incorporate them. We found that relatively few studies integrated decision making, and even fewer studies aimed to identify solutions that were robust to uncertainty. For management or policy to ensure the delivery of ecosystem services, integrated approaches that incorporate multiple drivers of change and account for multiple sources of uncertainty are needed. This is undoubtedly a challenging task, but ignoring these complexities can result in misleading assessments of the impacts of climate change, suboptimal management outcomes, and the inefficient allocation of resources for climate adaptation. © 2016 John Wiley & Sons Ltd.

Assessment of student interprofessional education (IPE) training for team-based geriatric home care: does IPE training change students' knowledge and attitudes?

PubMed

Reilly, Jo Marie; Aranda, María P; Segal-Gidan, Freddi; Halle, Ashley; Han, Phuu Pwint; Harris, Patricia; Jordan, Katie; Mulligan, Roseann; Resnik, Cheryl; Tsai, Kai-Ya; Williams, Brad; Cousineau, Michael R

2014-01-01

Our study assesses changes in students' knowledge and attitudes after participation in an interprofessional, team-based, geriatric home training program. Second-year medical, physician assistant, occupational therapy, social work, and physical therapy students; third-year pharmacy students; and fourth-year dental students were led by interprofessional faculty teams. Student participants were assessed before and after the curriculum using an interprofessional attitudes learning scale. Significant differences and positive data trends were noted at year-end. Our study suggests that early implementation, assessment, and standardization of years of student training is needed for optimal interprofessional geriatric learning. Additionally, alternative student assessment tools should be considered for future studies.

An assessment of irrigation needs and crop yield for the United States under potential climate changes

USGS Publications Warehouse

Brumbelow, Kelly; Georgakakos, Aris P.

2000-01-01

Past assessments of climate change on U.S. agriculture have mostly focused on changes in crop yield. Few studies have included the entire conterminous U.S., and few studies have assessed changing irrigation requirements. None have included the effects of changing soil moisture characteristics as determined by changing climatic forcing. This study assesses changes in irrigation requirements and crop yields for five crops in the areas of the U.S. where they have traditionally been grown. Physiologically-based crop models are used to incorporate inputs of climate, soils, agricultural management, and drought stress tolerance. Soil moisture values from a macroscale hydrologic model run under a future climate scenario are used to initialize soil moisture content at the beginning of each growing season. Historical crop yield data is used to calibrate model parameters and determine locally acceptable drought stress as a management parameter. Changes in irrigation demand and crop yield are assessed for both means and extremes by comparing results for atmospheric forcing close to the present climate with those for a future climate scenario. Assessments using the Canadian Center for Climate Modeling and Analysis General Circulation Model (CGCM1) indicate greater irrigation demands in the southern U.S. and decreased irrigation demands in the northern and western U.S. Crop yields typically increase except for winter wheat in the southern U.S. and corn. Variability in both irrigation demands and crop yields increases in most cases. Assessment results for the CGCM1 climate scenario are compared to those for the Hadley Centre for Climate Prediction and Research GCM (HadCM2) scenario for southwestern Georgia. The comparison shows significant differences in irrigation and yield trends, both in magnitude and direction. The differences reflect the high forecast uncertainty of current GCMs. Nonetheless, both GCMs indicate higher variability in future climatic forcing and, consequently, in the response of agricultural systems.

Climate change impact assessments on the water resources of India under extensive human interventions.

PubMed

Madhusoodhanan, C G; Sreeja, K G; Eldho, T I

2016-10-01

Climate change is a major concern in the twenty-first century and its assessments are associated with multiple uncertainties, exacerbated and confounded in the regions where human interventions are prevalent. The present study explores the challenges for climate change impact assessment on the water resources of India, one of the world's largest human-modified systems. The extensive human interventions in the Energy-Land-Water-Climate (ELWC) nexus significantly impact the water resources of the country. The direct human interventions in the landscape may surpass/amplify/mask the impacts of climate change and in the process also affect climate change itself. Uncertainties in climate and resource assessments add to the challenge. Formulating coherent resource and climate change policies in India would therefore require an integrated approach that would assess the multiple interlinkages in the ELWC nexus and distinguish the impacts of global climate change from that of regional human interventions. Concerted research efforts are also needed to incorporate the prominent linkages in the ELWC nexus in climate/earth system modelling.

Appendix 2: Risk-based framework and risk case studies. Risk case study: a framework for assessing climate change risks to forest carbon stocks

Treesearch

Christopher W. Woodall; Grant M. Domke

2012-01-01

Forest ecosystems have the ability to reduce the effects of climate change through the sequestration of carbon (C) (Pan et al. 2011) as well as contribute to net emissions through disturbance events such as wildfires and widespread tree mortality (Kurz et al. 2008). A conceptual framework for assessing climate-change risks to forest ecosystem C stocks facilitates...

Cultural heuristics in risk assessment of HIV/AIDS.

PubMed

Bailey, Ajay; Hutter, Inge

2006-01-01

Behaviour change models in HIV prevention tend to consider that risky sexual behaviours reflect risk assessments and that by changing risk assessments behaviour can be changed. Risk assessment is however culturally constructed. Individuals use heuristics or bounded cognitive devices derived from broader cultural meaning systems to rationalize uncertainty. In this study, we identify some of the cultural heuristics used by migrant men in Goa, India to assess their risk of HIV infection from different sexual partners. Data derives from a series of in-depth interviews and a locally informed survey. Cultural heuristics identified include visual heuristics, heuristics of gender roles, vigilance and trust. The paper argues that, for more culturally informed HIV/AIDS behaviour change interventions, knowledge of cultural heuristics is essential.

Status and trends of land change in the United States--1973 to 2000

USGS Publications Warehouse

,

2012-01-01

U.S. Geological Survey (USGS) Professional Paper 1794 is a four-volume series on the status and trends of the Nation’s land use and land cover, providing an assessment of the rates and causes of land-use and land-cover change in the United States between 1973 and 2000. Volumes A, B, C, and D provide analyses for the Western United States, the Great Plains, the Midwest–South Central United States, and the Eastern United States, respectively. The assessments of land-use and land-cover trends are conducted on an ecoregion-by-ecoregion basis, and each ecoregion assessment is guided by a nationally consistent study design that includes mapping, statistical methods, field studies, and analysis. Individual assessments provide a picture of the characteristics of land change occurring in a given ecoregion; in combination, they provide a framework for understanding the complex national mosaic of change and also the causes and consequences of change. Thus, each volume in this series provides a regional assessment of how (and how fast) land use and land cover are changing, and why. The four volumes together form the first comprehensive picture of land change across the Nation. This report is only one of the products produced by USGS on land-use and land-cover change in the United States. Other reports and land-cover statistics are available online at http://landcovertrends.usgs.gov.

Life history and spatial traits predict extinction risk due to climate change

NASA Astrophysics Data System (ADS)

Pearson, Richard G.; Stanton, Jessica C.; Shoemaker, Kevin T.; Aiello-Lammens, Matthew E.; Ersts, Peter J.; Horning, Ned; Fordham, Damien A.; Raxworthy, Christopher J.; Ryu, Hae Yeong; McNees, Jason; Akçakaya, H. Reşit

2014-03-01

There is an urgent need to develop effective vulnerability assessments for evaluating the conservation status of species in a changing climate. Several new assessment approaches have been proposed for evaluating the vulnerability of species to climate change based on the expectation that established assessments such as the IUCN Red List need revising or superseding in light of the threat that climate change brings. However, although previous studies have identified ecological and life history attributes that characterize declining species or those listed as threatened, no study so far has undertaken a quantitative analysis of the attributes that cause species to be at high risk of extinction specifically due to climate change. We developed a simulation approach based on generic life history types to show here that extinction risk due to climate change can be predicted using a mixture of spatial and demographic variables that can be measured in the present day without the need for complex forecasting models. Most of the variables we found to be important for predicting extinction risk, including occupied area and population size, are already used in species conservation assessments, indicating that present systems may be better able to identify species vulnerable to climate change than previously thought. Therefore, although climate change brings many new conservation challenges, we find that it may not be fundamentally different from other threats in terms of assessing extinction risks.

ASSESSMENT OF LAND USE CHANGE IMPACTS ON FLOW CHARACTERISTICS IN AN EASTERN PENNSYLVANIA WATERSHED

EPA Science Inventory

The impacts of changes in land use/cover due to urbanization on the hydrologic regime of the watershed have long been recognized and have been the subject of many studies. Distributed hydrologic models are one means of assessing such impacts. In this study we evaluated the potent...

Behavioural Excesses and Deficits Associated with Dementia in Adults Who Have Down Syndrome

ERIC Educational Resources Information Center

Oliver, Chris; Kalsy, Sunny; McQuillan, Sharna; Hall, Scott

2011-01-01

Background: Informant-based assessment of behavioural change and difference in dementia in Down syndrome can aid diagnosis and inform service delivery. To date few studies have examined the impact of different types of behavioural change. Methods: The Assessment for Adults with Developmental Disabilities (AADS), developed for this study, assesses…

Behavioral changes following participation in a home health promotional program in King County, Washington.

PubMed Central

Leung, R; Koenig, J Q; Simcox, N; van Belle, G; Fenske, R; Gilbert, S G

1997-01-01

This study examined behavioral changes in households after participation in a home environmental assessment. Home assessment visits by a trained coach, which involved a walk-through in the home with the home residents, were conducted in 36 homes. The walk-through included a list of recommended behavioral changes that the residents could make to reduce their exposures to home pollutants in areas such as dust control, moisture problems, indoor air, hazardous household products, and hobbies. Recruited households were surveyed 3 months after the home assessment to evaluate their implementation of the recommendations. Following the home visits, 31 of 36 households reported making at least one behavioral change, and 41% of the recommendations made by the volunteer coaches were implemented. In conclusion, this study found that the majority of the households who participated in the home assessment reported implementing at least one recommendation. This home health promotional method was effective in influencing behavioral changes. PMID:9349831

Potential impact of future climate change on sugarcane under dryland conditions in Mexico

USDA-ARS?s Scientific Manuscript database

Assessments of impacts of future climate change on widely grown sugarcane varieties can guide decision-making at various levels and help ensure the economic stability of numerous rural households. This study assessed the potential impact of future climatic change on CP 72-2086 the most widely grown...

[Attaching importance to study on acute health risk assessment and adaptation of air pollution and climate change].

PubMed

Shi, X M

2017-03-10

Air pollution and climate change have become key environmental and public health problems around the world, which poses serious threat to human health. How to assess and mitigate the health risks and increase the adaptation of the public have become an urgent topic of research in this area. The six papers in this issue will provide important and rich information on design, analysis method, indicator selection and setting about acute health risk assessment and adaptation study of air pollution and climate change in China, reflecting the advanced conceptions of multi-center and area-specific study and multi-pollutant causing acute effect study. However, the number and type of the cities included in these studies were still limited. In future, researchers should further expand detailed multi-center and multi-area study coverage, conduct area specific predicting and early warning study and strengthen adaptation study.

Assessing organizational change in multisector community health alliances.

PubMed

Alexander, Jeffrey A; Hearld, Larry R; Shi, Yunfeng

2015-02-01

The purpose of this article was to identify some common organizational features of multisector health care alliances (MHCAs) and the analytic challenges presented by those characteristics in assessing organizational change. Two rounds of an Internet-based survey of participants in 14 MHCAs. We highlight three analytic challenges that can arise when quantitatively studying the organizational characteristics of MHCAs-assessing change in MHCA organization, assessment of construct reliability, and aggregation of individual responses to reflect organizational characteristics. We illustrate these issues using a leadership effectiveness scale (12 items) validated in previous research and data from 14 MHCAs participating in the Robert Wood Johnson Foundation's Aligning Forces for Quality (AF4Q) program. High levels of instability and turnover in MHCA membership create challenges in using survey data to study changes in key organizational characteristics of MHCAs. We offer several recommendations to diagnose the source and extent of these problems. © Health Research and Educational Trust.

Exploring Land Use and Land Cover Change and Feedbacks in the Global Change Assessment Model

NASA Astrophysics Data System (ADS)

Chen, M.; Vernon, C. R.; Huang, M.; Calvin, K. V.; Le Page, Y.; Kraucunas, I.

2017-12-01

Land Use and Land Cover Change (LULCC) is a major driver of global and regional environmental change. Projections of land use change are thus an essential component in Integrated Assessment Models (IAMs) to study feedbacks between transformation of energy systems and land productivity under the context of climate change. However, the spatial scale of IAMs, e.g., the Global Change Assessment Model (GCAM), is typically larger than the scale of terrestrial processes in the human-Earth system, LULCC downscaling therefore becomes a critical linkage among these multi-scale and multi-sector processes. Parametric uncertainties in LULCC downscaling algorithms, however, have been under explored, especially in the context of how such uncertainties could propagate to affect energy systems in a changing climate. In this study, we use a LULCC downscaling model, Demeter, to downscale GCAM-based future land use scenarios into fine spatial scales, and explore the sensitivity of downscaled land allocations to key parameters. Land productivity estimates (e.g., biomass production and crop yield) based on the downscaled LULCC scenarios are then fed to GCAM to evaluate how energy systems might change due to altered water and carbon cycle dynamics and their interactions with the human system, , which would in turn affect future land use projections. We demonstrate that uncertainties in LULCC downscaling can result in significant differences in simulated scenarios, indicating the importance of quantifying parametric uncertainties in LULCC downscaling models for integrated assessment studies.

Assessment of Reliable Change Using 95% Credible Intervals for the Differences in Proportions: A Statistical Analysis for Case-Study Methodology.

PubMed

Unicomb, Rachael; Colyvas, Kim; Harrison, Elisabeth; Hewat, Sally

2015-06-01

Case-study methodology studying change is often used in the field of speech-language pathology, but it can be criticized for not being statistically robust. Yet with the heterogeneous nature of many communication disorders, case studies allow clinicians and researchers to closely observe and report on change. Such information is valuable and can further inform large-scale experimental designs. In this research note, a statistical analysis for case-study data is outlined that employs a modification to the Reliable Change Index (Jacobson & Truax, 1991). The relationship between reliable change and clinical significance is discussed. Example data are used to guide the reader through the use and application of this analysis. A method of analysis is detailed that is suitable for assessing change in measures with binary categorical outcomes. The analysis is illustrated using data from one individual, measured before and after treatment for stuttering. The application of this approach to assess change in categorical, binary data has potential application in speech-language pathology. It enables clinicians and researchers to analyze results from case studies for their statistical and clinical significance. This new method addresses a gap in the research design literature, that is, the lack of analysis methods for noncontinuous data (such as counts, rates, proportions of events) that may be used in case-study designs.

Climate change impacts in Iran: assessing our current knowledge

NASA Astrophysics Data System (ADS)

Rahimi, Jaber; Malekian, Arash; Khalili, Ali

2018-02-01

During recent years, various studies have focused on investigating the direct and indirect impacts of climate changes in Iran while the noteworthy fact is the achievement gained by these researches. Furthermore, what should be taken into consideration is whether these studies have been able to provide appropriate opportunities for improving further studies in this particular field or not. To address these questions, this study systematically reviewed and summarized the current available literature (n = 150) regarding the impacts of climate change on temperature and precipitation in Iran to assess our current state of knowledge. The results revealed that while all studies discuss the probable changes in temperature and precipitation over the next decades, serious contradictions could be seen in their results; also, the general pattern of changes was different in most of the cases. This matter may have a significant effect on public beliefs in climate change, which can be a serious warning for the activists in this realm.

Nutritional Status Assessment

NASA Technical Reports Server (NTRS)

Smith, Scott M.

2008-01-01

Nutritional Status Assessment (Nutrition) is the most comprehensive inflight study done by NASA to date of human physiologic changes during long-duration space flight; this includes measures of bone metabolism, oxidative damage, nutritional assessments, and hormonal changes. This study will impact both the definition of nutritional requirements and development of food systems for future space exploration missions to the Moon and Mars. This experiment will also help to understand the impact of countermeasures (exercise and pharmaceuticals) on nutritional status and nutrient requirements for astronauts.

Modeling Change in Large-Scale Longitudinal Studies of Educational Growth: Four Decades of Contributions to the Assessment of Educational Growth. ETC R&D Scientific and Policy Contributions Series. ETS SPC-12-01. Research Report No. RR-12-04

ERIC Educational Resources Information Center

Rock, Donald A.

2012-01-01

This paper provides a history of ETS's role in developing assessment instruments and psychometric procedures for measuring change in large-scale national assessments funded by the Longitudinal Studies branch of the National Center for Education Statistics. It documents the innovations developed during more than 30 years of working with…

Modeling Change in Large-Scale Longitudinal Studies of Educational Growth: Four Decades of Contributions to the Assessment of Educational Growth. Research Report. ETS RR-12-04. ETS R&D Scientific and Policy Contributions Series. ETS SPC-12-01

ERIC Educational Resources Information Center

Rock, Donald A.

2012-01-01

This paper provides a history of ETS's role in developing assessment instruments and psychometric procedures for measuring change in large-scale national assessments funded by the Longitudinal Studies branch of the National Center for Education Statistics. It documents the innovations developed during more than 30 years of working with…

Impact of land cover change on the environmental hydrology characteristics in Kelantan river basin, Malaysia

NASA Astrophysics Data System (ADS)

Saadatkhah, Nader; Mansor, Shattri; Khuzaimah, Zailani; Asmat, Arnis; Adnan, Noraizam; Adam, Siti Noradzah

2016-09-01

Changing the land cover/ land use has serious environmental impacts affecting the ecosystem in Malaysia. The impact of land cover changes on the environmental functions such as surface water, loss water, and soil moisture is considered in this paper on the Kelantan river basin. The study area at the east coast of the peninsular Malaysia has suffered significant land cover changes in the recent years. The current research tried to assess the impact of land cover changes in the study area focused on the surface water, loss water, and soil moisture from different land use classes and the potential impact of land cover changes on the ecosystem of Kelantan river basin. To simulate the impact of land cover changes on the environmental hydrology characteristics, a deterministic regional modeling were employed in this study based on five approaches, i.e. (1) Land cover classification based on Landsat images; (2) assessment of land cover changes during last three decades; (3) Calculation the rate of water Loss/ Infiltration; (4) Assessment of hydrological and mechanical effects of the land cover changes on the surface water; and (5) evaluation the impact of land cover changes on the ecosystem of the study area. Assessment of land cover impact on the environmental hydrology was computed with the improved transient rainfall infiltration and grid based regional model (Improved-TRIGRS) based on the transient infiltration, and subsequently changes in the surface water, due to precipitation events. The results showed the direct increased in surface water from development area, agricultural area, and grassland regions compared with surface water from other land covered areas in the study area. The urban areas or lower planting density areas tend to increase for surface water during the monsoon seasons, whereas the inter flow from forested and secondary jungle areas contributes to the normal surface water.

How does high stakes testing influence teachers' classroom instruction?: Institutional pressures and classroom instruction

NASA Astrophysics Data System (ADS)

Yamashita, Mika Yoder

2011-12-01

This study examined how a total of eight math and science elementary school teachers changed their classroom instruction in response to high stakes and low stakes testing in one school district. The district introduced new assessment in the school year of 2005--06 to meet the requirement set forth by the No Child Left Behind Act (NCLB)---that the assessment should be aligned with the state academic standards. I conducted interviews with teachers and school administrators at two elementary schools, district officials, and a representative of a non-profit organization during the school year 2007--08 to examine how the new assessment introduced in 2005--06 had shaped classroom instruction. Concepts from New Institutional Theory and cognitive approaches to policy implementation guided the design of this study. This study focused on how materials and activities associated with high stakes testing promoted ideas about good instruction, and how these ideas were carried to teachers. The study examined how teachers received messages about instruction and how they responded to the messages. The study found that high stakes testing influenced teachers' classroom instruction more than low stakes testing; however, the instructional changes teachers made in response to state testing was at the content level. The teachers' instructional strategies did not change. The teachers' instructional changes varied with the degree of implementation of existing math curriculum and with the degree of support they received in understanding the meaning of assessment results. The study concluded that, among the six teachers I studied, high stakes testing was not a sufficient intervention for changing teachers' instructional strategies. The study also addressed the challenges of aligning instructional messages across assessment, standards, and curriculum.

A qualitative study using the Theoretical Domains Framework to investigate why patients were or were not assessed for rehabilitation after stroke.

PubMed

Lynch, Elizabeth A; Luker, Julie A; Cadilhac, Dominique A; Fryer, Caroline E; Hillier, Susan L

2017-07-01

To explore the factors perceived to affect rehabilitation assessment and referral practices for patients with stroke. Qualitative study using data from focus groups analysed thematically and then mapped to the Theoretical Domains Framework. Eight acute stroke units in two states of Australia. Health professionals working in acute stroke units. Health professionals at all sites had participated in interventions to improve rehabilitation assessment and referral practices, which included provision of copies of an evidence-based decision-making rehabilitation Assessment Tool and pathway. Eight focus groups were conducted (32 total participants). Reported rehabilitation assessment and referral practices varied markedly between units. Continence and mood were not routinely assessed (4 units), and people with stroke symptoms were not consistently referred to rehabilitation (4 units). Key factors influencing practice were identified and included whether health professionals perceived that use of the Assessment Tool would improve rehabilitation assessment practices (theoretical domain 'social and professional role'); beliefs about outcomes from changing practice such as increased equity for patients or conversely that changing rehabilitation referral patterns would not affect access to rehabilitation ('belief about consequences'); the influence of the unit's relationships with other groups including rehabilitation teams ('social influences' domain) and understanding within the acute stroke unit team of the purpose of changing assessment practices ('knowledge' domain). This study has identified that health professionals' perceived roles, beliefs about consequences from changing practice and relationships with rehabilitation service providers were perceived to influence rehabilitation assessment and referral practices on Australian acute stroke units.

Prevalence of primary outcome changes in clinical trials registered on ClinicalTrials.gov: a cross-sectional study.

PubMed

Ramagopalan, Sreeram; Skingsley, Andrew P; Handunnetthi, Lahiru; Klingel, Michelle; Magnus, Daniel; Pakpoor, Julia; Goldacre, Ben

2014-01-01

An important principle in the good conduct of clinical trials is that a summary of the trial protocol, with a pre-defined primary outcome, should be freely available before the study commences. The clinical trials registry ClinicalTrials.gov provides one method of doing this, and once the trial is registered, any changes made to the primary outcome are documented. The objectives of this study were: to assess the proportion of registered trials on ClinicalTrials.gov that had the primary outcome changed; to assess when the primary outcome was changed in relation to the listed study start and end dates and to assess whether the primary outcome change had any relation to the study sponsor. A cross-sectional analysis of all interventional clinical trials registered on ClinicalTrials.gov as of 25 October 2012 was performed. The main outcome was any change made to the initially listed primary outcome and the time of the change in relation to the trial start and end date. Our analysis showed that 28229 of 89204 (31.7%) registered studies had their primary outcome changed.  Industry funding was associated with all primary outcome changes, odds ratio (OR)= 1.36, 95% confidence interval (CI)=1.31-1.41, p<0.001; with primary outcome changes after study start date OR=1.37, 95% CI=1.32-1.42, p<0.001; with primary outcome changes after primary completion date OR=1.84, 95% CI=1.75-1.94, p<0.001 and with primary outcome changes after study completion date OR=1.82, 95% CI=1.73-1.91, p<0.001.  Conclusions A significant proportion of interventional trials registered on ClinicalTrials.gov have their primary outcomes altered after the listed study start and completion dates. These changes are associated with funding source.

A proposed method to investigate reliability throughout a questionnaire.

PubMed

Wentzel-Larsen, Tore; Norekvål, Tone M; Ulvik, Bjørg; Nygård, Ottar; Pripp, Are H

2011-10-05

Questionnaires are used extensively in medical and health care research and depend on validity and reliability. However, participants may differ in interest and awareness throughout long questionnaires, which can affect reliability of their answers. A method is proposed for "screening" of systematic change in random error, which could assess changed reliability of answers. A simulation study was conducted to explore whether systematic change in reliability, expressed as changed random error, could be assessed using unsupervised classification of subjects by cluster analysis (CA) and estimation of intraclass correlation coefficient (ICC). The method was also applied on a clinical dataset from 753 cardiac patients using the Jalowiec Coping Scale. The simulation study showed a relationship between the systematic change in random error throughout a questionnaire and the slope between the estimated ICC for subjects classified by CA and successive items in a questionnaire. This slope was proposed as an awareness measure--to assessing if respondents provide only a random answer or one based on a substantial cognitive effort. Scales from different factor structures of Jalowiec Coping Scale had different effect on this awareness measure. Even though assumptions in the simulation study might be limited compared to real datasets, the approach is promising for assessing systematic change in reliability throughout long questionnaires. Results from a clinical dataset indicated that the awareness measure differed between scales.

Identifying areas of relative change in forest fragmentation in New Hampshire between 1990 and 2000

Treesearch

Tonya Lister; Andrew Lister; William McWilliams; Rachel Riemann

2007-01-01

Forest fragmentation potentially can impact many facets of natural ecosystems. Numerous methods have been employed to assess static forest fragmentation. Few studies, however, have analyzed changes in forest fragmentation over time. In this study, we developed new classifications from Landsat imagery data acquired in 1990 and 2000 for New Hampshire, assessed...

Case Study 3: Species vulnerability assessment for the Middle Rio Grande, New Mexico

Treesearch

Deborah M. Finch; Megan Friggens; Karen Bagne

2011-01-01

This case study describes a method for scoring terrestrial species that have potential to be vulnerable to climate change. The assessment tool seeks to synthesize complex information related to projected climate changes into a predictive tool for species conservation. The tool was designed to aid managers in prioritizing species management actions in response to...

Stress testing hydrologic models using bottom-up climate change assessment

NASA Astrophysics Data System (ADS)

Stephens, C.; Johnson, F.; Marshall, L. A.

2017-12-01

Bottom-up climate change assessment is a promising approach for understanding the vulnerability of a system to potential future changes. The technique has been utilised successfully in risk-based assessments of future flood severity and infrastructure vulnerability. We find that it is also an ideal tool for assessing hydrologic model performance in a changing climate. In this study, we applied bottom-up climate change to compare the performance of two different hydrologic models (an event-based and a continuous model) under increasingly severe climate change scenarios. This allowed us to diagnose likely sources of future prediction error in the two models. The climate change scenarios were based on projections for southern Australia, which indicate drier average conditions with increased extreme rainfall intensities. We found that the key weakness in using the event-based model to simulate drier future scenarios was the model's inability to dynamically account for changing antecedent conditions. This led to increased variability in model performance relative to the continuous model, which automatically accounts for the wetness of a catchment through dynamic simulation of water storages. When considering more intense future rainfall events, representation of antecedent conditions became less important than assumptions around (non)linearity in catchment response. The linear continuous model we applied may underestimate flood risk in a future climate with greater extreme rainfall intensity. In contrast with the recommendations of previous studies, this indicates that continuous simulation is not necessarily the key to robust flood modelling under climate change. By applying bottom-up climate change assessment, we were able to understand systematic changes in relative model performance under changing conditions and deduce likely sources of prediction error in the two models.

Impact assessment of climate change on tourism in the Pacific small islands based on the database of long-term high-resolution climate ensemble experiments

NASA Astrophysics Data System (ADS)

Watanabe, S.; Utsumi, N.; Take, M.; Iida, A.

2016-12-01

This study aims to develop a new approach to assess the impact of climate change on the small oceanic islands in the Pacific. In the new approach, the change of the probabilities of various situations was projected with considering the spread of projection derived from ensemble simulations, instead of projecting the most probable situation. The database for Policy Decision making for Future climate change (d4PDF) is a database of long-term high-resolution climate ensemble experiments, which has the results of 100 ensemble simulations. We utilized the database for Policy Decision making for Future climate change (d4PDF), which was (a long-term and high-resolution database) composed of results of 100 ensemble experiments. A new methodology, Multi Threshold Ensemble Assessment (MTEA), was developed using the d4PDF in order to assess the impact of climate change. We focused on the impact of climate change on tourism because it has played an important role in the economy of the Pacific Islands. The Yaeyama Region, one of the tourist destinations in Okinawa, Japan, was selected as the case study site. Two kinds of impact were assessed: change in probability of extreme climate phenomena and tourist satisfaction associated with weather. The database of long-term high-resolution climate ensemble experiments and the questionnaire survey conducted by a local government were used for the assessment. The result indicated that the strength of extreme events would be increased, whereas the probability of occurrence would be decreased. This change should result in increase of the number of clear days and it could contribute to improve the tourist satisfaction.

Assessing long-term hydrologic impact of climate change using ensemble approach and comparison with Global Gridded Model-A case study on Goodwater Creek Experimental Watershed

USDA-ARS?s Scientific Manuscript database

Potential impacts of climate change on hydrologic components of Goodwater Creek Experimental Watershed were assessed using climate datasets from the Coupled Model Intercomparison Project Phase 5 and Soil and Water Assessment Tool (SWAT). Historical and future ensembles of downscaled precipitation an...

Scenario-based and scenario-neutral assessment of climate change impacts on operational performance of a multipurpose reservoir

Treesearch

Allison G. Danner; Mohammad Safeeq; Gordon E. Grant; Charlotte Wickham; Desirée Tullos; Mary V. Santelmann

2017-01-01

Scenario-based and scenario-neutral impacts assessment approaches provide complementary information about how climate change-driven effects on streamflow may change the operational performance of multipurpose dams. Examining a case study of Cougar Dam in Oregon, United States, we simulated current reservoir operations under scenarios of plausible future hydrology....

Short-term stream water temperature observations permit rapid assessment of potential climate change impacts

Treesearch

Peter Caldwell; Catalina Segura; Shelby Gull Laird; Ge Sun; Steven G. McNulty; Maria Sandercock; Johnny Boggs; James M. Vose

2015-01-01

Assessment of potential climate change impacts on stream water temperature (Ts) across large scales remains challenging for resource managers because energy exchange processes between the atmosphere and the stream environment are complex and uncertain, and few long-term datasets are available to evaluate changes over time. In this study, we...

Assessing the Validity of a Single-Item HIV Risk Stage-of-Change Measure

ERIC Educational Resources Information Center

Napper, Lucy E.; Branson, Catherine M.; Fisher, Dennis G.; Reynolds, Grace L.; Wood, Michelle M.

2008-01-01

This study examined the validity of a single-item measure of HIV risk stage of change that HIV prevention contractors were required to collect by the California State Office of AIDS. The single-item measure was compared to the more conventional University of Rhode Island Change Assessment (URICA). Participants were members of Los Angeles…

The Effectiveness of a Geospatial Technologies-Integrated Curriculum to Promote Climate Literacy

NASA Astrophysics Data System (ADS)

Anastasio, D. J.; Bodzin, A. M.; Peffer, T.; Sahagian, D. L.; Cirucci, L.

2011-12-01

This study examined the effectiveness of a geospatial technologies - integrated climate change curriculum (http://www.ei.lehigh.edu/eli/cc/) to promote climate literacy in an urban school district. Five 8th grade Earth and Space Science classes in an urban middle school (Bethlehem, Pennsylvania) consisting of three different ability level tracks participated in the study. Data gathering methods included pre/posttest assessments, daily classroom observations, daily teacher meetings, and examination of student produced artifacts. Data was gathered using a climate change literacy assessment instrument designed to measure students' climate change content knowledge. The items included distractors that address misunderstandings and knowledge deficits about climate change from the existing literature. Paired-sample t-test analyses were conducted to compare the pre- and post-test assessment results. The results of these analyses were used to compare overall gains as well as ability level track groups. Overall results regarding the use of the climate change curriculum showed significant improvement in urban middle school students' understanding of climate change concepts. Effect sizes were large (ES>0.8) and significant (p<0.001) for the entire assessment and for each ability level subgroup. Findings from classroom observations, assessments embedded in the curriculum, and the examination of all student artifacts revealed that the use of geospatial technologies enable middle school students to improve their knowledge of climate change and improve their spatial thinking and reasoning skills.

Climate Change and a Global City: An Assessment of the Metropolitan East Coast Region

NASA Technical Reports Server (NTRS)

Rosenzweig, Cynthia; Solecki, William

1999-01-01

The objective of the research is to derive an assessment of the potential climate change impacts on a global city - in this case the 31 county region that comprises the New York City metropolitan area. This study comprises one of the regional components that contribute to the ongoing U.S. National Assessment: The Potential Consequences of Climate Variability and Change and is an application of state-of-the-art climate change science to a set of linked sectoral assessment analyses for the Metro East Coast (MEC) region. We illustrate how three interacting elements of global cities react and respond to climate variability and change with a broad conceptual model. These elements include: people (e.g., socio- demographic conditions), place (e.g., physical systems), and pulse (e.g., decision-making and economic activities). The model assumes that a comprehensive assessment of potential climate change can be derived from examining the impacts within each of these elements and at their intersections. Thus, the assessment attempts to determine the within-element and the inter-element effects. Five interacting sector studies representing the three intersecting elements are evaluated. They include the Coastal Zone, Infrastructure, Water Supply, Public Health, and Institutional Decision-making. Each study assesses potential climate change impacts on the sector and on the intersecting elements, through the analysis of the following parts: 1. Current conditions of sector in the region; 2. Lessons and evidence derived from past climate variability; 3. Scenario predictions affecting sector; potential impacts of scenario predictions; 4. Knowledge/information gaps and critical issues including identification of additional research questions, effectiveness of modeling efforts, equity of impacts, potential non-local interactions, and policy recommendations; and 5. Identification of coping strategies - i.e., resilience building, mitigation strategies, new technologies, education that affects decision-making, and better preparedness for contingencies.

75 FR 51806 - Climate Change Vulnerability Assessment: Four Case Studies of Water Utility Practices

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-23

... case studies describing the approaches currently being taken by four water utilities to assess their... series of case studies describing the approaches currently being taken by four water utilities in the... Vulnerability Assessment: Four Case Studies of Water Utility Practices AGENCY: Environmental Protection Agency...

Predictors of attributional style change in children.

PubMed

Gibb, Brandon E; Alloy, Lauren B; Walshaw, Patricia D; Comer, Jonathan S; Shen, Gail H C; Villari, Annette G

2006-06-01

A number of studies have supported the hypothesis that negative attributional styles may confer vulnerability to the development of depression. The goal of this study was to explore factors that may contribute to the development of negative attributional styles in children. As hypothesized, elevated levels of depressive symptoms and hopelessness at the initial assessment predicted negative changes in children's attributional styles over the 6-month follow-up period. In addition, elevated levels of verbal victimization occurring between the 2 assessments, as well as that occurring in the 6 months preceding the initial assessment, prospectively predicted negative changes in children's attributional styles over the follow-up. Further, initial depressive symptoms and verbal victimization during the follow-up continued to significantly predict attributional style change even when the overlap among the predictors was statistically controlled. Contrary to the hypotheses, however, neither parent-reported levels of overall negative life events nor parents' attributions for their children's events predicted changes in children's attributional styles.

Evaluating changes in matrix based, recovery-adjusted concentrations in paired data for pesticides in groundwater

USGS Publications Warehouse

Zimmerman, Tammy M.; Breen, Kevin J.

2012-01-01

Pesticide concentration data for waters from selected carbonate-rock aquifers in agricultural areas of Pennsylvania were collected in 1993–2009 for occurrence and distribution assessments. A set of 30 wells was visited once in 1993–1995 and again in 2008–2009 to assess concentration changes. The data include censored matched pairs (nondetections of a compound in one or both samples of a pair). A potentially improved approach for assessing concentration changes is presented where (i) concentrations are adjusted with models of matrix-spike recovery and (ii) area-wide temporal change is tested by use of the paired Prentice-Wilcoxon (PPW) statistical test. The PPW results for atrazine, simazine, metolachlor, prometon, and an atrazine degradate, deethylatrazine (DEA), are compared using recovery-adjusted and unadjusted concentrations. Results for adjusted compared with unadjusted concentrations in 2008–2009 compared with 1993–1995 were similar for atrazine and simazine (significant decrease; 95% confidence level) and metolachlor (no change) but differed for DEA (adjusted, decrease; unadjusted, increase) and prometon (adjusted, decrease; unadjusted, no change). The PPW results were different on recovery-adjusted compared with unadjusted concentrations. Not accounting for variability in recovery can mask a true change, misidentify a change when no true change exists, or assign a direction opposite of the true change in concentration that resulted from matrix influences on extraction and laboratory method performance. However, matrix-based models of recovery derived from a laboratory performance dataset from multiple studies for national assessment, as used herein, rather than time- and study-specific recoveries may introduce uncertainty in recovery adjustments for individual samples that should be considered in assessing change.

Integrating data types to enhance shoreline change assessments

NASA Astrophysics Data System (ADS)

Long, J.; Henderson, R.; Plant, N. G.; Nelson, P. R.

2016-12-01

Shorelines represent the variable boundary between terrestrial and marine environments. Assessment of geographic and temporal variability in shoreline position and related variability in shoreline change rates are an important part of studies and applications related to impacts from sea-level rise and storms. The results from these assessments are used to quantify future ecosystem services and coastal resilience and guide selection of appropriate coastal restoration and protection designs. But existing assessments typically fail to incorporate all available shoreline observations because they are derived from multiple data types and have different or unknown biases and uncertainties. Shoreline-change research and assessments often focus on either the long-term trajectory using sparse data over multiple decades or shorter-term evolution using data collected more frequently but over a shorter period of time. The combination of data collected with significantly different temporal resolution is not often considered. Also, differences in the definition of the shoreline metric itself can occur, whether using a single or multiple data source(s), due to variation the signal being detected in the data (e.g. instantaneous land/water interface, swash zone, wrack line, or topographic contours). Previous studies have not explored whether more robust shoreline change assessments are possible if all available data are utilized and all uncertainties are considered. In this study, we test the hypothesis that incorporating all available shoreline data will lead to both improved historical assessments and enhance the predictive capability of shoreline-change forecasts. Using over 250 observations of shoreline position at Dauphin Island, Alabama over the last century, we compare shoreline-change rates derived from individual data sources (airborne lidar, satellite, aerial photographs) with an assessment using the combination of all available data. Biases or simple uncertainties in the shoreline metric from different data types and varying temporal/spatial resolution of the data are examined. As part of this test, we also demonstrate application of data assimilation techniques to predict shoreline position by accurately including the uncertainty in each type of data.

[Sensitivity to change].

PubMed

Igl, W; Zwingmann, C; Faller, H

2005-04-01

In rehabilitation research patient questionnaires are widely used for evaluative purposes, i. e. to measure improvements or deteriorations over time. This is only possible if the questionnaires applied appropriately reflect "true" change over time, i. e. they have to be sensitive to change. The aim of this paper is to point out the importance of the "sensitivity to change" concept for evaluative assessment tools and evaluative studies, respectively, considering quality of life research as an example. Various qualitative aspects, e. g. scaling of response options of assessment tools, are covered as well as quantitative methods, i. e. study designs and indices. Furthermore, recommendations for interpretation are given.

Improving the Linkages between Air Pollution Epidemiology and Quantitative Risk Assessment

PubMed Central

Bell, Michelle L.; Walker, Katy; Hubbell, Bryan

2011-01-01

Background: Air pollution epidemiology plays an integral role in both identifying the hazards of air pollution as well as supplying the risk coefficients that are used in quantitative risk assessments. Evidence from both epidemiology and risk assessments has historically supported critical environmental policy decisions. The extent to which risk assessors can properly specify a quantitative risk assessment and characterize key sources of uncertainty depends in part on the availability, and clarity, of data and assumptions in the epidemiological studies. Objectives: We discuss the interests shared by air pollution epidemiology and risk assessment communities in ensuring that the findings of epidemiological studies are appropriately characterized and applied correctly in risk assessments. We highlight the key input parameters for risk assessments and consider how modest changes in the characterization of these data might enable more accurate risk assessments that better represent the findings of epidemiological studies. Discussion: We argue that more complete information regarding the methodological choices and input data used in epidemiological studies would support more accurate risk assessments—to the benefit of both disciplines. In particular, we suggest including additional details regarding air quality, demographic, and health data, as well as certain types of data-rich graphics. Conclusions: Relatively modest changes to the data reported in epidemiological studies will improve the quality of risk assessments and help prevent the misinterpretation and mischaracterization of the results of epidemiological studies. Such changes may also benefit epidemiologists undertaking meta-analyses. We suggest workshops as a way to improve the dialogue between the two communities. PMID:21816702

Patterns and biases in climate change research on amphibians and reptiles: a systematic review.

PubMed

Winter, Maiken; Fiedler, Wolfgang; Hochachka, Wesley M; Koehncke, Arnulf; Meiri, Shai; De la Riva, Ignacio

2016-09-01

Climate change probably has severe impacts on animal populations, but demonstrating a causal link can be difficult because of potential influences by additional factors. Assessing global impacts of climate change effects may also be hampered by narrow taxonomic and geographical research foci. We review studies on the effects of climate change on populations of amphibians and reptiles to assess climate change effects and potential biases associated with the body of work that has been conducted within the last decade. We use data from 104 studies regarding the effect of climate on 313 species, from 464 species-study combinations. Climate change effects were reported in 65% of studies. Climate change was identified as causing population declines or range restrictions in half of the cases. The probability of identifying an effect of climate change varied among regions, taxa and research methods. Climatic effects were equally prevalent in studies exclusively investigating climate factors (more than 50% of studies) and in studies including additional factors, thus bolstering confidence in the results of studies exclusively examining effects of climate change. Our analyses reveal biases with respect to geography, taxonomy and research question, making global conclusions impossible. Additional research should focus on under-represented regions, taxa and questions. Conservation and climate policy should consider the documented harm climate change causes reptiles and amphibians.

Longitudinal diffusion changes following postoperative delirium in older people without dementia.

PubMed

Cavallari, Michele; Dai, Weiying; Guttmann, Charles R G; Meier, Dominik S; Ngo, Long H; Hshieh, Tammy T; Fong, Tamara G; Schmitt, Eva; Press, Daniel Z; Travison, Thomas G; Marcantonio, Edward R; Jones, Richard N; Inouye, Sharon K; Alsop, David C

2017-09-05

To investigate the effect of postoperative delirium on longitudinal brain microstructural changes, as measured by diffusion tensor imaging. We studied a subset of the larger Successful Aging after Elective Surgery (SAGES) study cohort of older adults (≥70 years) without dementia undergoing elective surgery: 113 participants who had diffusion tensor imaging before and 1 year after surgery. Postoperative delirium severity and occurrence were assessed during the hospital stay using the Confusion Assessment Method and a validated chart review method. We investigated the association of delirium severity and occurrence with longitudinal diffusion changes across 1 year, adjusting for age, sex, vascular comorbidity, and baseline cognitive performance. We also assessed the association between changes in diffusion and cognitive performance across the 1-year follow-up period, adjusting for age, sex, education, and baseline cognitive performance. Postoperative delirium occurred in 25 participants (22%). Delirium severity and occurrence were associated with longitudinal diffusion changes in the periventricular, frontal, and temporal white matter. Diffusion changes were also associated with changes in cognitive performance across 1 year, although the cognitive changes did not show significant association with delirium severity or occurrence. Our study raises the possibility that delirium has an effect on the development of brain microstructural abnormalities, which may reflect brain changes underlying cognitive trajectories. Future studies are warranted to clarify whether delirium is the driving factor of the observed changes or rather a correlate of a vulnerable brain that is at high risk for neurodegenerative processes. © 2017 American Academy of Neurology.

Quality assessment of a sample of mobile app-based health behavior change interventions using a tool based on the National Institute of Health and Care Excellence behavior change guidance.

PubMed

McMillan, Brian; Hickey, Eamonn; Patel, Mahendra G; Mitchell, Caroline

2016-03-01

To quality assess a sample of health behavior change apps from the NHS Apps Library using a rating tool based on the 2014 National Institute for Health and Care Excellence behavior change guidance (NICE BCG). A qualitative analysis of the NICE BCG identified themes and questions for a quality assessment of health behavior change apps. These were refined by further discussion and piloting, and applied by two independent raters to a sample of NHS Library apps (N=49). Disagreements were resolved following discussions with a third rater. Themes identified were; purpose, planning, usability, tailoring, behavior change technique (BCT), maintenance, evaluation, data security and documentation. Overall, purpose of the apps was clear, but evidence for collaboration with users or professionals was lacking. Usability information was poor and tailoring disappointing. Most used recognized BCTs but paid less attention to behavior maintenance than initiation. Information on app evaluation and documentation was sparse. This study furthers the work of the NHS Apps Library, adapting the NICE (2014) behavior change guidance for quality assessment of behavior change apps. This study helps lay the foundations for development of a quality assurance tool for mobile health apps aimed at health behavior change. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Assessment of Wetland Ecosystem Condition across Landscape Regions-A multi-metric Approach. Part A. Ecological Integrity Assessment Overview and Field Study in Michigan and Indiana. and Part B. Ecological Integrity Assessment Protocols for Rapid Field Methods (L2)

EPA Science Inventory

Many ecosystem monitoring and assessment programs are expanding their focus to address changes in ecosystem condition. This is a challenging task, given the complexity of ecosystems and the changes they undergo in response to a variety of human activities and landscape alteration...

Chemical and biological sensing needs for health effects studies

NASA Astrophysics Data System (ADS)

Breysse, Patrick N.

2012-06-01

Exposure assessment is an integral component of occupational and environmental epidemiology, risk assessment and management, as well as regulatory compliance. For the most part, air sampling and analysis tools used in occupational and environmental exposure assessments are based on technologies that have changed little since the 1970s. In many cases the lack of simple, inexpensive, exposure assessment technologies has limited epidemiologists' and risk assessors' ability to evaluate the environmental and occupational causes of disease. While there have been tremendous investments and advances in medical diagnostic and biomonitoring technologies (e.g., glucose testing, human genetics), there has been less effort invested in advancing the science of exposure assessment. Recent developments in sensor technology have focused on medical and homeland security applications. Developing and applying new sensors to health effects studies can revolutionize the way epidemiologic studies are conducted. Time-series studies that investigate short-term (hours to days) changes in exposure that are linked to changes in health care encounters, symptoms, and biological markers of preclinical disease and/or susceptibility are needed to more fully evaluate the impact of chemicals and other agents on health. Current sampling technology limits our ability to assess time-varying concentrations. The purpose of this paper is to discuss the current state of air sampling and health assessment and the potential application of novel sensor technology for use in health effects studies.

The BILAG-2004 index is sensitive to change for assessment of SLE disease activity.

PubMed

Yee, Chee-Seng; Farewell, Vernon; Isenberg, David A; Griffiths, Bridget; Teh, Lee-Suan; Bruce, Ian N; Ahmad, Yasmeen; Rahman, Anisur; Prabu, Athiveeraramapandian; Akil, Mohammed; McHugh, Neil; Edwards, Christopher; D'Cruz, David; Khamashta, Munther A; Maddison, Peter; Gordon, Caroline

2009-06-01

To determine if the BILAG-2004 index is sensitive to change for assessment of SLE disease activity. This was a prospective multi-centre longitudinal study of SLE patients. At every assessment, data were collected on disease activity (BILAG-2004 index) and treatment. Analyses were performed using overall BILAG-2004 index score (as determined by the highest score achieved by any of the individual systems) and all the systems scores. Sensitivity to change was assessed by determining the relationship between change in disease activity and change in therapy between two consecutive visits. Statistical analyses were performed using multinomial logistic regression. There were 1761 assessments from 347 SLE patients that contributed 1414 observations for analysis. An increase in therapy between visits occurred in 22.7% observations, while 37.3% had a decrease in therapy and in 40.0% therapy was unchanged. Increase in overall BILAG-2004 index score was associated with increase in therapy and inversely associated with decrease in therapy. Decrease in overall BILAG-2004 index score was associated with decrease in therapy and was inversely associated with increase in therapy. Changes in overall BILAG-2004 index score were differentially related to change in therapy, with greater change in score having greater predictive power. Increase in the scores of most systems was independently associated with an increase in treatment and there was no significant association between decreases in the score of any system with an increase in therapy. The BILAG-2004 index is sensitive to change and is suitable for use in longitudinal studies of SLE.

The BILAG-2004 index is sensitive to change for assessment of SLE disease activity

PubMed Central

Farewell, Vernon; Isenberg, David A.; Griffiths, Bridget; Teh, Lee-Suan; Bruce, Ian N.; Ahmad, Yasmeen; Rahman, Anisur; Prabu, Athiveeraramapandian; Akil, Mohammed; McHugh, Neil; Edwards, Christopher; D’Cruz, David; Khamashta, Munther A.; Maddison, Peter; Gordon, Caroline

2009-01-01

Objective. To determine if the BILAG-2004 index is sensitive to change for assessment of SLE disease activity. Methods. This was a prospective multi-centre longitudinal study of SLE patients. At every assessment, data were collected on disease activity (BILAG-2004 index) and treatment. Analyses were performed using overall BILAG-2004 index score (as determined by the highest score achieved by any of the individual systems) and all the systems scores. Sensitivity to change was assessed by determining the relationship between change in disease activity and change in therapy between two consecutive visits. Statistical analyses were performed using multinomial logistic regression. Results. There were 1761 assessments from 347 SLE patients that contributed 1414 observations for analysis. An increase in therapy between visits occurred in 22.7% observations, while 37.3% had a decrease in therapy and in 40.0% therapy was unchanged. Increase in overall BILAG-2004 index score was associated with increase in therapy and inversely associated with decrease in therapy. Decrease in overall BILAG-2004 index score was associated with decrease in therapy and was inversely associated with increase in therapy. Changes in overall BILAG-2004 index score were differentially related to change in therapy, with greater change in score having greater predictive power. Increase in the scores of most systems was independently associated with an increase in treatment and there was no significant association between decreases in the score of any system with an increase in therapy. Conclusions. The BILAG-2004 index is sensitive to change and is suitable for use in longitudinal studies of SLE. PMID:19395542

Climate Change Education: Quantitatively Assessing the Impact of a Botanical Garden as an Informal Learning Environment

ERIC Educational Resources Information Center

Sellmann, Daniela; Bogner, Franz X.

2013-01-01

Although informal learning environments have been studied extensively, ours is one of the first studies to quantitatively assess the impact of learning in botanical gardens on students' cognitive achievement. We observed a group of 10th graders participating in a one-day educational intervention on climate change implemented in a botanical garden.…

Studying Changes in the Practice of Two Teachers Developing Assessment for Learning

ERIC Educational Resources Information Center

Lee, Clare; Wiliam, Dylan

2005-01-01

This article describes changes in the practice of two teachers, observed over an 18-month period, who were participating in a study intended to support teachers in developing their use of assessment in support of learning. The design of the intervention allowed each teacher to choose for themselves which aspects of their practice to develop.…

The effect of crash experience on changes in risk taking among urban and rural young people.

PubMed

Lin, Mau-Roung; Huang, Wenzheng; Hwang, Hei-Fen; Wu, Hong-Dar Isaac; Yen, Lee-Lan

2004-03-01

A 20-month prospective study was conducted to investigate the effect of motorcycle crash experience on changes in risk taking among 2514 urban and 2304 rural students in Taiwan. Risk taking was assessed using a 14-item self-administered questionnaire at the beginning and end of the study. A risk-taking score for each student at the initial and the last follow-up assessments was generated from adding up points across all 14 items. For exposure variables, the study documented past motorcycle crash history at the initial assessment and collected detailed information about any motorcycle crash involvement that occurred during the study period. A general linear mixed model was applied to assess the effects of prior and recent crash involvements on the path of risk-taking behavior. The results show that at the initial assessment, students with crash experience had higher risk-taking levels than those without crash experience. However, crash experience, irregardless of whether it was measured in terms of crash history prior to the study, crash frequency, time elapsed since the last crash, or crash severity, did not significantly change the risk-taking path among students, even though its effect differed between urban and rural areas.

Assessment of economic and water quality impacts of land use change using a simple bioeconomic model.

PubMed

Bhattarai, Gandhi; Srivastava, Puneet; Marzen, Luke; Hite, Diane; Hatch, Upton

2008-07-01

The objective of this study is to assess the economic and water quality impact of land use change in a small watershed in the Wiregrass region of Alabama. The study compares changes in water quality and revenue from agricultural and timber production due to changes in land use between years 1992 and 2001. The study was completed in two stages. In the first stage, a biophysical model was used to estimate the effect of land use change on nitrogen and phosphorus runoff and sediment deposition in the main channel; in the second stage, farm enterprise budgeting tools were used to estimate the economic returns for the changes in land use condition. Both biophysical and economic results are discussed, and a case for complex optimization to develop a decision support system is presented.

Personality and symptom change in treatment-refractory inpatients: evaluation of the phase model of change using Rorschach,TAT, and DSM-IV Axis V.

PubMed

Fowler, J Christopher; Ackerman, Steven J; Speanburg, Stefanie; Bailey, Adrian; Blagys, Matthew; Conklin, Adam C

2004-12-01

In this study, we examined global treatment outcomes during 16 months of intensive, psychodynamic treatment for 77 inpatients suffering from treatment-refractory disorders. Hypotheses based on the phase model of treatment change (Howard, Lueger, Maling, & Martinovich, 1993; Howard, Moras, Brill, Martinovich, & Lutz, 1996) were supported in the study results. Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) Axis V scales assessing behavioral functioning demonstrated large and medium effect size change, whereas stable, enduring personality functioning assessed by psychoanalytic Rorschach scales and the Social Cognition and Object Relations Scale (Westen, 1995) for the Thematic Apperception Test (Murray, 1943) demonstrated small and medium effect size change. We also report assessment of reliable change index and clinical significance. The ecological validity of Rorschach measures is supported by significant validity coefficients (in the hypothesized directions) between implicit measures of personality functioning and behavioral ratings.

Changing Attitudes in Learning and Assessment: Cast-Off "Plagiarism Detection" and Cast-On Self-Service Assessment for Learning

ERIC Educational Resources Information Center

Chew, Esyin; Ding, Seong Lin; Rowell, Gill

2015-01-01

Considering the change of attitudes of plagiarism detection to assessment for learning, it is necessary to explore the effect of the paradigm shift for Turnitin, from "plagiarism detection" to self-service learning aid. Two research questions are explored in the present study: (1) How Turnitin augments self-service skills of students and…

A framework for assessing global change risks to forest carbon stocks in the United States

Treesearch

Christopher W. Woodall; Grant M. Domke; Karin L. Riley; Christopher M. Oswalt; Susan J. Crocker; Gary W. Yohe

2013-01-01

Among terrestrial environments, forests are not only the largest long-term sink of atmospheric carbon (C), but are also susceptible to global change themselves, with potential consequences including alterations of C cycles and potential C emission. To inform global change risk assessment of forest C across large spatial/temporal scales, this study constructed and...

Effect of a School Choice Policy Change on Active Commuting to Elementary School.

PubMed

Sirard, John R; McDonald, Kelsey; Mustain, Patrick; Hogan, Whitney; Helm, Alison

2015-01-01

The purposes of this study were to assess the effect of restricting school choice on changes in travel distance to school and transportation mode for elementary school students. Study design was pre-post (spring 2010-fall 2010) quasi-experimental. Study setting was all public elementary schools in Minneapolis, Minnesota. Subjects comprised approximately 20,500 students across 39 schools. Study assessed a school choice policy change that restricted school choice to a school closer to the family's home. School district transportation data were used to determine distance to school. Direct observations of student travel modes (two morning and two afternoon commutes at each time point) were used to assess transportation mode. Chi-square and independent-sample t-tests were calculated to describe the schools. Repeated measures general linear models were used to assess changes in travel distance to school and observed commuting behavior. Distance to school significantly decreased (1.83 ± .48 miles to 1.74 ± .46 miles; p = .002). We failed to observe any significant changes in morning (+.7%) or afternoon (-.7%) active commuting (both p = .08) or the number of automobiles in the morning (-7 autos per school; p = .06) or afternoon (+3 autos per school; p = .14). The more restrictive school choice policy decreased distance to school but had no significant effect on active commuting. Policy interventions designed to increase active commuting to school may require additional time to gain traction and programmatic support to induce changes in behavior.

Linking Indigenous Knowledge and Observed Climate Change Studies

NASA Technical Reports Server (NTRS)

Alexander, Chief Clarence; Bynum, Nora; Johnson, Liz; King, Ursula; Mustonen, Tero; Neofotis, Peter; Oettle, Noel; Rosenzweig, Cynthia; Sakakibara, Chie; Shadrin, Chief Vyacheslav;

Status and trends of land change in the Midwest–South Central United States—1973 to 2000

USGS Publications Warehouse

Auch, Roger F.; Karstensen, Krista A.; Auch, Roger F.; Karstensen, Krista A.

2015-12-10

U.S. Geological Survey (USGS) Professional Paper 1794–C is the third in a four-volume series on the status and trends of the Nation’s land use and land cover, providing an assessment of the rates and causes of land-use and land-cover change in the Midwest–South Central United States between 1973 and 2000. Volumes A, B, and D provide similar analyses for the Western United States, the Great Plains of the United States, and the Eastern United States, respectively. The assessments of land-use and land-cover trends are conducted on an ecoregion-by-ecoregion basis, and each ecoregion assessment is guided by a nationally consistent study design that includes mapping, statistical methods, field studies, and analysis. Individual assessments provide a picture of the characteristics of land change occurring in a given ecoregion; in combination, they provide a framework for understanding the complex national mosaic of change and also the causes and consequences of change. Thus, each volume in this series provides a regional assessment of how (and how fast) land use and land cover are changing, and why. The four volumes together form the first comprehensive picture of land change across the Nation.Geographic understanding of land-use and land-cover change is directly relevant to a wide variety of stakeholders, including land and resource managers, policymakers, and scientists. The chapters in this volume present brief summaries of the patterns and rates of land change observed in each ecoregion in the Midwest–South Central United States, together with field photographs, statistics, and comparisons with other assessments. In addition, a synthesis chapter summarizes the scope of land change observed across the entire Midwest–South Central United States. The studies provide a way of integrating information across the landscape, and they form a critical component in the efforts to understand how land use and land cover affect important issues such as the provision of ecological goods and services and also the determination of risks to, and vulnerabilities of, human communities. Results from this project also are published in peer-reviewed journals, and they are further used to produce maps of change and other tools for land management, as well as to provide inputs for carbon-cycle modeling and other climate change research.

Interpretation of change and longitudinal validity of the quality of life for respiratory illness questionnaire (QoLRIQ) in inpatient pulmonary rehabilitation.

PubMed

van Stel, Henk F; Maillé, A Rianne; Colland, Vivian T; Everaerd, Walter

2003-03-01

The quality of life for respiratory illness questionnaire (QoLRIQ) is an outcome measure for patients with asthma or chronic obstructive pulmonary disease (COPD). This study assessed the longitudinal validity, reliability of the change score and the interpretation of changes on the QoLRIQ in inpatient pulmonary rehabilitation, completed by 108 patients with moderate to severe asthma (39) or COPD (69). Domains and total score of the QoLRIQ changed significant (all p < 0.0002) with standardized response means from 0.46 to 0.90. All QoLRIQ-change scores were significantly correlated with self-rated change in health and in disease symptoms and with change in self-assessed health status (r from 0.2 to 0.61). There were several significant correlations between QoLRIQ-change scores and change in experienced invalidity, emotional well-being, anxiety, depressive symptoms and Rand-36-domains (r from 0.2 to 0.68). The intraclass correlation coefficient of change was 0.90. The size of a minimal important difference (MID), computed from a retrospective global rating of change by the patients and with the standard error of measurement, was 0.5 points on a 7-point response scale. Computation of the MID from retrospective assessment of change may not be valid because this change was significantly correlated to post-treatment health status and significantly higher than serial assessment of change. We conclude that the QoLRIQ is sensitive to change, longitudinally valid and reliable, with a MID of 0.5 points. These results enable the use of the QoLRIQ as an outcome measure in clinical trials with patients with moderate to severe asthma or COPD. The longitudinal measurement properties in less severe patients still need to be studied.

A proposed method to investigate reliability throughout a questionnaire

PubMed Central

2011-01-01

Background Questionnaires are used extensively in medical and health care research and depend on validity and reliability. However, participants may differ in interest and awareness throughout long questionnaires, which can affect reliability of their answers. A method is proposed for "screening" of systematic change in random error, which could assess changed reliability of answers. Methods A simulation study was conducted to explore whether systematic change in reliability, expressed as changed random error, could be assessed using unsupervised classification of subjects by cluster analysis (CA) and estimation of intraclass correlation coefficient (ICC). The method was also applied on a clinical dataset from 753 cardiac patients using the Jalowiec Coping Scale. Results The simulation study showed a relationship between the systematic change in random error throughout a questionnaire and the slope between the estimated ICC for subjects classified by CA and successive items in a questionnaire. This slope was proposed as an awareness measure - to assessing if respondents provide only a random answer or one based on a substantial cognitive effort. Scales from different factor structures of Jalowiec Coping Scale had different effect on this awareness measure. Conclusions Even though assumptions in the simulation study might be limited compared to real datasets, the approach is promising for assessing systematic change in reliability throughout long questionnaires. Results from a clinical dataset indicated that the awareness measure differed between scales. PMID:21974842

The creation of reasonable projections toward sustainable development considering the climate and socioeconomic changes in the Pacific Islands

NASA Astrophysics Data System (ADS)

Watanabe, S.; Iida, A.; Nakatani, J.; Noda, K.; Take, M.; Nakamura, S.

2015-12-01

The impacts of climate and socioeconomic change in the future are important factors to consider when discussing the issues of sustainable development in the Pacific Islands, since their impacts here are relatively large compared to those in other regions due to the severe limitation of internal resources and the external dependency of the life essentials. The tourism industry is the key driving force behind the economic growth in island region and it is promoted by the environmental attractions. This study constructs scenarios that foresees the effects of these changes and assesses the subsequent impact on both the local community and the tourism industry. In this study, the scenarios have been developed based on the representative concentration pathways (RCPs) and the shared socioeconomic pathways (SSPs). The progress of climate change was expected to affect the attraction of tourists as well as resources availability and food production. The difference of SSPs was expected to affect the quality of life in the local society and the quantity and/or the quality of tourism. A downscale and bias-correction using a local dataset was applied to assess the impacts of climate change, and the relationships between GDP, population, and estimated land availability in the current situation were applied to assess the impact of socioeconomic change. As case studies, the scenarios were constructed to assess the impacts in the Republic of Palau and Ishigaki Island, Japan. Both are typical islands where tourism is the main industry. The situation of environmental resources, local society, and tourism under changing climate and socioeconomic conditions was assessed using these scenarios. The creation of reasonable projections under appropriate scenarios can contribute to sustainable development not only in these islands but also in most Pacific Islands.

Improving School Nurse Pain Assessment Practices for Students With Intellectual Disability.

PubMed

Quinn, Brenna L; Smolinski, Megan

2017-01-01

School nurses are afforded minimal resources related to assessing pain in students with intellectual disability (ID) and have called for continuing education. The purpose of this study was to measure the effectiveness of an education program regarding best practices for assessing pain in students with ID. Educational sessions were presented to 248 school nurses. Pre-, post-, and follow-up surveys measured (1) difficulty school nurses face when assessing pain, (2) knowledge and use of pain assessment methods, and (3) intent to change and actual changes to professional practices. Participants experienced less difficulty assessing pain following the educational program. Almost all participants intended to change pain assessment practices, but large caseloads limited new practice adoption. Policy makers must consider population size and acuity when determining school nurse staffing. Trainings and other resources should be made available to school nurses in order to make pain assessments for students with ID more thorough and efficient.

Rapid systematic assessment of the detection and attribution of regional anthropogenic climate change

NASA Astrophysics Data System (ADS)

Stone, Dáithí A.; Hansen, Gerrit

2016-09-01

Despite being a well-established research field, the detection and attribution of observed climate change to anthropogenic forcing is not yet provided as a climate service. One reason for this is the lack of a methodology for performing tailored detection and attribution assessments on a rapid time scale. Here we develop such an approach, based on the translation of quantitative analysis into the "confidence" language employed in recent Assessment Reports of the Intergovernmental Panel on Climate Change. While its systematic nature necessarily ignores some nuances examined in detailed expert assessments, the approach nevertheless goes beyond most detection and attribution studies in considering contributors to building confidence such as errors in observational data products arising from sparse monitoring networks. When compared against recent expert assessments, the results of this approach closely match those of the existing assessments. Where there are small discrepancies, these variously reflect ambiguities in the details of what is being assessed, reveal nuances or limitations of the expert assessments, or indicate limitations of the accuracy of the sort of systematic approach employed here. Deployment of the method on 116 regional assessments of recent temperature and precipitation changes indicates that existing rules of thumb concerning the detectability of climate change ignore the full range of sources of uncertainty, most particularly the importance of adequate observational monitoring.

Do Studies Evaluating QT/QTc Interval Prolongation with Dietary Supplements Meet FDA Standards: A Systematic Review.

PubMed

Nguyen, Tinh An; Kurian, Amy; Leong, Jessica; Patel, Umang M; Shah, Sachin A

2017-07-04

Dietary supplement use is continuously increasing, but the safety evaluation of these products remains partial. While dietary supplements have no mandate for assessing cardiovascular safety, all new drug entities (NDE) are required to undergo a thorough QT/corrected QT (QTc) assessment to determine their propensity to impact cardiac repolarization. Independent investigators and manufacturers of dietary supplements voluntarily initiate safety studies; however, the quality of these studies is controversial. We sought to compare studies evaluating the QT/QTc effects of dietary supplements based on the International Conference of Harmonization (ICH)-E14 recommendations for NDE. Twenty-six published dietary supplement studies assessed QT/QTc interval prolongation. Sample sizes ranged from nine subjects to 206 among the 15 crossover studies, six parallel design studies, and five observational studies. A plan to account for electrocardiogram (ECG) morphological abnormalities was included in 10 studies, and two studies reported cardiovascular adverse events. Eight studies found a significant change in QT/QTc intervals. The majority of studies included in this review contained many of the critical elements recommended by the ICH E14, which includes the U.S. Food and Drug Administration guidance document for QT/QTc interval assessment. Compared with the thorough QT (TQT) standards, studies are typically well performed but can be bolstered by some study design changes. More than 30% of the included studies showed some degree of ECG changes, suggesting the need for continued cardiovascular safety assessment of dietary supplements.

Impact of Changes to Practical Assessment at GCSE and A-Level: The Start of a Longitudinal Study by OCR

ERIC Educational Resources Information Center

Wilson, Frances; Wade, Neil; Evans, Steve

2016-01-01

As part of a wider qualification reform at upper secondary level in England, the assessment of practical work is changing, following concerns that the legacy model of assessment was having a negative impact on teaching and learning. The OCR examination board is running a longitudinal survey of teachers' views on practical work, focusing on the…

How Do Land-Use and Climate Change Affect Watershed ...

EPA Pesticide Factsheets

With the growing emphasis on biofuel crops and potential impacts of climate variability and change, there is a need to quantify their effects on hydrological processes for developing watershed management plans. Environmental consequences are currently estimated by utilizing computer models such as Soil and Water Assessment Tool (SWAT) to simulate watershed hydrology under projected climate and land-use scenarios to assess the effect on water quantity and/or quality. Such studies have largely been deterministic in nature, with the focus being on whether hydrologic variables such as runoff, sediment and/or nutrient loads increase or decrease from the baseline case under projected scenarios. However, studying how these changes would affect watershed health in a risk-based framework has not been attempted. In this study, impacts of several projected land-use and climate change scenarios on the health of the Wildcat Creek watershed in Indiana have been assessed through three risk indicators, namely reliability-resilience-vulnerability (R-R-V). Results indicate that cultivation of biofuel crops such as Miscanthus and switchgrass has the potential to improve risk indicator values with respect to sediment, total N and total P. Climate change scenarios that involved rising precipitation levels were found to negatively impact watershed health indicators. Trends of water quality constituents under risk-based watershed health assessment revealed nuances not readily a

Motivators and Barriers to Incorporating Climate Change-Related Health Risks in Environmental Health Impact Assessment

PubMed Central

Turner, Lyle R.; Alderman, Katarzyna; Connell, Des; Tong, Shilu

2013-01-01

Climate change presents risks to health that must be addressed by both decision-makers and public health researchers. Within the application of Environmental Health Impact Assessment (EHIA), there have been few attempts to incorporate climate change-related health risks as an input to the framework. This study used a focus group design to examine the perceptions of government, industry and academic specialists about the suitability of assessing the health consequences of climate change within an EHIA framework. Practitioners expressed concern over a number of factors relating to the current EHIA methodology and the inclusion of climate change-related health risks. These concerns related to the broad scope of issues that would need to be considered, problems with identifying appropriate health indicators, the lack of relevant qualitative information that is currently incorporated in assessment and persistent issues surrounding stakeholder participation. It was suggested that improvements are needed in data collection processes, particularly in terms of adequate communication between environmental and health practitioners. Concerns were raised surrounding data privacy and usage, and how these could impact on the assessment process. These findings may provide guidance for government and industry bodies to improve the assessment of climate change-related health risks. PMID:23525029

Motivators and barriers to incorporating climate change-related health risks in environmental health impact assessment.

PubMed

Turner, Lyle R; Alderman, Katarzyna; Connell, Des; Tong, Shilu

2013-03-22

Climate change presents risks to health that must be addressed by both decision-makers and public health researchers. Within the application of Environmental Health Impact Assessment (EHIA), there have been few attempts to incorporate climate change-related health risks as an input to the framework. This study used a focus group design to examine the perceptions of government, industry and academic specialists about the suitability of assessing the health consequences of climate change within an EHIA framework. Practitioners expressed concern over a number of factors relating to the current EHIA methodology and the inclusion of climate change-related health risks. These concerns related to the broad scope of issues that would need to be considered, problems with identifying appropriate health indicators, the lack of relevant qualitative information that is currently incorporated in assessment and persistent issues surrounding stakeholder participation. It was suggested that improvements are needed in data collection processes, particularly in terms of adequate communication between environmental and health practitioners. Concerns were raised surrounding data privacy and usage, and how these could impact on the assessment process. These findings may provide guidance for government and industry bodies to improve the assessment of climate change-related health risks.

Association between changes on the Negative Symptom Assessment scale (NSA-16) and measures of functional outcome in schizophrenia.

PubMed

Velligan, Dawn I; Alphs, Larry; Lancaster, Scott; Morlock, Robert; Mintz, Jim

2009-09-30

We examined whether changes in negative symptoms, as measured by scores on the 16-item Negative Symptom Assessment scale (NSA-16), were associated with changes in functional outcome. A group of 125 stable outpatients with schizophrenia were assessed at baseline and at 6 months using the NSA-16, the Brief Psychiatric Rating Scale, and multiple measures of functional outcome. Baseline adjusted regression coefficients indicated moderate correlations between negative symptoms and functional outcomes when baseline values of both variables were controlled. Results were nearly identical when we controlled for positive symptoms. Cross-lag panel correlations and Structural Equation Modeling were used to examine whether changes in negative symptoms drove changes in functional outcomes over time. Results indicated that negative symptoms drove the changes in the Social and Occupational Functioning Scale (SOFAS) rather than the reverse. Measures of Quality of Life and measures of negative symptoms may be assessing overlapping constructs or changes in both may be driven by a third variable. Negative symptoms were unrelated over time to scores on a performance-based measure of functional capacity. This study indicates that the relationship between negative symptom change and the change in functional outcomes is complex, and points to potential issues in selection of assessments.

Assessing the site-specific impacts of climate change on hydrology, soil erosion and crop yields in the Loess Plateau of China

USDA-ARS?s Scientific Manuscript database

Climate changes can have great impacts on fragile agro-ecosystems in the Loess Plateau of China, which is one of the most severely eroded regions in the world. The objective of this study is to assess the site-specific impacts of projected climate change scenarios for 2010-2039 on hydrology, soil l...

National assessment of shoreline change—Summary statistics for updated vector shorelines and associated shoreline change data for the Gulf of Mexico and Southeast Atlantic coasts

USGS Publications Warehouse

Himmelstoss, Emily A.; Kratzmann, Meredith G.; Thieler, E. Robert

2017-07-18

Long-term rates of shoreline change for the Gulf of Mexico and Southeast Atlantic regions of the United States have been updated as part of the U.S. Geological Survey’s National Assessment of Shoreline Change project. Additional shoreline position data were used to compute rates where the previous rate-of-change assessment only included four shoreline positions at a given location. The long-term shoreline change rates also incorporate the proxy-datum bias correction to account for the unidirectional onshore bias of the proxy-based high water line shorelines relative to the datum-based mean high water shorelines. The calculation of uncertainty associated with the long-term average rates has also been updated to match refined methods used in other study regions of the National Assessment project. The average rates reported here have a reduced amount of uncertainty relative to those presented in the previous assessments for these two regions.

Impact of National Assessment of Educational Progress (NAEP) use and score interpretation on states' inquiry-based science education policies and practices: A descriptive study

NASA Astrophysics Data System (ADS)

Conley, David M.

This study examined the influence of use and interpretation of National Assessment of Educational Progress (NAEP) science results on science education policies and practices in the United States, in the context of teaching and learning through inquiry and the assessment of student inquiry achievement. State assessment directors, NAEP coordinators, and science education specialists nationwide were invited to participate in the study by responding to a Web-based self-administered survey instrument. Sixty-seven percent of the population responded, providing both quantitative and qualitative data through selected-response and open-ended survey items, respectively. The findings of this study revealed that: (a) not all states interpret NAEP science results as an indicator of students' abilities to undertake inquiry investigations or understand the nature of inquiry---in fact, states view their own science assessments as more indicative of expectations regarding inquiry achievement; (b) most states have made changes to science curricular frameworks and assessments since the last NAEP science administration in 2000, so that more emphasis is placed on inquiry-based instruction and assessment of inquiry achievement---however, NAEP results have had a minor influence on these changes; (c) fewer states have made changes in legislation, policies, and professional development that reflect greater emphasis on inquiry, and those that did felt that NAEP results had no significant impact; (d) NAEP's influence has changed since the No Child Left Behind (NCLB) Act of 2001, but it remains minor since NAEP is still perceived as a "low stakes" test; (e) state officials believe NAEP's influence will increase significantly after the results of NAEP science 2005 are released and interpreted and as NCLB accountability provisions in science take hold in 2007--2008. The implications of the study's findings are discussed in reference to the theoretical and practical knowledge-bases concerning the consequences of assessment; the interpretation and use of future NAEP results to inform state science education systems; and NAEP validity studies and revisions to the NAEP assessment framework that may ensue. Limitations of the study's findings and directions for future research are also addressed.

Prospective Cohort Study Investigating Changes in Body Image, Quality of Life, and Self-Esteem Following Minimally Invasive Cosmetic Procedures.

PubMed

Sobanko, Joseph F; Dai, Julia; Gelfand, Joel M; Sarwer, David B; Percec, Ivona

2018-04-13

Minimally invasive cosmetic injectable procedures are increasingly common. However, a few studies have investigated changes in psychosocial functioning following these treatments. To assess changes in body image, quality of life, and self-esteem following cosmetic injectable treatment with soft tissue fillers and neuromodulators. Open, prospective study of 75 patients undergoing cosmetic injectable procedures for facial aging to evaluate changes in psychosocial functioning within 6 weeks of treatment. Outcome measures included the Derriford appearance scale (DAS-24), body image quality of life inventory (BIQLI), and the Rosenberg self-esteem scale. Body image dissatisfaction, as assessed by the DAS-24, improved significantly 6 weeks after the treatment. Body image quality of life, as assessed by the BIQLI, improved, but the change did not reach statistical significance. Self-esteem was unchanged after the treatment. Minimally invasive cosmetic injectable procedures were associated with reductions in body image dissatisfaction. Future research, using recently developed cosmetic surgery-specific instruments, may provide further insight into the psychosocial benefits of minimally invasive procedures.

Comparing strategies to assess multiple behavior change in behavioral intervention studies.

PubMed

Drake, Bettina F; Quintiliani, Lisa M; Sapp, Amy L; Li, Yi; Harley, Amy E; Emmons, Karen M; Sorensen, Glorian

2013-03-01

Alternatives to individual behavior change methods have been proposed, however, little has been done to investigate how these methods compare. To explore four methods that quantify change in multiple risk behaviors targeting four common behaviors. We utilized data from two cluster-randomized, multiple behavior change trials conducted in two settings: small businesses and health centers. Methods used were: (1) summative; (2) z-score; (3) optimal linear combination; and (4) impact score. In the Small Business study, methods 2 and 3 revealed similar outcomes. However, physical activity did not contribute to method 3. In the Health Centers study, similar results were found with each of the methods. Multivitamin intake contributed significantly more to each of the summary measures than other behaviors. Selection of methods to assess multiple behavior change in intervention trials must consider study design, and the targeted population when determining the appropriate method/s to use.

What Does It Take to Change an Editor's Mind? Identifying Minimally Important Difference Thresholds for Peer Reviewer Rating Scores of Scientific Articles.

PubMed

Callaham, Michael; John, Leslie K

2018-01-05

We define a minimally important difference for the Likert-type scores frequently used in scientific peer review (similar to existing minimally important differences for scores in clinical medicine). The magnitude of score change required to change editorial decisions has not been studied, to our knowledge. Experienced editors at a journal in the top 6% by impact factor were asked how large a change of rating in "overall desirability for publication" was required to trigger a change in their initial decision on an article. Minimally important differences were assessed twice for each editor: once assessing the rating change required to shift the editor away from an initial decision to accept, and the other assessing the magnitude required to shift away from an initial rejection decision. Forty-one editors completed the survey (89% response rate). In the acceptance frame, the median minimally important difference was 0.4 points on a scale of 1 to 5. Editors required a greater rating change to shift from an initial rejection decision; in the rejection frame, the median minimally important difference was 1.2 points. Within each frame, there was considerable heterogeneity: in the acceptance frame, 38% of editors did not change their decision within the maximum available range; in the rejection frame, 51% did not. To our knowledge, this is the first study to determine the minimally important difference for Likert-type ratings of research article quality, or in fact any nonclinical scientific assessment variable. Our findings may be useful for future research assessing whether changes to the peer review process produce clinically meaningful differences in editorial decisionmaking. Copyright © 2017 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Assessing corporate project impacts in changeable contexts: A human rights perspective

DOE Office of Scientific and Technical Information (OSTI.GOV)

Salcito, Kendyl, E-mail: kendyl.salcito@unibas.ch; University of Basel, P.O. Box, CH-4003 Basel; NomoGaia, 1900 Wazee Street, Suite 303, Denver, CO 80202

Project-level impact assessment was originally conceived as a snapshot taken in advance of project implementation, contrasting current conditions with a likely future scenario involving a variety of predicted impacts. Current best practice guidance has encouraged a shift towards longitudinal assessments from the pre-project stage through the implementation and operating phases. Experience and study show, however, that assessment of infrastructure-intensive projects rarely endures past the project's construction phase. Negative consequences for environmental, social and health outcomes have been documented. Such consequences clarify the pressing need for longitudinal assessment in each of these domains, with human rights impact assessment (HRIA) as anmore » umbrella over, and critical augmentation of, environmental, social and health assessments. Project impacts on human rights are more closely linked to political, economic and other factors beyond immediate effects of a company's policy and action throughout the project lifecycle. Delineating these processes requires an adequate framework, with strategies for collecting longitudinal data, protocols that provide core information for impact assessment and guidance for adaptive mitigation strategies as project-related effects change over time. This article presents general principles for the design and implementation of sustained, longitudinal HRIA, based on experience assessing and responding to human rights impact in a uranium mining project in Malawi. The case study demonstrates the value of longitudinal assessment both for limiting corporate risk and improving human welfare. - Graphical abstract: Assessing changes in human rights condition as affected by both project and context, over time. - Highlights: • Corporate capital projects affect human rights in myriad ways. • Ongoing, longitudinal impact assessment techniques are needed. • We present an approach for conducting longitudinal human rights impact assessment. • Our methodology allows distinguishing corporate impacts from contextual changes. • Promptly observing context changes and impacts enables companies to react nimbly.« less

Patterns and biases in climate change research on amphibians and reptiles: a systematic review

PubMed Central

2016-01-01

Climate change probably has severe impacts on animal populations, but demonstrating a causal link can be difficult because of potential influences by additional factors. Assessing global impacts of climate change effects may also be hampered by narrow taxonomic and geographical research foci. We review studies on the effects of climate change on populations of amphibians and reptiles to assess climate change effects and potential biases associated with the body of work that has been conducted within the last decade. We use data from 104 studies regarding the effect of climate on 313 species, from 464 species–study combinations. Climate change effects were reported in 65% of studies. Climate change was identified as causing population declines or range restrictions in half of the cases. The probability of identifying an effect of climate change varied among regions, taxa and research methods. Climatic effects were equally prevalent in studies exclusively investigating climate factors (more than 50% of studies) and in studies including additional factors, thus bolstering confidence in the results of studies exclusively examining effects of climate change. Our analyses reveal biases with respect to geography, taxonomy and research question, making global conclusions impossible. Additional research should focus on under-represented regions, taxa and questions. Conservation and climate policy should consider the documented harm climate change causes reptiles and amphibians. PMID:27703684

Post Hoc Analyses of the Effect of Crisaborole Topical Ointment, 2% on Atopic Dermatitis: Associated Pruritus from Phase 1 and 2 Clinical Studies.

PubMed

Draelos, Zoe Diana; Stein Gold, Linda F; Murrell, Dedee F; Hughes, Matilda H; Zane, Lee T

2016-02-01

Two post hoc analyses assessed the antipruritic activity of crisaborole topical ointment, 2% (crisaborole; Anacor Pharmaceuticals, Inc., Palo Alto, CA), a first-in-class boron-based phosphodiesterase-4 inhibitor in development for treatment of mild to moderate atopic dermatitis (AD). Two pooled analyses included data from 4 studies evaluating crisaborole in AD (study 1, phase 1b, systemic exposure, safety, and pharmacokinetics [PK] under maximal-use conditions in children and adolescents; study 2, phase 2a, safety and PK in adolescents; study 3, phase 2a, efficacy and safety in adults; study 4, phase 2, efficacy and safety in adolescents). Pooled data from studies 1 and 2 included whole body assessments; studies 3 and 4 included target lesion assessments. Pruritus severity was evaluated using a 4-point rating scale (0=none to 3=severe). Efficacy assessments included percent change from baseline in pruritus severity scores at days 8 (first pooled assessment), 15, 22, and 29 (whole body assessments) or days 15 (first pooled assessment), 22, and 29 (target lesions). Paired t-tests comparing change from baseline against zero were used to calculate P values. Categorical shifts in pruritus severity were also assessed (no to mild pruritus, 0-1.5; moderate to severe pruritus, 2-3). In the pooled analysis of studies 1 and 2 (N=57), the percent change from baseline in pruritus severity scores were 63.0% and 64.9% at days 8 and 29, respectively (P<0.001 for each). Similar results were observed in the pooled analysis of studies 3 and 4 (N=67). In both analyses, most patients had mild to no pruritus from the first time point assessed through the remainder of treatment. Treatment with crisaborole topical ointment, 2% resulted in statistically significant reductions in pruritus severity at the first time point evaluated in both analyses. These findings provide preliminary evidence of the antipruritic activity of crisaborole topical ointment, 2%.

The Clinical Impact of Resident-attending Discrepancies in On-call Radiology Reporting: A Retrospective Assessment.

PubMed

McWilliams, Sebastian R; Smith, Christopher; Oweis, Yaseen; Mawad, Kareem; Raptis, Constantine; Mellnick, Vincent

2018-06-01

The purpose of this study is to quantify the clinical impact of resident-attending discrepancies at a tertiary referral academic radiology residency program by assessing rates of intervention, discrepancy confirmation, recall rate, and management change rate; furthermore, a discrepancy categorization system will be assessed. Retrospective review of the records was performed for n = 1482 discrepancies that occurred in the 17-month study period to assess the clinical impact of discrepancies. Discrepancies were grouped according to a previously published classification system. Management changes were recorded and grouped by severity. The recall rate was estimated for discharged patients. Any confirmatory testing was reviewed to evaluate the accuracy of the discrepant report. Categorical variables were compared to the chi-square test. The 1482 discrepancies led to management change in 661 cases (44.6%). The most common management change was follow-up imaging. Procedural interventions including surgery occurred in 50 cases (3.3%). The recall rate was 2.6%. Management changes were more severe with computed tomography examinations, inpatients, and when the discrepancy was in the chest and abdomen subspecialty. Also, management changes correlated with the discrepancy category assigned by the attending at the time of review. Resident-attending discrepancies do cause management changes in 44.6% of discrepancies (0.62% overall); the most frequent change is follow-up imaging. The discrepancy categorization assigned by the attending correlated with the severity of management change. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Assessment of Learning in Health Sciences Education: MLT Case Study

ERIC Educational Resources Information Center

Mugimu, Christopher Byalusaago; Mugisha, Wilson Rwandembo

2017-01-01

Assessment in health sciences education has become an extremely critical issue in recent years, given the rapidly changing disease patterns and behavioral changes in communities among diverse cultural and economic contexts of patients. Globally, there is increasing demand for highly qualified contemporary healthcare professionals. Subsequently,…

Is DNA Alive? a Study of Conceptual Change through Targeted Instruction

ERIC Educational Resources Information Center

Witzig, Stephen B.; Freyermuth, Sharyn K.; Siegel, Marcelle A.; Izci, Kemal; Pires, J. Chris

2013-01-01

We are involved in a project to incorporate innovative assessments within a reform-based large-lecture biochemistry course for nonmajors. We not only assessed misconceptions but purposefully changed instruction throughout the semester to confront student ideas. Our research questions targeted student conceptions of deoxyribonucleic acid (DNA)…

Voices of Reform from the Classroom: Teachers' Approaches to Change

ERIC Educational Resources Information Center

Noack, Margaret; Mulholland, Judith; Warren, Elizabeth

2013-01-01

This paper reports on case studies of three teachers managing an education reform focussed on assessment, during a busy period of curriculum change in an Australia state Participants attended multiple professional development opportunities including a number of state-wide, systemically-facilitated assessment workshops. The most significant finding…

Assessing Knowledge Change in Computer Science

ERIC Educational Resources Information Center

Nash, Jane Gradwohl; Bravaco, Ralph J.; Simonson, Shai

2006-01-01

The purpose of this study was to assess structural knowledge change across a two-week workshop designed to provide high-school teachers with training in Java and Object Oriented Programming. Both before and after the workshop, teachers assigned relatedness ratings to pairs of key concepts regarding Java and Object Oriented Programming. Their…

Handwriting Skills in Children with Spina Bifida: Assessment, Monitoring and Measurement.

ERIC Educational Resources Information Center

Hancock, Julie; Alston, Jean

1986-01-01

Case studies of three students with spina bifida (ages 8-11) illustrate an individualized six-week handwriting intervention program which stressed assessment, monitoring, and measurement of changes in writing performance. Appropriate changes in physical support (sitting position, writing surface, and choice of writing tool) are recommended. (JW)

REGIONAL ASSESSMENT OF LANDSCAPE AND DEMOGRAPHIC CHANGE EFFECTS IN THE MEDITERRANEAN REGION, THE MOROCCO CASE STUDY (1981-2003)

EPA Science Inventory

The method presented here allows mapping changes in vegetation cover trends over large areas quickly and inexpensively, thus providing policy-makers with a technical capacity to locate and assess areas of environmental instability and improve their ability to positively respond o...

Assessing the influence of historic net and gross land changes on the carbon fluxes of Europe.

PubMed

Fuchs, Richard; Schulp, Catharina J E; Hengeveld, Geerten M; Verburg, Peter H; Clevers, Jan G P W; Schelhaas, Mart-Jan; Herold, Martin

2016-07-01

Legacy effects of land cover/use on carbon fluxes require considering both present and past land cover/use change dynamics. To assess past land use dynamics, model-based reconstructions of historic land cover/use are needed. Most historic reconstructions consider only the net area difference between two time steps (net changes) instead of accounting for all area gains and losses (gross changes). Studies about the impact of gross and net land change accounting methods on the carbon balance are still lacking. In this study, we assessed historic changes in carbon in soils for five land cover/use types and of carbon in above-ground biomass of forests. The assessment focused on Europe for the period 1950 to 2010 with decadal time steps at 1-km spatial resolution using a bookkeeping approach. To assess the implications of gross land change data, we also used net land changes for comparison. Main contributors to carbon sequestration between 1950 and 2010 were afforestation and cropland abandonment leading to 14.6 PgC sequestered carbon (of which 7.6 PgC was in forest biomass). Sequestration was highest for old-growth forest areas. A sequestration dip was reached during the 1970s due to changes in forest management practices. Main contributors to carbon emissions were deforestation (1.7 PgC) and stable cropland areas on peaty soils (0.8 PgC). In total, net fluxes summed up to 203 TgC yr(-1) (98 TgC yr(-1) in forest biomass and 105 TgC yr(-1) in soils). For areas that were subject to land changes in both reconstructions (35% of total area), the differences in carbon fluxes were about 68%. Overall for Europe the difference between accounting for either gross or net land changes led to 7% difference (up to 11% per decade) in carbon fluxes with systematically higher fluxes for gross land change data. © 2015 John Wiley & Sons Ltd.

Impact of workplace based assessment on doctors' education and performance: a systematic review.

PubMed

Miller, Alice; Archer, Julian

2010-09-24

To investigate the literature for evidence that workplace based assessment affects doctors' education and performance. Systematic review. The primary data sources were the databases Journals@Ovid, Medline, Embase, CINAHL, PsycINFO, and ERIC. Evidence based reviews (Bandolier, Cochrane Library, DARE, HTA Database, and NHS EED) were accessed and searched via the Health Information Resources website. Reference lists of relevant studies and bibliographies of review articles were also searched. Review methods Studies of any design that attempted to evaluate either the educational impact of workplace based assessment, or the effect of workplace based assessment on doctors' performance, were included. Studies were excluded if the sampled population was non-medical or the study was performed with medical students. Review articles, commentaries, and letters were also excluded. The final exclusion criterion was the use of simulated patients or models rather than real life clinical encounters. Sixteen studies were included. Fifteen of these were non-comparative descriptive or observational studies; the other was a randomised controlled trial. Study quality was mixed. Eight studies examined multisource feedback with mixed results; most doctors felt that multisource feedback had educational value, although the evidence for practice change was conflicting. Some junior doctors and surgeons displayed little willingness to change in response to multisource feedback, whereas family physicians might be more prepared to initiate change. Performance changes were more likely to occur when feedback was credible and accurate or when coaching was provided to help subjects identify their strengths and weaknesses. Four studies examined the mini-clinical evaluation exercise, one looked at direct observation of procedural skills, and three were concerned with multiple assessment methods: all these studies reported positive results for the educational impact of workplace based assessment tools. However, there was no objective evidence of improved performance with these tools. Considering the emphasis placed on workplace based assessment as a method of formative performance assessment, there are few published articles exploring its impact on doctors' education and performance. This review shows that multisource feedback can lead to performance improvement, although individual factors, the context of the feedback, and the presence of facilitation have a profound effect on the response. There is no evidence that alternative workplace based assessment tools (mini-clinical evaluation exercise, direct observation of procedural skills, and case based discussion) lead to improvement in performance, although subjective reports on their educational impact are positive.

Self-perceptions of stability and change in personality at midlife: the UNC Alumni Heart Study.

PubMed

Herbst, J H; McCrae, R R; Costa, P T; Feaganes, J R; Siegler, I C

2000-12-01

The finding of personality stability in adulthood may be counterintuitive to people who perceive a great deal of change in their own personality. The purpose of this study is to determine whether self-reported perceived changes in personality are associated with actual changes based on a 6- to 9-year follow-up of 2,242 middle-aged male and female participants of the UNC Alumni Heart Study (UNCAHS). Respondents completed the Revised NEO Personality Inventory on two occasions and were asked to reflect back over a 6-year period and assess changes in their personality. The majority of respondents (n = 1,177; 52.5%) reported they had "stayed the same," while 863 (38.5%) reported they had "changed a little" and 202 (9%) reported they had "changed a good deal." Coefficients of personality profile agreement computed to evaluate global personality change for the three perceived change groups were essentially equivalent. Further, directional analyses of domain-specific changes in personality showed that perceived changes were weak predictors of residual gain scores. In an absolute sense, perceptions of stability or change were discordant in 8 of 15 (53%) comparisons. Self-perceptions of change are not an adequate substitute for objective assessments.

Lightning-Related Indicators for National Climate Assessment (NCA) Studies

NASA Technical Reports Server (NTRS)

Koshak, W.

2017-01-01

Changes in climate can affect the characteristics of lightning (e.g., number of flashes that occur in a region, return stroke current and multiplicity, polarity of charge deposited to ground, and the lightning cloud-top optical energy emission). The NASA/MSFC Lightning Analysis Tool (LAT) monitors these and other quantities in support of the National Climate Assessment (NCA) program. Changes in lightning characteristics lead to changes in lightning-caused impacts to humans (e.g., fatalities, injuries, crop/property damage, wildfires, airport delays, changes in air quality).

Climate change and landscape development in post-closure safety assessment of solid radioactive waste disposal: Results of an initiative of the IAEA.

PubMed

Lindborg, T; Thorne, M; Andersson, E; Becker, J; Brandefelt, J; Cabianca, T; Gunia, M; Ikonen, A T K; Johansson, E; Kangasniemi, V; Kautsky, U; Kirchner, G; Klos, R; Kowe, R; Kontula, A; Kupiainen, P; Lahdenperä, A-M; Lord, N S; Lunt, D J; Näslund, J-O; Nordén, M; Norris, S; Pérez-Sánchez, D; Proverbio, A; Riekki, K; Rübel, A; Sweeck, L; Walke, R; Xu, S; Smith, G; Pröhl, G

2018-03-01

The International Atomic Energy Agency has coordinated an international project addressing climate change and landscape development in post-closure safety assessments of solid radioactive waste disposal. The work has been supported by results of parallel on-going research that has been published in a variety of reports and peer reviewed journal articles. The project is due to be described in detail in a forthcoming IAEA report. Noting the multi-disciplinary nature of post-closure safety assessments, here, an overview of the work is given to provide researchers in the broader fields of radioecology and radiological safety assessment with a review of the work that has been undertaken. It is hoped that such dissemination will support and promote integrated understanding and coherent treatment of climate change and landscape development within an overall assessment process. The key activities undertaken in the project were: identification of the key processes that drive environmental change (mainly those associated with climate and climate change), and description of how a relevant future may develop on a global scale; development of a methodology for characterising environmental change that is valid on a global scale, showing how modelled global changes in climate can be downscaled to provide information that may be needed for characterising environmental change in site-specific assessments, and illustrating different aspects of the methodology in a number of case studies that show the evolution of site characteristics and the implications for the dose assessment models. Overall, the study has shown that quantitative climate and landscape modelling has now developed to the stage that it can be used to define an envelope of climate and landscape change scenarios at specific sites and under specific greenhouse-gas emissions assumptions that is suitable for use in quantitative post-closure performance assessments. These scenarios are not predictions of the future, but are projections based on a well-established understanding of the important processes involved and their impacts on different types of landscape. Such projections support the understanding of, and selection of, plausible ranges of scenarios for use in post-closure safety assessments. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Identifying the world's most climate change vulnerable species: a systematic trait-based assessment of all birds, amphibians and corals.

PubMed

Foden, Wendy B; Butchart, Stuart H M; Stuart, Simon N; Vié, Jean-Christophe; Akçakaya, H Resit; Angulo, Ariadne; DeVantier, Lyndon M; Gutsche, Alexander; Turak, Emre; Cao, Long; Donner, Simon D; Katariya, Vineet; Bernard, Rodolphe; Holland, Robert A; Hughes, Adrian F; O'Hanlon, Susannah E; Garnett, Stephen T; Sekercioğlu, Cagan H; Mace, Georgina M

2013-01-01

Climate change will have far-reaching impacts on biodiversity, including increasing extinction rates. Current approaches to quantifying such impacts focus on measuring exposure to climatic change and largely ignore the biological differences between species that may significantly increase or reduce their vulnerability. To address this, we present a framework for assessing three dimensions of climate change vulnerability, namely sensitivity, exposure and adaptive capacity; this draws on species' biological traits and their modeled exposure to projected climatic changes. In the largest such assessment to date, we applied this approach to each of the world's birds, amphibians and corals (16,857 species). The resulting assessments identify the species with greatest relative vulnerability to climate change and the geographic areas in which they are concentrated, including the Amazon basin for amphibians and birds, and the central Indo-west Pacific (Coral Triangle) for corals. We found that high concentration areas for species with traits conferring highest sensitivity and lowest adaptive capacity differ from those of highly exposed species, and we identify areas where exposure-based assessments alone may over or under-estimate climate change impacts. We found that 608-851 bird (6-9%), 670-933 amphibian (11-15%), and 47-73 coral species (6-9%) are both highly climate change vulnerable and already threatened with extinction on the IUCN Red List. The remaining highly climate change vulnerable species represent new priorities for conservation. Fewer species are highly climate change vulnerable under lower IPCC SRES emissions scenarios, indicating that reducing greenhouse emissions will reduce climate change driven extinctions. Our study answers the growing call for a more biologically and ecologically inclusive approach to assessing climate change vulnerability. By facilitating independent assessment of the three dimensions of climate change vulnerability, our approach can be used to devise species and area-specific conservation interventions and indices. The priorities we identify will strengthen global strategies to mitigate climate change impacts.

Identifying the World's Most Climate Change Vulnerable Species: A Systematic Trait-Based Assessment of all Birds, Amphibians and Corals

PubMed Central

Foden, Wendy B.; Butchart, Stuart H. M.; Stuart, Simon N.; Vié, Jean-Christophe; Akçakaya, H. Resit; Angulo, Ariadne; DeVantier, Lyndon M.; Gutsche, Alexander; Turak, Emre; Cao, Long; Donner, Simon D.; Katariya, Vineet; Bernard, Rodolphe; Holland, Robert A.; Hughes, Adrian F.; O’Hanlon, Susannah E.; Garnett, Stephen T.; Şekercioğlu, Çagan H.; Mace, Georgina M.

2013-01-01

Climate change will have far-reaching impacts on biodiversity, including increasing extinction rates. Current approaches to quantifying such impacts focus on measuring exposure to climatic change and largely ignore the biological differences between species that may significantly increase or reduce their vulnerability. To address this, we present a framework for assessing three dimensions of climate change vulnerability, namely sensitivity, exposure and adaptive capacity; this draws on species’ biological traits and their modeled exposure to projected climatic changes. In the largest such assessment to date, we applied this approach to each of the world’s birds, amphibians and corals (16,857 species). The resulting assessments identify the species with greatest relative vulnerability to climate change and the geographic areas in which they are concentrated, including the Amazon basin for amphibians and birds, and the central Indo-west Pacific (Coral Triangle) for corals. We found that high concentration areas for species with traits conferring highest sensitivity and lowest adaptive capacity differ from those of highly exposed species, and we identify areas where exposure-based assessments alone may over or under-estimate climate change impacts. We found that 608–851 bird (6–9%), 670–933 amphibian (11–15%), and 47–73 coral species (6–9%) are both highly climate change vulnerable and already threatened with extinction on the IUCN Red List. The remaining highly climate change vulnerable species represent new priorities for conservation. Fewer species are highly climate change vulnerable under lower IPCC SRES emissions scenarios, indicating that reducing greenhouse emissions will reduce climate change driven extinctions. Our study answers the growing call for a more biologically and ecologically inclusive approach to assessing climate change vulnerability. By facilitating independent assessment of the three dimensions of climate change vulnerability, our approach can be used to devise species and area-specific conservation interventions and indices. The priorities we identify will strengthen global strategies to mitigate climate change impacts. PMID:23950785

Therapeutic assessment for preadolescent boys with oppositional defiant disorder: a replicated single-case time-series design.

PubMed

Smith, Justin D; Handler, Leonard; Nash, Michael R

2010-09-01

The Therapeutic Assessment (TA) model is a relatively new treatment approach that fuses assessment and psychotherapy. The study examines the efficacy of this model with preadolescent boys with oppositional defiant disorder and their families. A replicated single-case time-series design with daily measures is used to assess the effects of TA and to track the process of change as it unfolds. All 3 families benefitted from participation in TA across multiple domains of functioning, but the way in which change unfolded was unique for each family. These findings are substantiated by the Behavior Assessment System for Children (Reynolds & Kamphaus, 2004). The TA model is shown to be an effective treatment for preadolescent boys with oppositional defiant disorder and their families. Further, the time-series design of this study illustrated how this empirically grounded case-based methodology reveals when and how change unfolds during treatment in a way that is usually not possible with other research designs.

Development and Climate Change: A Mainstreaming Approach for Assessing Economic, Social, and Environmental Impacts of Adaptation Measures

NASA Astrophysics Data System (ADS)

Halsnæs, Kirsten; Trærup, Sara

2009-05-01

The paper introduces the so-called climate change mainstreaming approach, where vulnerability and adaptation measures are assessed in the context of general development policy objectives. The approach is based on the application of a limited set of indicators. These indicators are selected as representatives of focal development policy objectives, and a stepwise approach for addressing climate change impacts, development linkages, and the economic, social and environmental dimensions related to vulnerability and adaptation are introduced. Within this context it is illustrated using three case studies how development policy indicators in practice can be used to assess climate change impacts and adaptation measures based on three case studies, namely a road project in flood prone areas of Mozambique, rainwater harvesting in the agricultural sector in Tanzania and malaria protection in Tanzania. The conclusions of the paper confirm that climate risks can be reduced at relatively low costs, but the uncertainty is still remaining about some of the wider development impacts of implementing climate change adaptation measures.

Development and climate change: a mainstreaming approach for assessing economic, social, and environmental impacts of adaptation measures.

PubMed

Halsnaes, Kirsten; Traerup, Sara

2009-05-01

The paper introduces the so-called climate change mainstreaming approach, where vulnerability and adaptation measures are assessed in the context of general development policy objectives. The approach is based on the application of a limited set of indicators. These indicators are selected as representatives of focal development policy objectives, and a stepwise approach for addressing climate change impacts, development linkages, and the economic, social and environmental dimensions related to vulnerability and adaptation are introduced. Within this context it is illustrated using three case studies how development policy indicators in practice can be used to assess climate change impacts and adaptation measures based on three case studies, namely a road project in flood prone areas of Mozambique, rainwater harvesting in the agricultural sector in Tanzania and malaria protection in Tanzania. The conclusions of the paper confirm that climate risks can be reduced at relatively low costs, but the uncertainty is still remaining about some of the wider development impacts of implementing climate change adaptation measures.

Large-Scale Assessment of Change in Student Achievement: Dutch Primary School Students' Results on Written Division in 1997 and 2004 as an Example

ERIC Educational Resources Information Center

van den Heuvel-Panhuizen, Marja; Robitzsch, Alexander; Treffers, Adri; Koller, Olaf

2009-01-01

This article discusses large-scale assessment of change in student achievement and takes the study by Hickendorff, Heiser, Van Putten, and Verhelst (2009) as an example. This study compared the achievement of students in the Netherlands in 1997 and 2004 on written division problems. Based on this comparison, they claim that there is a performance…

Brief Report: "Quick and (Not So) Dirty" Assessment of Change in Autism--Cross-Cultural Reliability of the Developmental Disabilities CGAS and the OSU Autism CGI

ERIC Educational Resources Information Center

Choque Olsson, Nora; Bölte, Sven

2014-01-01

There are few evaluated economic tools to assess change in autism. This study examined the inter-rater reliability of the Developmental Disabilities Children's Global Assessment Scale (DD-CGAS), and the OSU Autism Clinical Global Impression (OSU Autism CGI) in a European setting. Using these scales, 16 clinicians with multidisciplinary…

Mathematics Teachers' Use of Questions: Is There a Change of Practice after the Curriculum Change?

ERIC Educational Resources Information Center

Delice, Ali; Aydin, Emin; Cevik, K. Seda

2013-01-01

The aim of this study is to investigate the questions that are used by teachers. In broader sense the intention is to focus on questions as part of teachers' formal as well as informal assessments. We will mainly concentrate on how students are assessed and how the questions in the assessments are formed and marked. The research is mainly…

Tooth colour change with Ozicure Oxygen Activator: a comparative in vitro tooth bleaching study.

PubMed

Grundlingh, A A; Grossman, E S; Witcomb, M J

2012-08-01

This in vitro study compared a new tooth bleaching product, Ozicure Oxygen Activator (O3, RSA) with Opalescence Quick (Ultradent, USA) using a randomised block design to assess tooth colour change. Colour change, stability and relapse in canine, incisor and premolar teeth was assessed following three bleach treatments and subsequent tooth colour assessment. Ninety nine teeth (canines, incisors and premolars), which were caries free, had no surface defects and were within the colour range 1M2 and 5M3 were selected. Teeth were randomly divided into the three experimental groups: Opalescence Quick, Ozicure Oxygen Activator and control. The three experimental groups received three treatments of one hour each over three consecutive days. Tooth colour was assessed using the Vitapan 3D Master Tooth Guide (VITA, Germany). A General Linear Models test for analysis of variance for a fractional design with significance set at P < 0.05 was used to test for significance. Both bleaching methods significantly lightened the teeth (P < 0.0001). Tooth colour change was mainly after the first hour of tooth bleaching. The tooth type was significant in tooth colour change (P = 0.0416). Tooth colour relapse and resistance to colour change were observed. Ozicure Oxygen Activator bleached teeth in a manner and to an extent similar to Opalescence Quick.

Using an Internally-Developed Tool to Assess Intercultural Competence in Short-Term Study Abroad Programs

ERIC Educational Resources Information Center

Kartoshkina, Yuliya

2013-01-01

An internally-developed tool was developed to assess the intercultural competence of students taking part in short-term study abroad programs. Four scales were built to assess possible change in students' host culture knowledge, cross-cultural awareness, cross-cultural adaptation, and self-assessed foreign language proficiency. Enrollment in a…

Bias in retrospective assessment of perceived dental treatment effects when using the Oral Health Impact Profile.

PubMed

Reissmann, Daniel R; Erler, Antje; Hirsch, Christian; Sierwald, Ira; Machuca, Carolina; Schierz, Oliver

2018-03-01

Aim of this exploratory study was to investigate whether a retrospective assessment of oral health-related quality of life (OHRQoL) using the Oral Health Impact Profile (OHIP) is susceptible to bias such as implicit theory of change and cognitive dissonance. In this prospective clinical study, a sample of 126 adult patients (age 17-83 years, 49% women) requiring prosthodontic treatment was consecutively recruited. The OHRQoL was assessed using the 49-item OHIP at baseline and at follow-up. Additionally, patients were asked at follow-up to retrospectively rate their oral health status at baseline (retrospective pretest or then-test) and the change in oral health status using a global transition question. Furthermore, patients' ratings of overall oral health and general health were used as validity criteria for the OHRQoL assessments. Response shift was calculated as the difference between the initial and retrospective baseline assessments. Baseline and retrospective pretest did not differ substantially in terms of internal consistency and convergent validity. Response shift was more pronounced when patients perceived a large change in OHRQoL during treatment. Retrospective pretests were more highly correlated with the baseline than with the follow-up assessment. Findings suggest that retrospective assessments of OHRQoL using the OHIP-49 are susceptible to bias. Cognitive dissonance is more likely to appear as a source of bias than implicit theory of change.

Status and trends of land change in the Eastern United States—1973 to 2000

USGS Publications Warehouse

Sayler, Kristi L.; Acevedo, William; Taylor, Janis

2016-09-28

PrefaceU.S. Geological Survey (USGS) Professional Paper 1794–D is the fourth in a four-volume series on the status and trends of the Nation’s land use and land cover, providing an assessment of the rates and causes of land-use and land-cover change in the Eastern United States between 1973 and 2000. Volumes A, B, and C provide similar analyses for the Western United States, the Great Plains of the United States, and the Midwest–South Central United States, respectively. The assessments of land-use and land-cover trends are conducted on an ecoregion-by-ecoregion basis, and each ecoregion assessment is guided by a nationally consistent study design that includes mapping, statistical methods, field studies, and analysis. Individual assessments provide a picture of the characteristics of land change occurring in a given ecoregion; in combination, they provide a framework for understanding the complex national mosaic of change and also the causes and consequences of change. Thus, each volume in this series provides a regional assessment of how (and how fast) land use and land cover are changing, and why. The four volumes together form the first comprehensive picture of land change across the Nation.Geographic understanding of land-use and land-cover change is directly relevant to a wide variety of stakeholders, including land and resource managers, policymakers, and scientists. The chapters in this volume present brief summaries of the patterns and rates of land change observed in each ecoregion in the Eastern United States, together with field photographs, statistics, and comparisons with other assessments. In addition, a synthesis chapter summarizes the scope of land change observed across the entire Eastern United States. The studies provide a way of integrating information across the landscape, and they form a critical component in the efforts to understand how land use and land cover affect important issues such as the provision of ecological goods and services and also the determination of risks to, and vulnerabilities of, human communities. Results from this project also are published in peer-reviewed journals, and they are further used to produce maps of change and other tools for land management, as well as to provide inputs for carbon-cycle modeling and other climate change research.This report is only one of the products produced by USGS on land-use and land-cover change in the United States. Other reports and land-cover statistics are available online at http://landcovertrends.usgs.gov.

Status and trends of land change in the Western United States--1973 to 2000

USGS Publications Warehouse

Sleeter, Benjamin M.; Wilson, Tamara S.; Acevedo, William

2012-12-05

U.S. Geological Survey (USGS) Professional Paper 1794–A is the first in a four-volume series on the status and trends of the Nation’s land use and land cover, providing an assessment of the rates and causes of land-use and land-cover change in the Western United States between 1973 and 2000. Volumes B, C, and D provide similar analyses for the Great Plains, the Midwest–South Central United States, and the Eastern United States, respectively. The assessments of land-use and land-cover trends are conducted on an ecoregion-by-ecoregion basis, and each ecoregion assessment is guided by a nationally consistent study design that includes mapping, statistical methods, field studies, and analysis. Individual assessments provide a picture of the characteristics of land change occurring in a given ecoregion; in combination, they provide a framework for understanding the complex national mosaic of change and also the causes and consequences of change. Thus, each volume in this series provides a regional assessment of how (and how fast) land use and land cover are changing, and why. The four volumes together form the first comprehensive picture of land change across the Nation. Geographic understanding of land-use and land-cover change is directly relevant to a wide variety of stakeholders, including land and resource managers, policymakers, and scientists. The chapters in this volume present brief summaries of the patterns and rates of land change observed in each ecoregion in the Western United States, together with field photographs, statistics, and comparisons with other assessments. In addition, a synthesis chapter summarizes the scope of land change observed across the entire Western United States. The studies provide a way of integrating information across the landscape, and they form a critical component in the efforts to understand how land use and land cover affect important issues such as the provision of ecological goods and services and also the determination of risks to, and vulnerabilities of, human communities. Results from this project also are published in peer-reviewed journals, and they are further used to produce maps of change and other tools for land management, as well as to provide inputs for carbon-cycle modeling and other climate change research. This report is only one of the products produced by USGS on land-use and land-cover change in the United States. Other reports and land-cover statistics are available online at http://landcovertrends.usgs.gov.

Statistical Issues in the Comparison of Quantitative Imaging Biomarker Algorithms using Pulmonary Nodule Volume as an Example

PubMed Central

2014-01-01

Quantitative imaging biomarkers (QIBs) are being used increasingly in medicine to diagnose and monitor patients’ disease. The computer algorithms that measure QIBs have different technical performance characteristics. In this paper we illustrate the appropriate statistical methods for assessing and comparing the bias, precision, and agreement of computer algorithms. We use data from three studies of pulmonary nodules. The first study is a small phantom study used to illustrate metrics for assessing repeatability. The second study is a large phantom study allowing assessment of four algorithms’ bias and reproducibility for measuring tumor volume and the change in tumor volume. The third study is a small clinical study of patients whose tumors were measured on two occasions. This study allows a direct assessment of six algorithms’ performance for measuring tumor change. With these three examples we compare and contrast study designs and performance metrics, and we illustrate the advantages and limitations of various common statistical methods for QIB studies. PMID:24919828

Behavior Change Outcomes of Marathon Group Treatment

ERIC Educational Resources Information Center

Uhlemann, Max R.; Weigel, Richard G.

1977-01-01

This study evaluated behavior change occurring after a marathon group experience, with a focus on individualized rather than shared behavioral change criteria. The individualization of behavior change criteria is based on the assertion that few, if any, single change criteria are appropriate or realistic for assessing change in all individuals.…

Climate change and biofuel wheat: A case study of Southern Saskatchewan

USDA-ARS?s Scientific Manuscript database

This study assessed potential impacts of climate change on wheat production as a biofuel crop in southern Saskatchewan, Canada. The Decision Support System for Agrotechnology Transfer-Cropping System Model (DSSAT-CSM) was used to simulate biomass and grain yield under three climate change scenarios ...

The Role of Teaching Experience in Language Teachers' Perceptions of a Top-Down Curriculum Change

ERIC Educational Resources Information Center

Rahimi, Mehrak; Alavi, Jalil

2017-01-01

The current study aimed to investigate the role of teaching experience in language teachers' perceptions of a top-down curriculum change. One hundred twenty-seven language teachers who have been experiencing the change for three years participated in the study. Their perceptions of change were quantitatively assessed by perceptions of change…

Climate and Integrated Assessment Modeling Studies Grant - Closed Announcement FY 2012

EPA Pesticide Factsheets

Grant to fund a cooperative agreement to benefit the field of economic and integrated assessment modeling related to climate change through regular collaborations and thedevelopment of model comparison studies.

A Treatment Stage Specific Approach to Improving Quality of Life for Women with Ovarian Cancer

DTIC Science & Technology

2005-10-01

This study focuses on quality of life among women with ovarian cancer. The primary objective of the study is to identify the issues that are of...repeated measures design will be used to assess changes in problem areas and quality of life from diagnosis to recurrence among women newly diagnosed with...objectives are of the study are as follows: (1) to assess changes in quality of life (as quantified by the FACT-O questionnaire) across the different

The 2008 California climate change assessment

NASA Astrophysics Data System (ADS)

Franco, G.

2008-12-01

In 2005, Governor Arnold Schwarzenegger signed Executive Order S-03-05, which laid the foundation for California's ambitious greenhouse gas mitigation reduction efforts. The 2020 goal is now codified in state law requiring bringing 2020 emissions to the 1990 levels. The Executive Order also mandates the preparation of biennial updates on the latest climate change science, potential impacts, and assessment of the state's efforts to manage its climate change risks through various adaptation options. In 2006, the first of these mandated scientific assessments (The Governor's Scenarios Report) was released. Based on new scientific studies conducted in the interim, the next assessment, the '2008 Governor's Scenarios Report' is currently in preparation. It has three principal goals: (1) to improve the assessment of climate changes for California and associated impacts on key physical and biological indicators; (2) to begin to translate these physical and biological impacts into sectoral economic impacts; and (3) to begin to develop and evaluate strategies for key sectors or regions for adapting to climate changes already underway. Contributors to this session will present some of this new research to the scientific community. Among the most exciting new insights are impacts assessments for the all-important water and agricultural sectors, coastal areas, public health and related air quality and environmental justice issues, the forestry and energy sectors. This presentation will give an overview of the overall effort which will result in about 35 scientific papers from different research institutions in California. All of the studies are interlinked in such a way as to produce a consistent overall assessment.

Prediction of land use changes based on land change modeler and attribution of changes in the water balance of Ganga basin to land use change using the SWAT model

NASA Astrophysics Data System (ADS)

Anand, J.; Gosain, A. K.; Khosa, R.

2017-12-01

Conflicts between increasing irrigated agricultural area, commercial crops, shifting cultivation and ever increasing domestic and industrial demand has already been a cause of tension in the society over water in the Ganga River Basin, India. For the development of sustainable water resource strategies, it is essential to establish interaction between landuse changes and local hydrology through proper assessment. Precisely, seeing how change in each LULC affects hydrologic regimes, or conversely evaluating which LULC shall be appropriate for the local hydrological regime can help decision makers to incorporate in the policy instruments. In this study, we assess hydrologic regimes of the Ganga River basin with landuse change. Catchment hydrologic responses were simulated using Soil and Water Assessment Tool (SWAT). Meteorological data from IMD of 0.25°×0.25° spatial resolution were taken as the climate inputs. Simulated stream flow was compared at different gauge stations distributed across the Gang basin and its tributaries. Urbanization was the topmost contributor to the increase in surface runoff and water yield. While, increased irrigation demands was the dominant contributor to the water consumption and also added to the increased evapotranspiration. In addition scenarios have been generated to study the impact of landuse change on various components of hydrology including groundwater recharge, with different cropping patterns and increased irrigation efficiency to determine various mitigation strategies that can be adopted. This study can be important tool in quantifying the changes in hydrological components in response to changes made in landuse in especially basins undergoing rapid commercialization. This shall provide substantive information to the decision makers required to develop ameliorative strategies. Keywords: Landuse and Landcover change, Hydrologic model, Soil Water Assessment Tool (SWAT), Urbanization, Ganga River, Watershed hydrology.

The assessment of changes in cognitive functioning: age-, education-, and gender-specific reliable change indices for older adults tested on the CERAD-NP battery: results of the German Study on Ageing, Cognition, and Dementia in Primary Care Patients (AgeCoDe).

PubMed

Stein, Janine; Luppa, Melanie; Luck, Tobias; Maier, Wolfgang; Wagner, Michael; Daerr, Moritz; van den Bussche, Hendrik; Zimmermann, Thomas; Köhler, Mirjam; Bickel, Horst; Mösch, Edelgard; Weyerer, Siegfried; Kaufeler, Teresa; Pentzek, Michael; Wiese, Birgitt; Wollny, Anja; König, Hans-Helmut; Riedel-Heller, Steffi G

2012-01-01

The Consortium to Establish a Registry for Alzheimer's Disease-Neuropsychological (CERAD-NP) battery represents a commonly used neuropsychological instrument to measure cognitive functioning in the elderly. This study provides normative data for changes in cognitive function that normally occur in cognitively healthy individuals to interpret changes in CERAD-NP test scores over longer time periods. Longitudinal cohort study with three assessments at 1.5-year intervals over a period of 3 years. : Primary care medical record registry sample. As part of the German Study on Ageing, Cognition, and Dementia in Primary Care Patients, a sample of 1,450 cognitively healthy general practitioner patients, age 75 years and older, was assessed. Age-, education-, and gender-specific Reliable Change Indices (RCIs) were computed for a 90% confidence interval for selected subtests of the CERAD-NP battery. Across different age, education, and gender subgroups, changes from at least six to nine points in Verbal Fluency, four to eight points in Word List Memory, two to four points in Word List Recall, and one to four points in Word List Recognition indicated significant (i.e. reliable) changes in CERAD-NP test scores at the 90% confidence level. Furthermore, the calculation of RCIs for individual patients is demonstrated. Smaller changes in CERAD-NP test scores can be interpreted with only high uncertainty because of probable measurement error, practice effects, and normal age-related cognitive decline. This study, for the first time, provides age-, education-, and gender-specific CERAD-NP reference values on the basis of RCI methods for the interpretation of cognitive changes in older-age groups.

An integrated risk and vulnerability assessment framework for climate change and malaria transmission in East Africa.

PubMed

Onyango, Esther Achieng; Sahin, Oz; Awiti, Alex; Chu, Cordia; Mackey, Brendan

2016-11-11

Malaria is one of the key research concerns in climate change-health relationships. Numerous risk assessments and modelling studies provide evidence that the transmission range of malaria will expand with rising temperatures, adversely impacting on vulnerable communities in the East African highlands. While there exist multiple lines of evidence for the influence of climate change on malaria transmission, there is insufficient understanding of the complex and interdependent factors that determine the risk and vulnerability of human populations at the community level. Moreover, existing studies have had limited focus on the nature of the impacts on vulnerable communities or how well they are prepared to cope. In order to address these gaps, a systems approach was used to present an integrated risk and vulnerability assessment framework for studies of community level risk and vulnerability to malaria due to climate change. Drawing upon published literature on existing frameworks, a systems approach was applied to characterize the factors influencing the interactions between climate change and malaria transmission. This involved structural analysis to determine influential, relay, dependent and autonomous variables in order to construct a detailed causal loop conceptual model that illustrates the relationships among key variables. An integrated assessment framework that considers indicators of both biophysical and social vulnerability was proposed based on the conceptual model. A major conclusion was that this integrated assessment framework can be implemented using Bayesian Belief Networks, and applied at a community level using both quantitative and qualitative methods with stakeholder engagement. The approach enables a robust assessment of community level risk and vulnerability to malaria, along with contextually relevant and targeted adaptation strategies for dealing with malaria transmission that incorporate both scientific and community perspectives.

Rapid systematic assessment of the detection and attribution of regional anthropogenic climate change

DOE PAGES

Stone, Daithi A.; Hansen, Gerrit

2015-11-21

Despite being a well-established research field, the detection and attribution of observed climate change to anthropogenic forcing is not yet provided as a climate service. One reason for this is the lack of a methodology for performing tailored detection and attribution assessments on a rapid time scale. Here we develop such an approach, based on the translation of quantitative analysis into the “confidence” language employed in recent Assessment Reports of the Intergovernmental Panel on Climate Change. While its systematic nature necessarily ignores some nuances examined in detailed expert assessments, the approach nevertheless goes beyond most detection and attribution studies inmore » considering contributors to building confidence such as errors in observational data products arising from sparse monitoring networks. When compared against recent expert assessments, the results of this approach closely match those of the existing assessments. Where there are small discrepancies, these variously reflect ambiguities in the details of what is being assessed, reveal nuances or limitations of the expert assessments, or indicate limitations of the accuracy of the sort of systematic approach employed here. Deployment of the method on 116 regional assessments of recent temperature and precipitation changes indicates that existing rules of thumb concerning the detectability of climate change ignore the full range of sources of uncertainty, most particularly the importance of adequate observational monitoring.« less

Linking degradation status with ecosystem vulnerability to environmental change

USGS Publications Warehouse

Angeler, David G.; Baho, Didier L.; Allen, Craig R.; Johnson, Richard K.

2015-01-01

Environmental change can cause regime shifts in ecosystems, potentially threatening ecosystem services. It is unclear if the degradation status of ecosystems correlates with their vulnerability to environmental change, and thus the risk of future regime shifts. We assessed resilience in acidified (degraded) and circumneutral (undegraded) lakes with long-term data (1988–2012), using time series modeling. We identified temporal frequencies in invertebrate assemblages, which identifies groups of species whose population dynamics vary at particular temporal scales. We also assessed species with stochastic dynamics, those whose population dynamics vary irregularly and unpredictably over time. We determined the distribution of functional feeding groups of invertebrates within and across the temporal scales identified, and in those species with stochastic dynamics, and assessed attributes hypothesized to contribute to resilience. Three patterns of temporal dynamics, consistent across study lakes, were identified in the invertebrates. The first pattern was one of monotonic change associated with changing abiotic lake conditions. The second and third patterns appeared unrelated to the environmental changes we monitored. Acidified and the circumneutral lakes shared similar levels and patterns of functional richness, evenness, diversity, and redundancy for species within and across the observed temporal scales and for stochastic species groups. These similar resilience characteristics suggest that both lake types did not differ in vulnerability to the environmental changes observed here. Although both lake types appeared equally vulnerable in this study, our approach demonstrates how assessing systemic vulnerability by quantifying ecological resilience can help address uncertainty in predicting ecosystem responses to environmental change across ecosystems.

Multi-criteria objective based climate change impact assessment for multi-purpose multi-reservoir systems

NASA Astrophysics Data System (ADS)

Müller, Ruben; Schütze, Niels

2014-05-01

Water resources systems with reservoirs are expected to be sensitive to climate change. Assessment studies that analyze the impact of climate change on the performance of reservoirs can be divided in two groups: (1) Studies that simulate the operation under projected inflows with the current set of operational rules. Due to non adapted operational rules the future performance of these reservoirs can be underestimated and the impact overestimated. (2) Studies that optimize the operational rules for best adaption of the system to the projected conditions before the assessment of the impact. The latter allows for estimating more realistically future performance and adaption strategies based on new operation rules are available if required. Multi-purpose reservoirs serve various, often conflicting functions. If all functions cannot be served simultaneously at a maximum level, an effective compromise between multiple objectives of the reservoir operation has to be provided. Yet under climate change the historically preferenced compromise may no longer be the most suitable compromise in the future. Therefore a multi-objective based climate change impact assessment approach for multi-purpose multi-reservoir systems is proposed in the study. Projected inflows are provided in a first step using a physically based rainfall-runoff model. In a second step, a time series model is applied to generate long-term inflow time series. Finally, the long-term inflow series are used as driving variables for a simulation-based multi-objective optimization of the reservoir system in order to derive optimal operation rules. As a result, the adapted Pareto-optimal set of diverse best compromise solutions can be presented to the decision maker in order to assist him in assessing climate change adaption measures with respect to the future performance of the multi-purpose reservoir system. The approach is tested on a multi-purpose multi-reservoir system in a mountainous catchment in Germany. A climate change assessment is performed for climate change scenarios based on the SRES emission scenarios A1B, B1 and A2 for a set of statistically downscaled meteorological data. The future performance of the multi-purpose multi-reservoir system is quantified and possible intensifications of trade-offs between management goals or reservoir utilizations are shown.

Assessing Creative Thinking in Design-Based Learning

ERIC Educational Resources Information Center

Doppelt, Yaron

2009-01-01

Infusing creative thinking competence through the design process of authentic projects requires not only changing the teaching methods and learning environment, but also adopting new assessment methods, such as portfolio assessment. The participants in this study were 128 high school pupils who have studied MECHATRONICS from 10th to 12th grades…

Developing Pro-Environmental Behaviour: Ecotourism Fieldtrip and Experiences

ERIC Educational Resources Information Center

Ting, Ding Hooi; Cheng, Charles Fang Chin

2017-01-01

Purpose: This study aims to assess the effectiveness of a student participatory approach and assessment to achieve an environmentally friendly behaviour and change strategy. Design/methodology/approach Three time-phase studies employed a participatory and experiential case in the form of ecotourism experiential learning and assessment using a…

Assessment of Human Health Vulnerability to Climate Variability and Change in Cuba

PubMed Central

Bultó, Paulo Lázaro Ortíz; Rodríguez, Antonio Pérez; Valencia, Alina Rivero; Vega, Nicolás León; Gonzalez, Manuel Díaz; Carrera, Alina Pérez

2006-01-01

In this study we assessed the potential effects of climate variability and change on population health in Cuba. We describe the climate of Cuba as well as the patterns of climate-sensitive diseases of primary concern, particularly dengue fever. Analyses of the associations between climatic anomalies and disease patterns highlight current vulnerability to climate variability. We describe current adaptations, including the application of climate predictions to prevent disease outbreaks. Finally, we present the potential economic costs associated with future impacts due to climate change. The tools used in this study can be useful in the development of appropriate and effective adaptation options to address the increased climate variability associated with climate change. PMID:17185289

Impact of Pretreatment Change on Mechanism of Behavior Change Research: An Applied Example Using Alcohol Abstinence Self-Efficacy.

PubMed

Noyes, Emily T; Levine, Jacob A; Schlauch, Robert C; Crane, Cory A; Connors, Gerard J; Maisto, Stephen A; Dearing, Ronda L

2018-03-01

With the growing recognition that, for some, significant changes in drinking occur before the first treatment session (i.e., pretreatment change), researchers have called for the careful assessment of when change occurs and its potential impact on mechanism of behavior change (MOBC) research. Using a commonly hypothesized MOBC variable, alcohol abstinence self-efficacy, the primary aim of this study was to examine the effect of pretreatment change on the study of MOBCs. Sixty-three individuals diagnosed with alcohol dependence were recruited to participate in a 12-week cognitive-behavioral treatment. Participants completed weekly assessments of self-efficacy and drinking behaviors. Multilevel time-lagged regression models indicated that pretreatment change significantly moderated the effect of self-efficacy on the number of drinking days, such that among those higher on pretreatment change, higher self-efficacy ratings predicted lower rates of drinking days in the week until the next treatment session. In contrast, pretreatment change did not moderate the effect of self-efficacy on the rate of heavy drinking days. Results from the current study add to a small but growing body of research highlighting the importance of pretreatment change when studying MOBCs. Further, these results provide important insights into the conditions in which self-efficacy may play an important role in treatment outcomes.

Assessing the Efficacy of a School Health Education Advocacy Lesson with College Students

ERIC Educational Resources Information Center

Wallen, Michele; Chaney, Beth H.; Birch, David A.

2012-01-01

Purpose: The researchers evaluated the efficacy of an advocacy lesson to assess change in intentions to advocate for school health education. This study also measured changes in participants' understanding the importance of school health education and perceived effectiveness in applying advocacy skills. Methods: A convenience sample of college…

The potential for agricultural land use change to reduce flood risk in a large watershed

USDA-ARS?s Scientific Manuscript database

Effects of agricultural land management practices on surface runoff are evident at local scales, but evidence for watershed-scale impacts is limited. In this study, we used the Soil and Water Assessment Tool model to assess changes in downstream flood risks under different land uses for the large, ...

Structural Equation Modeling in Assessing Students' Understanding of the State Changes of Matter

ERIC Educational Resources Information Center

Stamovlasis, Dimitrios; Tsitsipis, Georgios; Papageorgiou, George

2012-01-01

In this study, structural equation modeling (SEM) is applied to an instrument assessing students' understanding of the particulate nature of matter, the collective properties and physical changes, such as melting, evaporation, boiling and condensation. The structural relationships among particular groups of items were investigated. In addition,…

The Inclusion of Self-Assessment in Merit Evaluation

ERIC Educational Resources Information Center

Rigler, Kenneth L.; Cook-Benjamin, Lorie; Wieland, Regi; Tholstrup, Carrie

2016-01-01

The purpose of this survey study was to collect faculty perceptions toward changes made to the faculty merit evaluation process in a college of education at a state comprehensive university. The changes in the evaluation occurred over a two-year period, where a formative rubric and faculty self-assessment were incorporated into the merit…

Lecture versus DVD and Attitude Change toward Female Masturbation

ERIC Educational Resources Information Center

Keels, Megan; Lee, Zoey; Knox, David; Wilson, Ken

2013-01-01

Four-hundred and ninety eight female undergraduate students at a large southeastern university participated in a study to assess how lecture versus DVD format affected attitude change towards female masturbation. All groups were given a pre and post test to assess masturbatory attitudes. Group 1 experienced a masturbation lecture. Group 2…

Ignoring Individual Differences in Times of Assessment in Growth Curve Modeling

ERIC Educational Resources Information Center

Coulombe, Patrick; Selig, James P.; Delaney, Harold D.

2016-01-01

Researchers often collect longitudinal data to model change over time in a phenomenon of interest. Inevitably, there will be some variation across individuals in specific time intervals between assessments. In this simulation study of growth curve modeling, we investigate how ignoring individual differences in time points when modeling change over…

Implications of Climate Change for State Bioassessment ...

EPA Pesticide Factsheets

This draft report uses biological data collected by four states in wadeable rivers and streams to examine the components of state and tribal bioassessment and biomonitoring programs that may be vulnerable to climate change. The study investigates the potential to identify biological response signals to climate change within existing bioassessment data sets; analyzes how biological responses can be categorized and interpreted; and assesses how they may influence decision-making processes. The analyses suggest that several biological indicators may be used to detect climate change effects and such indicators can be used by state bioassessment programs to document changes at high-quality reference sites. The study investigates the potential to identify biological response signals to climate change within existing bioassessment data sets; analyzes how biological responses can be categorized and interpreted; and assesses how they may influence decision-making processes.

Developmental Change and Intraindividual Variability: Relating Cognitive Aging to Cognitive Plasticity, Cardiovascular Lability, and Emotional Diversity

PubMed Central

Ram, Nilam; Gerstorf, Denis; Lindenberger, Ulman; Smith, Jacqui

2010-01-01

Repeated assessments obtained over years can be used to measure individuals’ developmental change, whereas repeated assessments obtained over a few weeks can be used to measure individuals’ dynamic characteristics. Using data from a burst of measurement embedded in the Berlin Aging Study (BASE: Baltes & Mayer, 1999), we illustrate and examine how long-term changes in cognitive ability are related to short-term changes in cognitive performance, cardiovascular function, and emotional experience. Our findings suggest that “better” cognitive aging over approximately13 years was associated with greater cognitive plasticity, less cardiovascular lability, and less emotional diversity over approximately 2 weeks at age 90 years. The study highlights the potential benefits of multi-time scale longitudinal designs for the study of individual function and development. PMID:21443355

The Relationship of Future Agricultural Extension Educators' Cognitive Styles and Change Strategies for Adult Learners

ERIC Educational Resources Information Center

Strong, Robert; Irani, Tracy

2011-01-01

The study expands reported here Extension education's knowledge regarding characteristics of potential change agents. Graduate students learning to become agricultural Extension educators were studied to determine their definition of a change agent. Participants' cognitive styles were assessed using Kirton's Adaptation-Innovation Inventory to…

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients.

PubMed

Fiabane, Elena; Ottonello, Marcella; Zavan, Valeria; Pistarini, Caterina; Giorgi, Ines

2017-01-01

An inpatient 28-day rehabilitation program for alcohol dependence is focused on detoxification, enhancing motivation to change, and coping strategies for the management of emotional distress and temptation to drink. The aims of the present study were to investigate 1) changes over time in motivation to change, anxiety, and depression in individuals undergoing residential rehabilitation treatment for alcohol addiction, and 2) which pretreatment factors are associated with posttreatment temptation to drink. We assessed 432 patients diagnosed with alcohol dependence based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) consecutively recruited from seven residential rehabilitation centers in Northern Italy. Patients were assessed by means of self-report questionnaires at the beginning of rehabilitation (pretreatment) and before their hospital discharge (posttreatment) regarding motivation to change and self-efficacy (motivation assessment of change - alcoholism version), readiness to change and temptation to drink (visual analog scales), and depression and anxiety (cognitive behavioral assessment - outcome evaluation). Results showed an overall improvement in motivation to change and a significant reduction over time in depression and anxiety levels for the total sample, particularly patients with low baseline level of temptation to drink. Multivariate linear regression analysis revealed that significant predictors of posttreatment temptation to drink were polysubstance dependence ( p <0.001), readiness to change ( p =0.01), and self-efficacy ( p =0.05). Inpatients' rehabilitation for alcohol dependence is associated with an overall improvement in motivation to change and a significant reduction of psychological distress. Treatments for alcohol-dependent patients should focus on motivation to change, negative moods, and relapse prevention strategies for the management of craving.

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

PubMed Central

Fiabane, Elena; Ottonello, Marcella; Zavan, Valeria; Pistarini, Caterina; Giorgi, Ines

2017-01-01

Background An inpatient 28-day rehabilitation program for alcohol dependence is focused on detoxification, enhancing motivation to change, and coping strategies for the management of emotional distress and temptation to drink. The aims of the present study were to investigate 1) changes over time in motivation to change, anxiety, and depression in individuals undergoing residential rehabilitation treatment for alcohol addiction, and 2) which pretreatment factors are associated with posttreatment temptation to drink. Methods We assessed 432 patients diagnosed with alcohol dependence based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) consecutively recruited from seven residential rehabilitation centers in Northern Italy. Patients were assessed by means of self-report questionnaires at the beginning of rehabilitation (pretreatment) and before their hospital discharge (posttreatment) regarding motivation to change and self-efficacy (motivation assessment of change – alcoholism version), readiness to change and temptation to drink (visual analog scales), and depression and anxiety (cognitive behavioral assessment – outcome evaluation). Results Results showed an overall improvement in motivation to change and a significant reduction over time in depression and anxiety levels for the total sample, particularly patients with low baseline level of temptation to drink. Multivariate linear regression analysis revealed that significant predictors of posttreatment temptation to drink were polysubstance dependence (p<0.001), readiness to change (p=0.01), and self-efficacy (p=0.05). Conclusion Inpatients’ rehabilitation for alcohol dependence is associated with an overall improvement in motivation to change and a significant reduction of psychological distress. Treatments for alcohol-dependent patients should focus on motivation to change, negative moods, and relapse prevention strategies for the management of craving. PMID:29042778

Climate change and the impact of increased rainfall variability on sediment transport and catchment scale water quality

NASA Astrophysics Data System (ADS)

Hancock, G. R.; Willgoose, G. R.; Cohen, S.

2009-12-01

Recently there has been recognition that changing climate will affect rainfall and storm patterns with research directed to examine how the global hydrological cycle will respond to climate change. This study investigates the effect of different rainfall patterns on erosion and resultant water quality for a well studied tropical monsoonal catchment that is undisturbed by Europeans in the Northern Territory, Australia. Water quality has a large affect on a range of aquatic flora and fauna and a significant change in sediment could have impacts on the aquatic ecosystems. There have been several studies of the effect of climate change on rainfall patterns in the study area with projections indicating a significant increase in storm activity. Therefore it is important that the impact of this variability be assessed in terms of catchment hydrology, sediment transport and water quality. Here a numerical model of erosion and hydrology (CAESAR) is used to assess several different rainfall scenarios over a 1000 year modelled period. The results show that that increased rainfall amount and intensity increases sediment transport rates but predicted water quality was variable and non-linear but within the range of measured field data for the catchment and region. Therefore an assessment of sediment transport and water quality is a significant and complex issue that requires further understandings of the role of biophysical feedbacks such as vegetation as well as the role of humans in managing landscapes (i.e. controlled and uncontrolled fire). The study provides a robust methodology for assessing the impact of enhanced climate variability on sediment transport and water quality.

An Objective Approach to Select Climate Scenarios when Projecting Species Distribution under Climate Change

PubMed Central

Casajus, Nicolas; Périé, Catherine; Logan, Travis; Lambert, Marie-Claude; de Blois, Sylvie; Berteaux, Dominique

2016-01-01

An impressive number of new climate change scenarios have recently become available to assess the ecological impacts of climate change. Among these impacts, shifts in species range analyzed with species distribution models are the most widely studied. Whereas it is widely recognized that the uncertainty in future climatic conditions must be taken into account in impact studies, many assessments of species range shifts still rely on just a few climate change scenarios, often selected arbitrarily. We describe a method to select objectively a subset of climate change scenarios among a large ensemble of available ones. Our k-means clustering approach reduces the number of climate change scenarios needed to project species distributions, while retaining the coverage of uncertainty in future climate conditions. We first show, for three biologically-relevant climatic variables, that a reduced number of six climate change scenarios generates average climatic conditions very close to those obtained from a set of 27 scenarios available before reduction. A case study on potential gains and losses of habitat by three northeastern American tree species shows that potential future species distributions projected from the selected six climate change scenarios are very similar to those obtained from the full set of 27, although with some spatial discrepancies at the edges of species distributions. In contrast, projections based on just a few climate models vary strongly according to the initial choice of climate models. We give clear guidance on how to reduce the number of climate change scenarios while retaining the central tendencies and coverage of uncertainty in future climatic conditions. This should be particularly useful during future climate change impact studies as more than twice as many climate models were reported in the fifth assessment report of IPCC compared to the previous one. PMID:27015274

An Objective Approach to Select Climate Scenarios when Projecting Species Distribution under Climate Change.

PubMed

Casajus, Nicolas; Périé, Catherine; Logan, Travis; Lambert, Marie-Claude; de Blois, Sylvie; Berteaux, Dominique

2016-01-01

An impressive number of new climate change scenarios have recently become available to assess the ecological impacts of climate change. Among these impacts, shifts in species range analyzed with species distribution models are the most widely studied. Whereas it is widely recognized that the uncertainty in future climatic conditions must be taken into account in impact studies, many assessments of species range shifts still rely on just a few climate change scenarios, often selected arbitrarily. We describe a method to select objectively a subset of climate change scenarios among a large ensemble of available ones. Our k-means clustering approach reduces the number of climate change scenarios needed to project species distributions, while retaining the coverage of uncertainty in future climate conditions. We first show, for three biologically-relevant climatic variables, that a reduced number of six climate change scenarios generates average climatic conditions very close to those obtained from a set of 27 scenarios available before reduction. A case study on potential gains and losses of habitat by three northeastern American tree species shows that potential future species distributions projected from the selected six climate change scenarios are very similar to those obtained from the full set of 27, although with some spatial discrepancies at the edges of species distributions. In contrast, projections based on just a few climate models vary strongly according to the initial choice of climate models. We give clear guidance on how to reduce the number of climate change scenarios while retaining the central tendencies and coverage of uncertainty in future climatic conditions. This should be particularly useful during future climate change impact studies as more than twice as many climate models were reported in the fifth assessment report of IPCC compared to the previous one.

Ensemble tropical-extratropical cyclone coastal flood hazard assessment with climate change

NASA Astrophysics Data System (ADS)

Orton, P. M.; Lin, N.; Colle, B.

2016-12-01

A challenge with quantifying future changes in coastal flooding for the U.S. East Coast is that climate change has varying effects on different types of storms, in addition to raising mean sea levels. Moreover, future flood hazard uncertainties are large and come from many sources. Here, a new coastal flood hazard assessment approach is demonstrated that separately evaluates and then combines probabilities of storm tide generated from tropical cyclones (TCs) and extratropical cyclones (ETCs). The separation enables us to incorporate climate change impacts on both types of storms. The assessment accounts for epistemic storm tide uncertainty using an ensemble of different prior studies and methods of assessment, merged with uncertainty in climate change effects on storm tides and sea levels. The assessment is applied for New York Harbor, under the auspices of the New York City Panel on Climate Change (NPCC). In the New York Bight region and much of the U.S. East Coast, differing flood exceedance curve slopes for TCs and ETCs arise due to their differing physics. It is demonstrated how errors can arise for this region from mixing together storm types in an extreme value statistical analysis, a common practice when using observations. The effects of climate change on TC and ETC flooding have recently been assessed for this region, for TCs using a Global Climate Model (GCM) driven hurricane model with hydrodynamic modeling, and for ETCs using a GCM-driven multilinear regression-based storm surge model. The results of these prior studies are applied to our central estimates of the flood exceedance curve probabilities, transforming them for climate change effects. The results are useful for decision-makers because they highlight the large uncertainty in present-day and future flood risk, and also for scientists because they identify the areas where further research is most needed.

Study of Exclusion and Assessibility of Students with Disabilities in the 1994 Trial State Assessment (TSA) of the National Assessment of Educational Progress (NAEP).

ERIC Educational Resources Information Center

Stancavage, Fran; And Others

The National Assessment of Educational Progress (NAEP), a survey of national trends in educational achievement, is attempting to expand its inclusion of students with disabilities or limitations that have previously caused them to be excluded from the assessment. The study described was a precursor to the 1996 changes in NAEP inclusion procedures.…

Using the satellite-derived NDVI to assess ecological responses to environmental change.

PubMed

Pettorelli, Nathalie; Vik, Jon Olav; Mysterud, Atle; Gaillard, Jean-Michel; Tucker, Compton J; Stenseth, Nils Chr

2005-09-01

Assessing how environmental changes affect the distribution and dynamics of vegetation and animal populations is becoming increasingly important for terrestrial ecologists to enable better predictions of the effects of global warming, biodiversity reduction or habitat degradation. The ability to predict ecological responses has often been hampered by our rather limited understanding of trophic interactions. Indeed, it has proven difficult to discern direct and indirect effects of environmental change on animal populations owing to limited information about vegetation at large temporal and spatial scales. The rapidly increasing use of the Normalized Difference Vegetation Index (NDVI) in ecological studies has recently changed this situation. Here, we review the use of the NDVI in recent ecological studies and outline its possible key role in future research of environmental change in an ecosystem context.

Learning about Assessment: The Impact of Two Courses for Higher Education Staff

ERIC Educational Resources Information Center

Reimann, Nicola

2018-01-01

This interview-based study investigated the impact of two academic development courses about assessment. Participants learnt concepts and terminology that enabled them to better understand and communicate about assessment. The courses also stimulated critical thinking about assessment practices and conceptual change, with 'assessment for learning'…

Vulnerability Assessments and Resilience Planning at Federal Facilities. Preliminary Synthesis of Project

DOE Office of Scientific and Technical Information (OSTI.GOV)

Moss, R. H.; Blohm, A. J.; Delgado, A.

2015-08-15

U.S. government agencies are now directed to assess the vulnerability of their operations and facilities to climate change and to develop adaptation plans to increase their resilience. Specific guidance on methods is still evolving based on the many different available frameworks. Agencies have been experimenting with these frameworks and approaches. This technical paper synthesizes lessons and insights from a series of research case studies conducted by the investigators at facilities of the U.S. Department of Energy and the Department of Defense. The purpose of the paper is to solicit comments and feedback from interested program managers and analysts before finalmore » conclusions are published. The paper describes the characteristics of a systematic process for prioritizing needs for adaptation planning at individual facilities and examines requirements and methods needed. It then suggests a framework of steps for vulnerability assessments at Federal facilities and elaborates on three sets of methods required for assessments, regardless of the detailed framework used. In a concluding section, the paper suggests a roadmap to further develop methods to support agencies in preparing for climate change. The case studies point to several preliminary conclusions; (1) Vulnerability assessments are needed to translate potential changes in climate exposure to estimates of impacts and evaluation of their significance for operations and mission attainment, in other words into information that is related to and useful in ongoing planning, management, and decision-making processes; (2) To increase the relevance and utility of vulnerability assessments to site personnel, the assessment process needs to emphasize the characteristics of the site infrastructure, not just climate change; (3) A multi-tiered framework that includes screening, vulnerability assessments at the most vulnerable installations, and adaptation design will efficiently target high-risk sites and infrastructure; (4) Vulnerability assessments can be connected to efforts to improve facility resilience to motivate participation; and (5) Efficient, scalable methods for vulnerability assessment can be developed, but additional case studies and evaluation are required.« less

Lies, Damn Lies, and Statistics Revisited: A Comparison of Three Methods of Representing Change. AIR 1991 Annual Forum Paper.

ERIC Educational Resources Information Center

Pike, Gary R.

Because change is fundamental to education and the measurement of change assesses the quality and effectiveness of postsecondary education, this study examined three methods of measuring change: (1) gain scores; (2) residual scores; and (3) repeated measures. Data for the study was obtained from transcripts of 722 graduating seniors at the…

The differences in the assessments of side effects at an oncology outpatient clinic.

PubMed

Bayraktar-Ekincioglu, A; Kucuk, E

2018-04-01

Background There is a growing interest in the use of targeted and immunotherapies in oncology. However, the assessment of side effects can be different due to interpretation of patients' health status by healthcare professionals in oncology outpatient clinics. Objective To demonstrate the differences in the assessments of side effects conducted independently by a clinical pharmacist and nurses in patients who receive targeted therapies at an oncology outpatient clinic. Setting The study was conducted at the University Oncology Hospital in an outpatient clinic from October 2015 to March 2016. Method Patients receiving ipilimumab, nivolumab, pembrolizumab, bevacizumab, panitumumab or cetuximab during study period were included. The assessment of side effects was conducted by a pharmacist and nurse independently using the NCI-CTCAE version-2. Main outcome measure To compare the severity assessments of side effects between a clinical pharmacist and nurses in an outpatient clinic. Results During the study, 204 visits for 43 patients with a total of 5508 side effect assessments were recorded where 1137 (20.64%) assessments were graded differently. Out of 1137 assessments, 473 of them were graded higher by a clinical pharmacist whereas 664 were graded higher by nurses. Statistically significant differences were detected in the assessment of vomiting, taste changes, sense changes, alopecia, fatigue, mood changes, anxiety, hearing impairment, and allergic reactions. Conclusion An assessment of side effects by healthcare providers in patients with cancer may be challenging due to an increased workload in clinics and undistinguishable symptoms of side effects and cancer itself. Therefore, a new care model which increases an interprofessional communication may improve pharmaceutical care in oncology outpatient clinics.

Awareness of Memory Ability and Change: (In)Accuracy of Memory Self-Assessments in Relation to Performance.

PubMed

Rickenbach, Elizabeth Hahn; Agrigoroaei, Stefan; Lachman, Margie E

2015-03-01

Little is known about subjective assessments of memory abilities and decline among middle-aged adults or their association with objective memory performance in the general population. In this study we examined self-ratings of memory ability and change in relation to episodic memory performance in two national samples of middle-aged and older adults from the Midlife in the United States study (MIDUS II in 2005-06) and the Health and Retirement Study (HRS; every two years from 2002 to 2012). MIDUS (Study 1) participants (N=3,581) rated their memory compared to others their age and to themselves five years ago; HRS (Study 2) participants (N=14,821) rated their current memory and their memory compared to two years ago, with up to six occasions of longitudinal data over ten years. In both studies, episodic memory performance was the total number of words recalled in immediate and delayed conditions. When controlling for demographic and health correlates, self-ratings of memory abilities, but not subjective change, were related to performance. We examined accuracy by comparing subjective and objective memory ability and change. More than one third of the participants across the studies had self-assessments that were inaccurate relative to their actual level of performance and change, and accuracy differed as a function of demographic and health factors. Further understanding of self-awareness of memory abilities and change beginning in midlife may be useful for identifying early warning signs of decline, with implications regarding policies and practice for early detection and treatment of cognitive impairment.

Assessment of Reliable Change Using 95% Credible Intervals for the Differences in Proportions: A Statistical Analysis for Case-Study Methodology

ERIC Educational Resources Information Center

Unicomb, Rachael; Colyvas, Kim; Harrison, Elisabeth; Hewat, Sally

2015-01-01

Purpose: Case-study methodology studying change is often used in the field of speech-language pathology, but it can be criticized for not being statistically robust. Yet with the heterogeneous nature of many communication disorders, case studies allow clinicians and researchers to closely observe and report on change. Such information is valuable…

Towards multidisciplinary assessment of older people: exploring the change process.

PubMed

Ross, Fiona; O'Tuathail, Claire; Stubberfield, Debbie

2005-04-01

This paper discusses the process of change that took place in an intervention study of standardized multidisciplinary assessment guidelines implemented in a female ward for older people in a District General Hospital in South London. This study was one of nine implementation projects in the South Thames Evidence-Based Practice Project. The relationship between the worlds of research and healthcare practice is uneasy and contested and, as such, is a breeding ground for challenging questions about how evidence can be used to foment change in clinical practice. Recent literature on change highlights the importance of understanding complexity, which informed our approach and analysis. A multifaceted approach to change that comprised evidence-based guidelines, leadership (project leader) and change management was evaluated before and after the implementation by telephone interviews with patients, a postal survey of community staff and interviews with ward staff. A diagnostic analysis of current assessment practice informed the change process. The project leader collected data on adherence. This paper draws on descriptive and qualitative data and addresses the links between contextual issues and the processes and pathways of change, informed by theoretical ideas from the change literature. Key themes emerged: working through others and across boundaries, managing uncertainty and unanticipated challenges. Adherence of ward staff to using the multidisciplinary assessment guidelines was high, with evidence of some dissemination to community staff at follow-up. Three years after the project finished the multidisciplinary assessment is still part of routine clinical practice. The analysis contributes to understanding about the nursing leadership of change within an interprofessional arena of practice. It highlights the importance of understanding the context in relation to the impact and sustainability of change and thus the utility of conducting a diagnostic analysis in the early stages of implementation. This has implications for developing approaches to change in nursing and interprofessional practice in other settings. Using research to change practice needs clinical leaders who are supported by the organization and have the skills to implement research evidence, manage uncertainty and build trust with a range of other professionals.

Automated assessment of bone changes in cross-sectional micro-CT studies of murine experimental osteoarthritis.

PubMed

Das Neves Borges, Patricia; Vincent, Tonia L; Marenzana, Massimo

2017-01-01

The degradation of articular cartilage, which characterises osteoarthritis (OA), is usually paired with excessive bone remodelling, including subchondral bone sclerosis, cysts, and osteophyte formation. Experimental models of OA are widely used to investigate pathogenesis, yet few validated methodologies for assessing periarticular bone morphology exist and quantitative measurements are limited by manual segmentation of micro-CT scans. The aim of this work was to chart the temporal changes in periarticular bone in murine OA by novel, automated micro-CT methods. OA was induced by destabilisation of the medial meniscus (DMM) in 10-week old male mice and disease assessed cross-sectionally from 1- to 20-weeks post-surgery. A novel approach was developed to automatically segment subchondral bone compartments into plate and trabecular bone in micro-CT scans of tibial epiphyses. Osteophyte volume, as assessed by shape differences using 3D image registration, and by measuring total epiphyseal volume was performed. Significant linear and volumetric structural modifications in subchondral bone compartments and osteophytes were measured from 4-weeks post-surgery and showed progressive changes at all time points; by 20 weeks, medial subchondral bone plate thickness increased by 160±19.5 μm and the medial osteophyte grew by 0.124±0.028 μm3. Excellent agreement was found when automated measurements were compared with manual assessments. Our automated methods for assessing bone changes in murine periarticular bone are rapid, quantitative, and highly accurate, and promise to be a useful tool in future preclinical studies of OA progression and treatment. The current approaches were developed specifically for cross-sectional micro-CT studies but could be applied to longitudinal studies.

Automated assessment of bone changes in cross-sectional micro-CT studies of murine experimental osteoarthritis

PubMed Central

Vincent, Tonia L.; Marenzana, Massimo

2017-01-01

Objective The degradation of articular cartilage, which characterises osteoarthritis (OA), is usually paired with excessive bone remodelling, including subchondral bone sclerosis, cysts, and osteophyte formation. Experimental models of OA are widely used to investigate pathogenesis, yet few validated methodologies for assessing periarticular bone morphology exist and quantitative measurements are limited by manual segmentation of micro-CT scans. The aim of this work was to chart the temporal changes in periarticular bone in murine OA by novel, automated micro-CT methods. Methods OA was induced by destabilisation of the medial meniscus (DMM) in 10-week old male mice and disease assessed cross-sectionally from 1- to 20-weeks post-surgery. A novel approach was developed to automatically segment subchondral bone compartments into plate and trabecular bone in micro-CT scans of tibial epiphyses. Osteophyte volume, as assessed by shape differences using 3D image registration, and by measuring total epiphyseal volume was performed. Results Significant linear and volumetric structural modifications in subchondral bone compartments and osteophytes were measured from 4-weeks post-surgery and showed progressive changes at all time points; by 20 weeks, medial subchondral bone plate thickness increased by 160±19.5 μm and the medial osteophyte grew by 0.124±0.028 μm3. Excellent agreement was found when automated measurements were compared with manual assessments. Conclusion Our automated methods for assessing bone changes in murine periarticular bone are rapid, quantitative, and highly accurate, and promise to be a useful tool in future preclinical studies of OA progression and treatment. The current approaches were developed specifically for cross-sectional micro-CT studies but could be applied to longitudinal studies. PMID:28334010

Using Probabilistic Methods in Water Scarcity Assessments: A First Step Towards a Water Scarcity Risk Assessment Framework

NASA Technical Reports Server (NTRS)

Veldkamp, Ted; Wada, Yoshihide; Aerts, Jeroen; Ward, Phillip

2016-01-01

Water scarcity -driven by climate change, climate variability, and socioeconomic developments- is recognized as one of the most important global risks, both in terms of likelihood and impact. Whilst a wide range of studies have assessed the role of long term climate change and socioeconomic trends on global water scarcity, the impact of variability is less well understood. Moreover, the interactions between different forcing mechanisms, and their combined effect on changes in water scarcity conditions, are often neglected. Therefore, we provide a first step towards a framework for global water scarcity risk assessments, applying probabilistic methods to estimate water scarcity risks for different return periods under current and future conditions while using multiple climate and socioeconomic scenarios.

Systolic blood pressure decline in very old individuals is explained by deteriorating health: Longitudinal changes from Umeå85+/GERDA.

PubMed

Weidung, Bodil; Toots, Annika; Nordström, Peter; Carlberg, Bo; Gustafson, Yngve

2017-12-01

Declining systolic blood pressure (SBP) is common in very old age and is associated with adverse events, such as dementia. Knowledge of factors associated with SBP changes could explain the etiology of this decline in SBP. This study investigated longitudinal changes in socioeconomic factors, medical conditions, drug prescriptions, and assessments and their associations with SBP changes among very old followed individuals.The study was based on data from the Umeå85+/Gerontological Regional Database (GERDA) cohort study, which provided cross-sectional and longitudinal data on participants aged 85, 90, and ≥95 years from 2000 to 2015. Follow-up assessments were conducted after 5 years. The main outcome was a change in SBP. Factors associated with SBP changes were assessed using multivariate linear regression models.In the Umeå85+/GERDA study, 454 surviving individuals underwent follow-up assessment after 5 years. Of these, 297 had SBP measured at baseline and follow-up. The mean change ± standard deviation in SBP was -12 ± 25 mm Hg. SBP decline was associated independently with later investigation year (P = .009), higher baseline SBP (P < .001), baseline antidepressant prescription (P = .011), incident acute myocardial infarction during follow-up (P = .003), new diuretic prescription during follow-up (P = .044), and a decline in the Barthel Activities of Daily Living index at follow-up (P < .001).In conclusion, SBP declines among very old individuals. This decline seems to be associated with initial SBP level, investigation year, and health-related factors. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

Correlation between changes in quality of life and symptomatic improvement in Chinese patients switched from typical antipsychotics to olanzapine.

PubMed

Montgomery, William; Kadziola, Zbigniew; Ye, Wenye; Xue, Hai Bo; Liu, Li; Treuer, Tamás

2015-01-01

The aim of this study was to investigate the correlation between changes in symptoms and changes in self-reported quality of life among Chinese patients with schizophrenia who were switched from a typical antipsychotic to olanzapine during usual outpatient care. This post hoc analysis was conducted using data from the Chinese subgroup (n=475) of a multicountry, 12-month, prospective, noninterventional, observational study. The primary publication previously reported the efficacy, safety, and quality of life among patients who switched from a typical antipsychotic to olanzapine. Patients with schizophrenia were included if their symptoms were inadequately controlled with a typical antipsychotic and they were switched to olanzapine. Symptom severity was measured using the Brief Psychiatric Rating Scale (BPRS) and the Clinical Global Impressions-Severity scale (CGI-S). Health-Related Quality of Life (HRQOL) was assessed using the World Health Organization Quality of Life-Abbreviated (WHOQOL-BREF). Paired t-tests were performed to assess changes from baseline to endpoint. Pearson's correlation coefficients (r) were used to assess the correlations between change in symptoms (BPRS and CGI-S scores) and change in HRQOL (WHOQOL-BREF scores). Symptoms and HRQOL both improved significantly over the 12 months of treatment (P<0.001). Significant correlations were observed between changes from baseline to end of study on the BPRS and the CGI-S and each of the WHOQOL-BREF four domain scores and two overall quality-of-life questions. The correlation coefficients ranged from r=-0.45 to r=-0.53 for the BPRS and WHOQOL-BREF. The correlation coefficients were slightly smaller between the CGI-S and WHOQOL-BREF, ranging from r=-0.33 to r=-0.40. For patients with schizophrenia, assessing quality of life has the potential to add valuable information to the clinical assessment that takes into account the patient's own perspective of well-being.

Social Studies Assessment in Wisconsin Public Schools. A Position Paper.

ERIC Educational Resources Information Center

Wehlage, Gary G.; And Others

The Public Law enacted in 1971 requires that fundamental subject matter areas taught in Wisconsin's public schools be assessed. It is proposed in this paper that assessment of the State's social studies programs needs to focus its attention on the school environment, which educators can and should control, change, and improve, rather than…

Assessment for One-Shot Library Instruction: A Conceptual Approach

ERIC Educational Resources Information Center

Wang, Rui

2016-01-01

The purpose of this study is to explore a conceptual approach to assessment for one-shot library instruction. This study develops a new assessment instrument based on Carol Kuhlthau's information search process (ISP) model. The new instrument focuses on measuring and identifying changes in student readiness to do research along three…

Sex and Race Disparities in Health: Cohort Variations in Life Course Patterns

ERIC Educational Resources Information Center

Yang, Yang; Lee, Linda C.

2009-01-01

This study assesses changes in sex and race disparities in health over the life course and across cohorts by conducting growth curve analyses of nationally representative longitudinal data that spans 15 years. It finds that changes in disparities in depressive symptoms, disability and self-assessments of health across the life course are…

Attitudes of Jordanian Nursing Students towards Mental Illness: The Effect of Teaching and Contact on Attitudes Change

ERIC Educational Resources Information Center

Hamaideh, Shaher H.; Mudallal, Rola

2009-01-01

Purposes: Attitudes toward mental illness and patients with mental illness influence the treatment they receive and decisions of policy makers. The purposes of this study were to assess Jordanian nursing students' attitudes towards mental illness, and to assess the effectiveness of teaching and contact on changing nursing students' attitudes about…

Constructing the Past: Assessment of Elementary Preservice Teachers' Perception about History

ERIC Educational Resources Information Center

Ohn, J. D.

2013-01-01

The purpose of the study was to examine if and how elementary preservice teachers' perceptions about history were changed upon their completion of a class project that engaged them in a discipline-specific inquiry as a method of teaching history. Surveys were administered to assess any changes in their perception of the history before and after…

Changing Attitudes over Time: Assessing the Effectiveness of a Workplace Diversity Course

ERIC Educational Resources Information Center

Probst, Tahira M.

2003-01-01

Diversity is increasing within the United States, and higher education will likely play a key role in preparing people to function in this new environment. This study assessed the effectiveness of a semester-long psychology workplace diversity course at changing student levels of ethnocentrism and attitudes regarding gender roles; the disabled;…

Word Associations as a Tool for Assessing Conceptual Change in Science Education

ERIC Educational Resources Information Center

Hovardas, Tasos; Korfiatis, Konstantinos J.

2006-01-01

In the present study, we have applied a word association procedure for assessing conceptual change in science education, leaning on the presuppositions of the theory of social representations. The proposed method was applied both before and after a university population ecology course. Our results have shown that the teaching procedure can change…

A SEM Model in Assessing the Effect of Convergent, Divergent and Logical Thinking on Students' Understanding of Chemical Phenomena

ERIC Educational Resources Information Center

Stamovlasis, D.; Kypraios, N.; Papageorgiou, G.

2015-01-01

In this study, structural equation modeling (SEM) is applied to an instrument assessing students' understanding of chemical change. The instrument comprised items on understanding the structure of substances, chemical changes and their interpretation. The structural relationships among particular groups of items are investigated and analyzed using…

Assessing Climate Literacy Content in Higher Education Science Courses: Distribution, Challenges, and Needs

ERIC Educational Resources Information Center

Veron, Dana E.; Marbach-Ad, Gili; Wolfson, Jane; Ozbay, Gulnihal

2016-01-01

The study described in this article is part of the Maryland and Delaware Climate Change Education Assessment and Research (MADE CLEAR) project, which aims to improve climate literacy in the K-16 population through systemic, sustainable change in teacher preparation. The authors surveyed faculty members at four higher education institutions to…

Using Item Response Theory to Conduct a Distracter Analysis on Conceptual Inventory of Natural Selection

ERIC Educational Resources Information Center

Battisti, Bryce Thomas; Hanegan, Nikki; Sudweeks, Richard; Cates, Rex

2010-01-01

Concept inventories are often used to assess current student understanding although conceptual change models are problematic. Due to controversies with conceptual change models and the realities of student assessment, it is important that concept inventories are evaluated using a variety of theoretical models to improve quality. This study used a…

Behaviour change interventions to promote physical activity in rheumatoid arthritis: a systematic review.

PubMed

Larkin, Louise; Gallagher, Stephen; Cramp, Fiona; Brand, Charles; Fraser, Alexander; Kennedy, Norelee

2015-10-01

Research has shown that people who have rheumatoid arthritis (RA) do not usually participate in enough physical activity to obtain the benefits of optimal physical activity levels, including quality of life, aerobic fitness and disease-related characteristics. Behaviour change theory underpins the promotion of physical activity. The aim of this systematic review was to explore behaviour change interventions which targeted physical activity behaviour in people who have RA, focusing on the theory underpinning the interventions and the behaviour change techniques utilised using specific behaviour change taxonomy. An electronic database search was conducted via EBSCOhost, PubMed, Cochrane Central Register of Controlled Trials and Web of Science databases in August 2014, using Medical Subject Headings and keywords. A manual search of reference lists was also conducted. Randomised control trials which used behaviour change techniques and targeted physical activity behaviour in adults who have RA were included. Two reviewers independently screened studies for inclusion. Methodological quality was assessed using the Cochrane risk of bias tool. Five studies with 784 participants were included in the review. Methodological quality of the studies was mixed. The studies consisted of behaviour change interventions or combined practical physical activity and behaviour change interventions and utilised a large variety of behaviour change techniques. Four studies reported increased physical activity behaviour. All studies used subjective methods of assessing physical activity with only one study utilising an objective measure. There has been varied success of behaviour change interventions in promoting physical activity behaviour in people who have RA. Further studies are required to develop and implement the optimal behaviour change intervention in this population.

Longitudinal Changes in Body Composition Assessed Using DXA and Surface Anthropometry Show Good Agreement in Elite Rugby Union Athletes.

PubMed

Zemski, Adam J; Keating, Shelley E; Broad, Elizabeth M; Slater, Gary J

2018-05-14

Rugby union athletes have divergent body composition based on the demands of their on-field playing position and ethnicity. With an established association between physique traits and positional requirements, body composition assessment is routinely undertaken. Surface anthropometry and dual-energy X-ray absorptiometry (DXA) are the most common assessment techniques utilised, often undertaken synchronously. This study aims to investigate the association between DXA and surface anthropometry when assessing longitudinal changes in fat free mass (FFM) and fat mass (FM) in rugby union athletes. Thirty-nine elite male rugby union athletes (age 25.7 ± 3.1 years; stature 187.6 ± 7.7 cm; mass 104.1 ± 12.2 kg) underwent assessment via DXA and surface anthropometry multiple times over three consecutive international seasons. Changes in the lean mass index (LMI), an empirical measure to assess proportional variation in FFM, showed large agreement with changes in DXA FFM (r=0.54, SEE=1.5%, P<0.001); the strength of association stronger amongst forwards (r=0.63) compared with backs (r=0.38). Changes in the sum of 7 skinfolds (S7SF) showed very large agreement with changes in DXA FM (r=0.73, SEE=5.8%, P<0.001), with meaningful differences observed regardless of ethnicity (Caucasians r=0.75; Polynesians r=0.62). The LMI and S7SF were able to predict the direction of change in FFM and FM, respectively, 86% and 91% of the time when DXA change was >1kg. Surface anthropometry measures provide a robust indication of the direction of change in FFM and FM, although caution may need to be applied when interpreting magnitude of change, particularly with FM.

Rate of Change: AP Calculus Students' Understandings and Misconceptions after Completing Different Curricular Paths

ERIC Educational Resources Information Center

Teuscher, Dawn; Reys, Robert E.

2012-01-01

This study examined Advanced Placement Calculus students' mathematical understanding of rate of change, after studying four years of college preparatory (integrated or single-subject) mathematics. Students completed the Precalculus Concept Assessment (PCA) and two open-ended tasks with questions about rates of change. After adjusting for prior…

Workplace exercise for changing health behavior related to physical activity.

PubMed

Grande, Antonio José; Cieslak, Fabrício; Silva, Valter

2015-01-01

Physical Activity in the workplace has received special attention from researchers who are looking to promote lifelong health and well-being. The workplace is being investigated as a possible place to assess and create strategies to help people to become healthier. The transtheoretical model and stages of change has been adapted as a tool to assess the stages of behavioral change towards exercising. To assess the change in health behavior following a three-month exercise program based in the workplace. A quasi-experimental study design was used in which 165 employees participated in the study. An intervention program of workplace exercise was applied for three months. Participants were assessed through the transtheoretical model and stages of change questionnaire before and after intervention to understand changes in their position on the behavioral change continuum. The number of employees who were physically active increased after the workplace exercise intervention (13.9% , 95% CI 9.5 to 20.1; P = 0.009). There was a significant decrease in the proportion of employees in the pre-contemplation stage (-6.1% , 95% CI 3.3 to 10.8; P = 0.045) and contemplation stage (-11.5% , 95% CI 7.5 to 17.3; P = 0.017), and a significant increase in the action stage (10.9% , 95% CI 7.0 to 16.6; P = 0.003). Engaging in workplace exercise has a significant positive effect on health behavior and willingness to become more physically active.

Multi-disciplinary assessments of climate change impacts on agriculture to support adaptation decision making in developing countries

NASA Astrophysics Data System (ADS)

Fujisawa, Mariko; Kanamaru, Hideki

2016-04-01

Many existing climate change impact studies, carried out by academic researchers, are disconnected from decision making processes of stakeholders. On the other hand many climate change adaptation projects in developing countries lack a solid evidence base of current and future climate impacts as well as vulnerabilities assessment at different scales. In order to fill this information gap, FAO has developed and implemented a tool "MOSAICC (Modelling System for Agricultural Impacts of Climate Change)" in several developing countries such as Morocco, the Philippines and Peru, and recently in Malawi and Zambia. MOSAICC employs a multi-disciplinary assessment approach to addressing climate change impacts and adaptation planning in the agriculture and food security sectors, and integrates five components from different academic disciplines: 1. Statistical downscaling of climate change projections, 2. Yield simulation of major crops at regional scale under climate change, 3. Surface hydrology simulation model, 4. Macroeconomic model, and 5. Forestry model. Furthermore MOSAICC has been developed as a capacity development tool for the national scientists so that they can conduct the country assessment themselves, using their own data, and reflect the outcome into the national adaptation policies. The outputs are nation-wide coverage, disaggregated at sub-national level to support strategic planning, investments and decisions by national policy makers. MOSAICC is designed in such a way to promote stakeholders' participation and strengthen technical capacities in developing countries. The paper presents MOSAICC and projects that used MOSAICC as a tool with case studies from countries.

An assessment of thermal, wind, and planetary wave changes in the middle and lower atmosphere due to 11-year UV flux variations

NASA Technical Reports Server (NTRS)

Callis, L. B.; Alpert, J. C.; Geller, M. A.

1985-01-01

Hines (1974) speculated that solar-induced modifications of the middle and upper atmosphere may alter the transmissivity of the stratosphere to upwardly propagating atmospheric waves. It was suggested that subsequent constructive or destructive interference may result in a change of phase or amplitude of these waves in the troposphere leading to weather or climate changes. The present investigation has the objective to bring together both radiative transfer and planetary wave studies in an effort to assess specifically whether Hines mechanism can be initiated by the solar ultraviolet flux variability assumed to be associated with the 11-year solar cycle. The obtained results suggest that the presently studied mechanism, which links solar-induced zonal wind changes in the stratosphere and mesosphere to planetary wave changes in the troposphere, is not strong enough to cause substantive changes in the troposphere.

Assessing climate change beliefs: Response effects of question wording and response alternatives.

PubMed

Greenhill, Murni; Leviston, Zoe; Leonard, Rosemary; Walker, Iain

2014-11-01

To date, there is no 'gold standard' on how to best measure public climate change beliefs. We report a study (N = 897) testing four measures of climate change causation beliefs, drawn from four sources: the CSIRO, Griffith University, the Gallup poll, and the Newspoll. We found that question wording influences the outcome of beliefs reported. Questions that did not allow respondents to choose the option of believing in an equal mix of natural and anthropogenic climate change obtained different results to those that included the option. Age and belief groups were found to be important predictors of how consistent people were in reporting their beliefs. Response consistency gave some support to past findings suggesting climate change beliefs reflect something deeper in the individual belief system. Each belief question was assessed against five criterion variables commonly used in climate change literature. Implications for future studies are discussed. © The Author(s) 2013.

Assessing Ozone-Related Health Impacts under a Changing Climate

PubMed Central

Knowlton, Kim; Rosenthal, Joyce E.; Hogrefe, Christian; Lynn, Barry; Gaffin, Stuart; Goldberg, Richard; Rosenzweig, Cynthia; Civerolo, Kevin; Ku, Jia-Yeong; Kinney, Patrick L.

2004-01-01

Climate change may increase the frequency and intensity of ozone episodes in future summers in the United States. However, only recently have models become available that can assess the impact of climate change on O3 concentrations and health effects at regional and local scales that are relevant to adaptive planning. We developed and applied an integrated modeling framework to assess potential O3-related health impacts in future decades under a changing climate. The National Aeronautics and Space Administration–Goddard Institute for Space Studies global climate model at 4° × 5° resolution was linked to the Penn State/National Center for Atmospheric Research Mesoscale Model 5 and the Community Multiscale Air Quality atmospheric chemistry model at 36 km horizontal grid resolution to simulate hourly regional meteorology and O3 in five summers of the 2050s decade across the 31-county New York metropolitan region. We assessed changes in O3-related impacts on summer mortality resulting from climate change alone and with climate change superimposed on changes in O3 precursor emissions and population growth. Considering climate change alone, there was a median 4.5% increase in O3-related acute mortality across the 31 counties. Incorporating O3 precursor emission increases along with climate change yielded similar results. When population growth was factored into the projections, absolute impacts increased substantially. Counties with the highest percent increases in projected O3 mortality spread beyond the urban core into less densely populated suburban counties. This modeling framework provides a potentially useful new tool for assessing the health risks of climate change. PMID:15531442

Assessment of changes in formations of non-forest woody vegetation in southern Denmark based on airborne LiDAR.

PubMed

Angelidis, Ioannis; Levin, Gregor; Díaz-Varela, Ramón Alberto; Malinowski, Radek

2017-09-01

LiDAR (Light Detection and Ranging) is a remote sensing technology that uses light in the form of pulses to measure the range between a sensor and the Earth's surface. Recent increase in availability of airborne LiDAR scanning (ALS) data providing national coverage with high point densities has opened a wide range of possibilities for monitoring landscape elements and their changes at broad geographical extent. We assessed the dynamics of the spatial extent of non-forest woody vegetation (NFW) in a study area of approx. 2500 km 2 in southern Jutland, Denmark, based on two acquisitions of ALS data for 2006 and 2014 in combination with other spatial data. Our results show a net-increase (4.8%) in the total area of NFW. Furthermore, this net change comprises of both areas with a decrease and areas with an increase of NFW. An accuracy assessment based on visual interpretation of aerial photos indicates high accuracy (>95%) in the delineation of NFW without changes during the study period. For NFW that changed between 2006 and 2014, accuracies were lower (90 and 82% in removed and new features, respectively), which is probably due to lower point densities of the 2006 ALS data (0.5 pts./m 2 ) compared to the 2014 data (4-5 pts./m 2 ). We conclude that ALS data, if combined with other spatial data, in principle are highly suitable for detailed assessment of changes in landscape features, such as formations of NFW at broad geographical extent. However, in change assessment based on multi-temporal ALS data with different point densities errors occur, particularly when examining small or narrow NFW objects.

A Comparative Study of Current Theories and Practices in Assessing Students' Achievements at Primary and Secondary Level. Final Report. IBE Document Series, Number 4.

ERIC Educational Resources Information Center

Macintosh, Henry G.

A study was conducted to examine and compare, in 10 selected countries, the interaction between current conceptions and theories of assessment and assessment practices. Of particular interest was the nature of changing practice and theory in assessing the learning achievements of students in elementary and secondary education, as well as the…

Current mHealth Technologies for Physical Activity Assessment and Promotion

PubMed Central

O’Reilly, Gillian A.; Spruijt-Metz, Donna

2014-01-01

Context Novel mobile assessment and intervention capabilities are changing the face of physical activity (PA) research. A comprehensive systematic review of how mobile technology has been used for measuring PA and promoting PA behavior change is needed. Evidence acquisition Article collection was conducted using six databases from February to June 2012 with search terms related to mobile technology and PA. Articles that described the use of mobile technologies for PA assessment, sedentary behavior assessment, and/or interventions for PA behavior change were included. Articles were screened for inclusion and study information was extracted. Evidence synthesis Analyses were conducted from June to September 2012. Mobile phone–based journals and questionnaires, short message service (SMS) prompts, and on-body PA sensing systems were the mobile technologies most utilized. Results indicate that mobile journals and questionnaires are effective PA self-report measurement tools. Intervention studies that reported successful promotion of PA behavior change employed SMS communication, mobile journaling, or both SMS and mobile journaling. Conclusions mHealth technologies are increasingly being employed to assess and intervene on PA in clinical, epidemiologic, and intervention research. The wide variations in technologies used and outcomes measured limit comparability across studies, and hamper identification of the most promising technologies. Further, the pace of technologic advancement currently outstrips that of scientific inquiry. New adaptive, sequential research designs that take advantage of ongoing technology development are needed. At the same time, scientific norms must shift to accept “smart,” adaptive, iterative, evidence-based assessment and intervention technologies that will, by nature, improve during implementation. PMID:24050427

Current mHealth technologies for physical activity assessment and promotion.

PubMed

O'Reilly, Gillian A; Spruijt-Metz, Donna

2013-10-01

Novel mobile assessment and intervention capabilities are changing the face of physical activity (PA) research. A comprehensive systematic review of how mobile technology has been used for measuring PA and promoting PA behavior change is needed. Article collection was conducted using six databases from February to June 2012 with search terms related to mobile technology and PA. Articles that described the use of mobile technologies for PA assessment, sedentary behavior assessment, and/or interventions for PA behavior change were included. Articles were screened for inclusion and study information was extracted. Analyses were conducted from June to September 2012. Mobile phone-based journals and questionnaires, short message service (SMS) prompts, and on-body PA sensing systems were the mobile technologies most utilized. Results indicate that mobile journals and questionnaires are effective PA self-report measurement tools. Intervention studies that reported successful promotion of PA behavior change employed SMS communication, mobile journaling, or both SMS and mobile journaling. mHealth technologies are increasingly being employed to assess and intervene on PA in clinical, epidemiologic, and intervention research. The wide variations in technologies used and outcomes measured limit comparability across studies, and hamper identification of the most promising technologies. Further, the pace of technologic advancement currently outstrips that of scientific inquiry. New adaptive, sequential research designs that take advantage of ongoing technology development are needed. At the same time, scientific norms must shift to accept "smart," adaptive, iterative, evidence-based assessment and intervention technologies that will, by nature, improve during implementation. © 2013 American Journal of Preventive Medicine.

Quantification of increased flood risk due to global climate change for urban river management planning.

PubMed

Morita, M

2011-01-01

Global climate change is expected to affect future rainfall patterns. These changes should be taken into account when assessing future flooding risks. This study presents a method for quantifying the increase in flood risk caused by global climate change for use in urban flood risk management. Flood risk in this context is defined as the product of flood damage potential and the probability of its occurrence. The study uses a geographic information system-based flood damage prediction model to calculate the flood damage caused by design storms with different return periods. Estimation of the monetary damages these storms produce and their return periods are precursors to flood risk calculations. The design storms are developed from modified intensity-duration-frequency relationships generated by simulations of global climate change scenarios (e.g. CGCM2A2). The risk assessment method is applied to the Kanda River basin in Tokyo, Japan. The assessment provides insights not only into the flood risk cost increase due to global warming, and the impact that increase may have on flood control infrastructure planning.

Assessing client self-narrative change in emotion-focused therapy of depression: an intensive single case analysis.

PubMed

Angus, Lynne E; Kagan, Fern

2013-12-01

Personality researchers use the term self-narrative to refer to the development of an overall life story that places life events in a temporal sequence and organizes them in accordance to overarching themes. In turn, it is often the case that clients seek out psychotherapy when they can no longer make sense of their life experiences, as a coherent story. Angus and Greenberg (L. Angus and L. Greenberg, 2011, Working with narrative in emotion-focused therapy: Changing stories, healing lives. Washington, DC: American Psychological Association Press) view the articulation and consolidation of an emotionally integrated self-narrative account as an important part of the therapeutic change process that is essential for sustained change in emotion-focused therapy of depression. The purpose of the present study was to investigate client experiences of change, and self-narrative reconstruction, in the context of one good outcome emotion-focused therapy dyad drawn from the York II Depression Study. Using the Narrative Assessment Interview (NAI) method, client view of self and experiences of change were assessed at three points in time--after session one, at therapy termination, and at 6 months follow-up. Findings emerging from an intensive narrative theme analyses of the NAI transcripts--and 1 key therapy session identified by the client--are reported and evidence for the contributions of narrative and emotion processes to self-narrative change in emotion-focused therapy of depression are discussed. Finally, the implications of assessing clients' experiences of self-narrative change for psychotherapy research and practice are addressed.

Vulnerability of eco-environmental health to climate change: the views of government stakeholders and other specialists in Queensland, Australia.

PubMed

Strand, Linn B; Tong, Shilu; Aird, Rosemary; McRae, David

2010-07-28

There is overwhelming scientific evidence that human activities have changed and will continue to change the climate of the Earth. Eco-environmental health, which refers to the interdependencies between ecological systems and population health and well-being, is likely to be significantly influenced by climate change. The aim of this study was to examine perceptions from government stakeholders and other relevant specialists about the threat of climate change, their capacity to deal with it, and how to develop and implement a framework for assessing vulnerability of eco-environmental health to climate change. Two focus groups were conducted in Brisbane, Australia with representatives from relevant government agencies, non-governmental organisations, and the industry sector (n = 15) involved in the discussions. The participants were specialists on climate change and public health from governmental agencies, industry, and non-governmental organisations in South-East Queensland. The specialists perceived climate change to be a threat to eco-environmental health and had substantial knowledge about possible implications and impacts. A range of different methods for assessing vulnerability were suggested by the participants and the complexity of assessment when dealing with multiple hazards was acknowledged. Identified factors influencing vulnerability were perceived to be of a social, physical and/or economic nature. They included population growth, the ageing population with associated declines in general health and changes in the vulnerability of particular geographical areas due to for example, increased coastal development, and financial stress. Education, inter-sectoral collaboration, emergency management (e.g. development of early warning systems), and social networks were all emphasised as a basis for adapting to climate change. To develop a framework, different approaches were discussed for assessing eco-environmental health vulnerability, including literature reviews to examine the components of vulnerability such as natural hazard risk and exposure and to investigate already existing frameworks for assessing vulnerability. The study has addressed some important questions in regard to government stakeholders and other specialists' views on the threat of climate change and its potential impacts on eco-environmental health. These findings may have implications in climate change and public health decision-making.

Vulnerability of eco-environmental health to climate change: the views of government stakeholders and other specialists in Queensland, Australia

PubMed Central

2010-01-01

Background There is overwhelming scientific evidence that human activities have changed and will continue to change the climate of the Earth. Eco-environmental health, which refers to the interdependencies between ecological systems and population health and well-being, is likely to be significantly influenced by climate change. The aim of this study was to examine perceptions from government stakeholders and other relevant specialists about the threat of climate change, their capacity to deal with it, and how to develop and implement a framework for assessing vulnerability of eco-environmental health to climate change. Methods Two focus groups were conducted in Brisbane, Australia with representatives from relevant government agencies, non-governmental organisations, and the industry sector (n = 15) involved in the discussions. The participants were specialists on climate change and public health from governmental agencies, industry, and non-governmental organisations in South-East Queensland. Results The specialists perceived climate change to be a threat to eco-environmental health and had substantial knowledge about possible implications and impacts. A range of different methods for assessing vulnerability were suggested by the participants and the complexity of assessment when dealing with multiple hazards was acknowledged. Identified factors influencing vulnerability were perceived to be of a social, physical and/or economic nature. They included population growth, the ageing population with associated declines in general health and changes in the vulnerability of particular geographical areas due to for example, increased coastal development, and financial stress. Education, inter-sectoral collaboration, emergency management (e.g. development of early warning systems), and social networks were all emphasised as a basis for adapting to climate change. To develop a framework, different approaches were discussed for assessing eco-environmental health vulnerability, including literature reviews to examine the components of vulnerability such as natural hazard risk and exposure and to investigate already existing frameworks for assessing vulnerability. Conclusion The study has addressed some important questions in regard to government stakeholders and other specialists' views on the threat of climate change and its potential impacts on eco-environmental health. These findings may have implications in climate change and public health decision-making. PMID:20663227

Assessing Climate Change Impacts on Wildfire Exposure in Mediterranean Areas.

PubMed

Lozano, Olga M; Salis, Michele; Ager, Alan A; Arca, Bachisio; Alcasena, Fermin J; Monteiro, Antonio T; Finney, Mark A; Del Giudice, Liliana; Scoccimarro, Enrico; Spano, Donatella

2017-10-01

We used simulation modeling to assess potential climate change impacts on wildfire exposure in Italy and Corsica (France). Weather data were obtained from a regional climate model for the period 1981-2070 using the IPCC A1B emissions scenario. Wildfire simulations were performed with the minimum travel time fire spread algorithm using predicted fuel moisture, wind speed, and wind direction to simulate expected changes in weather for three climatic periods (1981-2010, 2011-2040, and 2041-2070). Overall, the wildfire simulations showed very slight changes in flame length, while other outputs such as burn probability and fire size increased significantly in the second future period (2041-2070), especially in the southern portion of the study area. The projected changes fuel moisture could result in a lengthening of the fire season for the entire study area. This work represents the first application in Europe of a methodology based on high resolution (250 m) landscape wildfire modeling to assess potential impacts of climate changes on wildfire exposure at a national scale. The findings can provide information and support in wildfire management planning and fire risk mitigation activities. © 2016 Society for Risk Analysis.

Physical Activity, Physical Fitness and Leukocyte Telomere Length: the Cardiovascular Health Study.

PubMed Central

Soares-Miranda, Luisa; Imamura, Fumiaki; Siscovick, David; Jenny, Nancy Swords; Fitzpatrick, Annette L; Mozaffarian, Dariush

2015-01-01

Introduction The influence of physical activity (PA) and physical fitness (PF) at older ages on changes in telomere length (TL), repetitive DNA sequences that may mark biologic aging, is not well-established. Few prior studies have been conducted in older adults, these were mainly cross-sectional, and few evaluated PF. Methods We investigated cross-sectional and prospective associations of PA and PF with leukocyte TL among 582 older adults (age 73±5 y at baseline) in the Cardiovascular Health Study, having serial TL measures and PA and PF assessed multiple times. Cross-sectional associations were assessed using multivariable repeated-measures regression, in which cumulatively averaged PA and PF measures were related to TL. Longitudinal analyses assessed cumulatively averaged PA and PF against later changes in TL; and changes in cumulatively averaged PA and PF against changes in TL. Results Cross-sectionally, greater walking distance and chair test performance, but not other PA and PF measures, were each associated with longer TL (p-trend=0.007, 0.04 respectively). In longitudinal analyses, no significant associations of baseline PA and PF with change in TL were observed. In contrast, changes in leisure-time activity and chair test performance were each inversely associated with changes in TL. Conclusions Cross-sectional analyses suggest that greater PA and PF are associated with longer TL. Prospective analyses show that changes in PA and PF are associated with differences in changes in TL. Even later in life, changes in certain PA and PF measures are associated with changes in TL, suggesting that leisure-time activity and fitness could reduce leukocyte telomere attrition among older adults. PMID:26083773

Progressive high-intensity resistance training and bone mineral density changes among premenopausal women: evidence of discordant site-specific skeletal effects.

PubMed

Martyn-St James, Marrissa; Carroll, Sean

2006-01-01

Regular weight-bearing physical activity has been widely recommended for adult women and may be beneficial in preserving bone mineral density (BMD). However, there is conflicting evidence regarding the effects of resistance training on BMD in premenopausal women. Novel systematic review and meta-analysis evidence is presented on the effects of progressive high-intensity resistance training on BMD in premenopausal women. Structured computer searches of MEDLINE, EMBASE, PubMed, Web of Science, SportDiscus and Evidence Based Medicine Reviews Multifile were undertaken along with hand-searching of key journals and reference lists to locate relevant studies published up to September 2004. Criteria for included studies were published controlled studies and randomised controlled trials (RCTs) evaluating the effects of progressive, high-intensity resistance training studies on BMD in premenopausal women. Two authors reached consensus on all included and excluded studies. Study outcomes for analysis were radiographic BMD assessment from first follow-up at lumbar spine and femoral neck. Primary outcomes for analysis were absolute changes in BMD g/cm(2) at lumbar spine and femoral neck. Relative changes (percentage change) in BMD at lumbar spine were also assessed. Data were extracted from studies including study design, participant characteristics and treatment mode, intensity and duration, using electronic data extraction forms. Where necessary, relevant information was obtained by contacting study authors. Methodological quality of studies was assessed using a well recognised three-question instrument designed to assess bias. Informal assessment for small sample study effects and potential bias was undertaken through visual inspection of funnel plots. The weighted mean difference method (inverse of the variances) was used for combining study group estimates. Quantification of the effect of heterogeneity among study outcomes was assessed using the I(2) statistic. Random effects and fixed-effect models were applied according to observed study heterogeneity. Comparisons resulting in I(2) > 50.0% were considered heterogeneous. Where heterogeneity was observed, a random effects model was applied. Pooled estimates of effect were calculated using the Cochrane Collaboration's Review Manager (RevMan) 4.2.1 software.High-intensity progressive resistance training was shown to be efficacious in increasing absolute BMD at the lumbar spine (p < 0.00001) but not the femoral neck (p = 0.78) in premenopausal women. The weighted mean difference (WMD) using a fixed-effect model for six controlled trials investigating the lumbar spine BMD change was 0.014 g/cm(2) (95% CI 0.009, 0.019; p < 0.00001). The relative BMD change for this site was 0.98% (WMD [random effects], 95% CI 0.49, 3.91%; p = 0.04). In contrast, studies evaluating femoral neck BMD changes showed no significant BMD change (WMD [fixed effect], 0.001 g/cm(2) 95% CI -0.006, 0.008; p = 0.78). Funnel plot inspection of lumbar spine effects indicated that smaller studies demonstrated larger treatment effects. An asymmetry towards studies with positive BMD outcomes was also noted. The methodological quality score of all included studies was low and no study presented a valid intention-to-treat accounting for participant drop-out (attrition). As such, the modest overall treatment effects for resistance training on BMD among premenopausal women observed in this review may be biased and should be interpreted with caution. It is concluded that further RCTs of resistance training of sufficiently long duration and providing optimum type, intensity and volume of loading, with intention-to-treat analysis are now required.

Wellness coaching and health-related quality of life: a case-control difference-in-differences analysis.

PubMed

Menon, Jyothi; Paulet, Mindy; Thomas, Joseph

2012-10-01

Association between wellness coaching and changes in health-related quality of life over 1 year and 2 years was assessed. Difference-in-differences analysis of covariance assessed association between coaching and change in 8-item short-form health survey (SF-8) summary scores. Ordered logistic models assessed coaching and change in SF-8 individual domain scores. This was a case-control study. Participants in at least one coaching program were more likely to have increases in social functioning after 1 year and less likely to have increases in role physical after 2 years. Participants in nutrition coaching had more positive change in mental component summary scores after 1 year. Participants in stress management had more negative change in mental component summary scores after 1 year and after 2 years and had more negative change in physical component summary scores after 2 years. Findings were mixed regarding association between coaching and change in health-related quality of life.

Agricultural Adaptations to Climate Changes in West Africa

NASA Astrophysics Data System (ADS)

Guan, K.; Sultan, B.; Lobell, D. B.; Biasutti, M.; Piani, C.; Hammer, G. L.; McLean, G.

2014-12-01

Agricultural production in West Africa is highly vulnerable to climate variability and change and a fast growing demand for food adds yet another challenge. Assessing possible adaptation strategies of crop production in West Africa under climate change is thus critical for ensuring regional food security and improving human welfare. Our previous efforts have identified as the main features of climate change in West Africa a robust increase in temperature and a complex shift in the rainfall pattern (i.e. seasonality delay and total amount change). Unaddressed, these robust climate changes would reduce regional crop production by up to 20%. In the current work, we use two well-validated crop models (APSIM and SARRA-H) to comprehensively assess different crop adaptation options under future climate scenarios. Particularly, we assess adaptations in both the choice of crop types and management strategies. The expected outcome of this study is to provide West Africa with region-specific adaptation recommendations that take into account both climate variability and climate change.

Reengineering Education at Anderson Consulting.

ERIC Educational Resources Information Center

Nowakowski, Alan

1994-01-01

Describes new educational approaches and classroom management procedures that are changing the professional education program at a business consulting firm. Highlights include a needs assessment study; skills development; specialists; adapting to change; computer-based self-study training programs; curriculum reassessment; and curriculum…

Statistical issues in the comparison of quantitative imaging biomarker algorithms using pulmonary nodule volume as an example.

PubMed

Obuchowski, Nancy A; Barnhart, Huiman X; Buckler, Andrew J; Pennello, Gene; Wang, Xiao-Feng; Kalpathy-Cramer, Jayashree; Kim, Hyun J Grace; Reeves, Anthony P

2015-02-01

Quantitative imaging biomarkers are being used increasingly in medicine to diagnose and monitor patients' disease. The computer algorithms that measure quantitative imaging biomarkers have different technical performance characteristics. In this paper we illustrate the appropriate statistical methods for assessing and comparing the bias, precision, and agreement of computer algorithms. We use data from three studies of pulmonary nodules. The first study is a small phantom study used to illustrate metrics for assessing repeatability. The second study is a large phantom study allowing assessment of four algorithms' bias and reproducibility for measuring tumor volume and the change in tumor volume. The third study is a small clinical study of patients whose tumors were measured on two occasions. This study allows a direct assessment of six algorithms' performance for measuring tumor change. With these three examples we compare and contrast study designs and performance metrics, and we illustrate the advantages and limitations of various common statistical methods for quantitative imaging biomarker studies. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Hotspots of uncertainty in land-use and land-cover change projections: a global-scale model comparison.

PubMed

Prestele, Reinhard; Alexander, Peter; Rounsevell, Mark D A; Arneth, Almut; Calvin, Katherine; Doelman, Jonathan; Eitelberg, David A; Engström, Kerstin; Fujimori, Shinichiro; Hasegawa, Tomoko; Havlik, Petr; Humpenöder, Florian; Jain, Atul K; Krisztin, Tamás; Kyle, Page; Meiyappan, Prasanth; Popp, Alexander; Sands, Ronald D; Schaldach, Rüdiger; Schüngel, Jan; Stehfest, Elke; Tabeau, Andrzej; Van Meijl, Hans; Van Vliet, Jasper; Verburg, Peter H

2016-12-01

Model-based global projections of future land-use and land-cover (LULC) change are frequently used in environmental assessments to study the impact of LULC change on environmental services and to provide decision support for policy. These projections are characterized by a high uncertainty in terms of quantity and allocation of projected changes, which can severely impact the results of environmental assessments. In this study, we identify hotspots of uncertainty, based on 43 simulations from 11 global-scale LULC change models representing a wide range of assumptions of future biophysical and socioeconomic conditions. We attribute components of uncertainty to input data, model structure, scenario storyline and a residual term, based on a regression analysis and analysis of variance. From this diverse set of models and scenarios, we find that the uncertainty varies, depending on the region and the LULC type under consideration. Hotspots of uncertainty appear mainly at the edges of globally important biomes (e.g., boreal and tropical forests). Our results indicate that an important source of uncertainty in forest and pasture areas originates from different input data applied in the models. Cropland, in contrast, is more consistent among the starting conditions, while variation in the projections gradually increases over time due to diverse scenario assumptions and different modeling approaches. Comparisons at the grid cell level indicate that disagreement is mainly related to LULC type definitions and the individual model allocation schemes. We conclude that improving the quality and consistency of observational data utilized in the modeling process and improving the allocation mechanisms of LULC change models remain important challenges. Current LULC representation in environmental assessments might miss the uncertainty arising from the diversity of LULC change modeling approaches, and many studies ignore the uncertainty in LULC projections in assessments of LULC change impacts on climate, water resources or biodiversity. © 2016 The Authors. Global Change Biology Published by John Wiley & Sons Ltd.

Pacific Islands Regional Climate Assessment: Building a Framework to Track Physical and Social Indicators of Climate Change Across Pacific Islands

NASA Astrophysics Data System (ADS)

Grecni, Z. N.; Keener, V. W.

2016-12-01

Assessments inform regional and local climate change governance and provide the critical scientific basis for U.S. climate policy. Despite the centrality of scientific information to public discourse and decision making, comprehensive assessments of climate change drivers, impacts, and the vulnerability of human and ecological systems at regional or local scales are often conducted on an ad hoc basis. Methods for sustained assessment and communication of scientific information are diverse and nascent. The Pacific Islands Regional Climate Assessment (PIRCA) is a collaborative effort to assess climate change indicators, impacts, and adaptive capacity of the Hawaiian archipelago and the US-Affiliated Pacific Islands (USAPI). In 2012, PIRCA released the first comprehensive report summarizing the state of scientific knowledge about climate change in the region as a technical input to the U.S. National Climate Assessment. A multi-method evaluation of PIRCA outputs and delivery revealed that the vast majority of key stakeholders view the report as extremely credible and use it as a resource. The current study will present PIRCA's approach to establishing physical and social indicators to track on an ongoing basis, starting with the Republic of the Marshall Islands as an initial location of focus for providing a cross-sectoral indicators framework. Identifying and tracking useful indicators is aimed at sustaining the process of knowledge coproduction with decision makers who seek to better understand the climate variability and change and its impacts on Pacific Island communities.

Systolic blood pressure decline in very old individuals is explained by deteriorating health

PubMed Central

Weidung, Bodil; Toots, Annika; Nordström, Peter; Carlberg, Bo; Gustafson, Yngve

2017-01-01

Abstract Declining systolic blood pressure (SBP) is common in very old age and is associated with adverse events, such as dementia. Knowledge of factors associated with SBP changes could explain the etiology of this decline in SBP. This study investigated longitudinal changes in socioeconomic factors, medical conditions, drug prescriptions, and assessments and their associations with SBP changes among very old followed individuals. The study was based on data from the Umeå85+/Gerontological Regional Database (GERDA) cohort study, which provided cross-sectional and longitudinal data on participants aged 85, 90, and ≥95 years from 2000 to 2015. Follow-up assessments were conducted after 5 years. The main outcome was a change in SBP. Factors associated with SBP changes were assessed using multivariate linear regression models. In the Umeå85+/GERDA study, 454 surviving individuals underwent follow-up assessment after 5 years. Of these, 297 had SBP measured at baseline and follow-up. The mean change ± standard deviation in SBP was –12 ± 25 mm Hg. SBP decline was associated independently with later investigation year (P = .009), higher baseline SBP (P < .001), baseline antidepressant prescription (P = .011), incident acute myocardial infarction during follow-up (P = .003), new diuretic prescription during follow-up (P = .044), and a decline in the Barthel Activities of Daily Living index at follow-up (P < .001). In conclusion, SBP declines among very old individuals. This decline seems to be associated with initial SBP level, investigation year, and health-related factors. PMID:29390448

Strategic Environmental Assessment Framework for Landscape-Based, Temporal Analysis of Wetland Change in Urban Environments.

PubMed

Sizo, Anton; Noble, Bram F; Bell, Scott

2016-03-01

This paper presents and demonstrates a spatial framework for the application of strategic environmental assessment (SEA) in the context of change analysis for urban wetland environments. The proposed framework is focused on two key stages of the SEA process: scoping and environmental baseline assessment. These stages are arguably the most information-intense phases of SEA and have a significant effect on the quality of the SEA results. The study aims to meet the needs for proactive frameworks to assess and protect wetland habitat and services more efficiently, toward the goal of advancing more intelligent urban planning and development design. The proposed framework, adopting geographic information system and remote sensing tools and applications, supports the temporal evaluation of wetland change and sustainability assessment based on landscape indicator analysis. The framework was applied to a rapidly developing urban environment in the City of Saskatoon, Saskatchewan, Canada, analyzing wetland change and land-use pressures from 1985 to 2011. The SEA spatial scale was rescaled from administrative urban planning units to an ecologically meaningful area. Landscape change assessed was based on a suite of indicators that were subsequently rolled up into a single, multi-dimensional, and easy to understand and communicate index to examine the implications of land-use change for wetland sustainability. The results show that despite the recent extremely wet period in the Canadian prairie region, land-use change contributed to increasing threats to wetland sustainability.

Strategic Environmental Assessment Framework for Landscape-Based, Temporal Analysis of Wetland Change in Urban Environments

NASA Astrophysics Data System (ADS)

Sizo, Anton; Noble, Bram F.; Bell, Scott

2016-03-01

This paper presents and demonstrates a spatial framework for the application of strategic environmental assessment (SEA) in the context of change analysis for urban wetland environments. The proposed framework is focused on two key stages of the SEA process: scoping and environmental baseline assessment. These stages are arguably the most information-intense phases of SEA and have a significant effect on the quality of the SEA results. The study aims to meet the needs for proactive frameworks to assess and protect wetland habitat and services more efficiently, toward the goal of advancing more intelligent urban planning and development design. The proposed framework, adopting geographic information system and remote sensing tools and applications, supports the temporal evaluation of wetland change and sustainability assessment based on landscape indicator analysis. The framework was applied to a rapidly developing urban environment in the City of Saskatoon, Saskatchewan, Canada, analyzing wetland change and land-use pressures from 1985 to 2011. The SEA spatial scale was rescaled from administrative urban planning units to an ecologically meaningful area. Landscape change assessed was based on a suite of indicators that were subsequently rolled up into a single, multi-dimensional, and easy to understand and communicate index to examine the implications of land-use change for wetland sustainability. The results show that despite the recent extremely wet period in the Canadian prairie region, land-use change contributed to increasing threats to wetland sustainability.

Experimental Investigations on Effect of Damage on Vibration Characteristics of a Reinforced Concrete Beam

NASA Astrophysics Data System (ADS)

Srinivas, V.; Jeyasehar, C. Antony; Ramanjaneyulu, K.; Sasmal, Saptarshi

2012-02-01

Need for developing efficient non-destructive damage assessment procedures for civil engineering structures is growing rapidly towards structural health assessment and management of existing structures. Damage assessment of structures by monitoring changes in the dynamic properties or response of the structure has received considerable attention in recent years. In the present study, damage assessment studies have been carried out on a reinforced concrete beam by evaluating the changes in vibration characteristics with the changes in damage levels. Structural damage is introduced by static load applied through a hydraulic jack. After each stage of damage, vibration testing is performed and system parameters were evaluated from the measured acceleration and displacement responses. Reduction in fundamental frequencies in first three modes is observed for different levels of damage. It is found that a consistent decrease in fundamental frequency with increase in damage magnitude is noted. The beam is numerically simulated and found that the vibration characteristics obtained from the measured data are in close agreement with the numerical data.

Supporting nurse preceptors through online continuing education.

PubMed

Zahner, Susan J; Tipple, Susan M; Rather, Marsha L; Schendzielos, Christine

2009-10-01

A pilot study was conducted to assess the feasibility of using an online continuing education course to increase knowledge and self-efficacy in nurse preceptors who work with student nurses in acute and primary care settings. A one-group pre- and posttest repeated measures design was used. Pre-course knowledge and self-efficacy were assessed with an electronic survey. Post-course knowledge and satisfaction assessments were embedded in the course. Knowledge retention and change in self-efficacy were assessed with an electronic follow-up survey. Analysis used paired sample t tests. Participants (N = 13) reported satisfaction with the course. Participant knowledge increased from pretest to post-course and from pretest to follow-up. Knowledge declined from post-course to follow-up. No change in self-efficacy ratings was observed. This study suggests that online continuing education is a feasible strategy to support preceptor learning. Further research on the effectiveness of this approach in changing and retaining knowledge and improving self-efficacy is needed. Copyright 2009, SLACK Incorporated.

Refining Change Measure with the Rasch Model

ERIC Educational Resources Information Center

Zaporozhets, Olga; Fox, Christine M.; Beltyukova, Svetlana A.; Laux, John M.; Piazza, Nick J.; Salyers, Kathleen

2015-01-01

This study was to develop a linear measure of change using University of Rhode Island Change Assessment items that represented Prochaska and DiClemente's theory. The resulting Toledo Measure of Change is short, is easy to use, and provides reliable scores for identification of individuals' stage of change and progression within that stage.

Global Change

USGS Publications Warehouse

,

1993-01-01

Global change is a relatively new area of scientific study using research from many disciplines to determine how Earth systems change, and to assess the influence of human activity on these changes. This teaching packet consists of a poster and three activity sheets. In teaching these activities four themes are important: time, change, cycles, and Earth as home.

Assessing reservoir operations risk under climate change

USGS Publications Warehouse

Brekke, L.D.; Maurer, E.P.; Anderson, J.D.; Dettinger, M.D.; Townsley, E.S.; Harrison, A.; Pruitt, T.

2009-01-01

Risk-based planning offers a robust way to identify strategies that permit adaptive water resources management under climate change. This paper presents a flexible methodology for conducting climate change risk assessments involving reservoir operations. Decision makers can apply this methodology to their systems by selecting future periods and risk metrics relevant to their planning questions and by collectively evaluating system impacts relative to an ensemble of climate projection scenarios (weighted or not). This paper shows multiple applications of this methodology in a case study involving California's Central Valley Project and State Water Project systems. Multiple applications were conducted to show how choices made in conducting the risk assessment, choices known as analytical design decisions, can affect assessed risk. Specifically, risk was reanalyzed for every choice combination of two design decisions: (1) whether to assume climate change will influence flood-control constraints on water supply operations (and how), and (2) whether to weight climate change scenarios (and how). Results show that assessed risk would motivate different planning pathways depending on decision-maker attitudes toward risk (e.g., risk neutral versus risk averse). Results also show that assessed risk at a given risk attitude is sensitive to the analytical design choices listed above, with the choice of whether to adjust flood-control rules under climate change having considerably more influence than the choice on whether to weight climate scenarios. Copyright 2009 by the American Geophysical Union.

A phenomenological study of assessment methods in the inquiry-based science classroom: How do educators decide?

NASA Astrophysics Data System (ADS)

Tash, Gina G.

The purpose of this phenomenological study was to describe the experiences of science educators as they select and develop assessment methods for inquiry learning. Balancing preparations for standardized tests and authentic inquiry assessment experiences can be challenging for science educators. The review of literature revealed that current research focused on instructional methods and assessment, students' assessment experiences, and teachers' instructional methods experiences. There remains a gap in current literature regarding the experiences of science educators as they select and develop assessment methods for inquiry learning. This study filled the gap by providing a description of the experiences of science educators as they select and develop assessments for inquiry learning. The participants in this study were 16 fifth through eighth grade science teachers who participate in the Alabama Math, Science, and Technology Initiative (AMSTI) in northwest Alabama. A phenomenological research method was chosen in order to describe the experiences of AMSTI science teachers as they select and develop assessments for inquiry learning. Data were collected through interviews and focus group discussions. The data analysis used a modified Stevick-Colaizzi-Keen framework. The results showed AMSTI science teachers use a variety of assessment resources and methods, feel pressures to meet Adequate Yearly Progress (AYP), and implement varying degrees of change in their assessment process due to No Child Left Behind (NCLB). Contributing a positive social change, this study's findings supplied science teachers with descriptions of successful inquiry classrooms and creative assessments that correspond to inquiry-based learning methods.

Histopathological Evaluation of the Anterior Cruciate Ligament in Patients Undergoing Primary Total Knee Arthroplasty.

PubMed

Mont, Michael A; Elmallah, Randa K; Cherian, Jeffrey J; Banerjee, Samik; Kapadia, Bhaveen H

2016-01-01

This study assessed gross and histopathological ACL changes in arthritic knees (n=174) undergoing total knee arthroplasty. Histopathological changes were assessed and graded as absent (0), mild (1), moderate (2), or marked (3). These were correlated to demographic and clinical factors, and radiographic evaluations. The ACL was intact in 43, frayed in 85, torn in 15, and absent in 31 knees. Eighty-five percent had histological changes. Overall, there were significant associations between greater age and BMI, and histological changes. Grade IV knees had significantly greater calcium pyrophosphate deposits, microcyst formation, and number of pathologic changes. These correlations may aid decision-making when determining suitability for unicompartmental or bicruciate-retaining arthroplasties, though further studies should correlate these histological findings to mechanical and functional knee status. Copyright © 2016 Elsevier Inc. All rights reserved.

Modeling the Energy-Water-Food Nexus: Where Do We Go From Here?

NASA Astrophysics Data System (ADS)

Johnson, N. A.

2015-12-01

Economic development, population growth, and the changing diets and lifestyles of a growing middle class are expected to lead to increasing demands for water, food, and energy in the future. Meanwhile, climate change may cause localized resource scarcity and exacerbate the supply challenges. Moreover, there is a growing awareness that the supply systems for water, food, and energy are inextricably linked and cannot be evaluated in independent silos. Rather, integrated approaches are needed that can identify the potential trade-offs and synergies among sectors, identify holistic solutions, and evaluate the impacts of socioeconomic and hydroclimatic change. Some initial efforts at modeling the energy-water-food nexus in an integrated fashion have been attempted, but they all suffer from limitations and much more research is needed. This study provides a review of the current state-of-the-art in modeling the energy-water-food nexus at both global and regional scales, identifies limitations associated with existing approaches, and proposes specific recommendations for improving nexus assessments. Some limitations of existing models include insufficient spatial resolution for assessing water constraints in the energy sector, inadequate representation of the linkages among sectors, limited assessment of the impacts of socioeconomic and hydroclimatic change, limited inclusion of water conveyance, simplistic downscaling of water and energy demands, and the lack of a consistent framework for global nexus assessment. In addition, research gaps are identified by graphically classifying existing nexus assessments according to their spatial resolution, coverage of nexus sectors and linkages, and suitability for assessing the main drivers of global change (e.g., development, urbanization, technology, and climate change). The final portion of the study proposes recommendations for addressing the research gaps and identifies tremendous opportunity for developing better models and assessment tools for informing the design and deployment of future sustainable food, water, and energy supply systems.

A single-blinded, single-centre, controlled study in healthy adult smokers to identify the effects of a reduced toxicant prototype cigarette on biomarkers of exposure and of biological effect versus commercial cigarettes

PubMed Central

2013-01-01

Background Despite universal acceptance that smoking is harmful, a substantial number of adults continue to smoke. The development of potential reduced exposure products (more recently termed modified risk tobacco products) has been suggested as a way to reduce the risks of tobacco smoking. This trial is designed to investigate whether changes in toxicant exposure after switching from a commercial to reduced toxicant prototype (RTP) cigarette (7 mg International Organisation for Standardisation (ISO) tar yield) can be assessed by measurement of biomarkers and other factors. The primary objective is to descriptively assess changes in selected biomarkers of exposure (BoE) and biomarkers of biological effect (BoBE) within participants and within and between groups after switching. Secondary objectives are to assess similarly changes in other biomarkers, quality of life, smoking behaviours, physiological measures, mouth-level exposure to toxicants and sensory perception. Methods/design This trial will assess current smokers, ex-smokers and never-smokers in a single-centre single-blind, controlled clinical trial with a forced-switching design and in-clinic (residential) and ambulatory (non-residential) periods. Smokers will be aged 23–55 years (minimum legal smoking age plus 5 years) and non-smokers 28–55 years (minimum legal smoking age plus 5 years, plus minimum 5 years since last smoked). Smokers will be allowed to smoke freely at all times. We will assess changes in selected BoE and BoBE and effective dose in urine and blood after switching. Creatinine concentrations in serum, creatinine clearance in urine, cotinine concentration in saliva, diaries and collection of spent cigarette filters will be used to assess compliance with the study protocol. Mouth-level exposure to toxins will be assessed by filter analysis. Discussion Data from this study are expected to improve scientific understanding of the effects of RTP cigarettes on BoE and BoBE, and give insights into study design for clinical assessment of potential MRTPs. Trial registration The study was registered in the Current Controlled Trials database under the reference ISRCTN81286286. PMID:23895296

A single-blinded, single-centre, controlled study in healthy adult smokers to identify the effects of a reduced toxicant prototype cigarette on biomarkers of exposure and of biological effect versus commercial cigarettes.

PubMed

Shepperd, Christopher J; Newland, Nik; Eldridge, Alison; Graff, Don; Meyer, Ingo

2013-07-29

Despite universal acceptance that smoking is harmful, a substantial number of adults continue to smoke. The development of potential reduced exposure products (more recently termed modified risk tobacco products) has been suggested as a way to reduce the risks of tobacco smoking. This trial is designed to investigate whether changes in toxicant exposure after switching from a commercial to reduced toxicant prototype (RTP) cigarette (7 mg International Organisation for Standardisation (ISO) tar yield) can be assessed by measurement of biomarkers and other factors. The primary objective is to descriptively assess changes in selected biomarkers of exposure (BoE) and biomarkers of biological effect (BoBE) within participants and within and between groups after switching. Secondary objectives are to assess similarly changes in other biomarkers, quality of life, smoking behaviours, physiological measures, mouth-level exposure to toxicants and sensory perception. This trial will assess current smokers, ex-smokers and never-smokers in a single-centre single-blind, controlled clinical trial with a forced-switching design and in-clinic (residential) and ambulatory (non-residential) periods. Smokers will be aged 23-55 years (minimum legal smoking age plus 5 years) and non-smokers 28-55 years (minimum legal smoking age plus 5 years, plus minimum 5 years since last smoked). Smokers will be allowed to smoke freely at all times. We will assess changes in selected BoE and BoBE and effective dose in urine and blood after switching. Creatinine concentrations in serum, creatinine clearance in urine, cotinine concentration in saliva, diaries and collection of spent cigarette filters will be used to assess compliance with the study protocol. Mouth-level exposure to toxins will be assessed by filter analysis. Data from this study are expected to improve scientific understanding of the effects of RTP cigarettes on BoE and BoBE, and give insights into study design for clinical assessment of potential MRTPs. The study was registered in the Current Controlled Trials database under the reference ISRCTN81286286.

Using Formative Assessment Despite the Constraints of High Stakes Testing and Limited Resources: A Case Study of Chemistry Teachers in Anglophone Cameroon

ERIC Educational Resources Information Center

Akom, George Viche

2010-01-01

Formative assessment, as a strategy used to improve student learning, encounters several obstacles in its implementation. This study explores changes in teachers' views and practices as they are introduced to formative assessment in a high stakes testing and limited resource environment. The study examines the extent to which teachers use the…

Improvement in emotional eating associated with an enhanced body image in obese women: mediation by weight-management treatments' effects on self-efficacy to resist emotional cues to eating.

PubMed

Annesi, James J; Mareno, Nicole

2015-12-01

To assess effects of cognitive-behavioural weight-loss treatments on self-efficacy to control emotionally cued eating and whether those changes mediate relationships between body satisfaction and emotional eating. Emotional eating is common, especially in women with obesity. A better understanding of relationships of its psychosocial correlates might benefit behavioural weight-loss treatments. A field-based, quantitative study incorporated two theoretically derived weight-loss treatments using repeated measures analyses that employed validated surveys. Women with obesity volunteered for a community-based weight-loss study and were assigned to either a treatment of a manual plus phone support (n = 47), or in-person contacts emphasizing self-regulation (n = 48), over 6 months. Both emphasized physical activity, healthy eating and building self-efficacy for enabling the health-behaviour changes. Data were collected between 2013-2014. Multiple regression analyses assessed predictors of self-efficacy change. Mixed-model analysis of variances assessed treatment differences in psychosocial changes. Mediation analyses assessed mediation of the relationships between body satisfaction and emotional eating changes. Changes in Overall mood and Self-regulation significantly predicted change in Self-efficacy to control emotionally cued eating. Changes in Body satisfaction, Emotional eating, Mood, Self-regulating eating and Self-efficacy were significant overall, and each significantly greater in the in-person treatment. Self-efficacy significantly mediated the relationship between changes in Body satisfaction and Emotional eating total (and Emotional eating when depressed or anxious, but not when frustrated/angry). Results clarified mediation of the dynamic relationship between body satisfaction and emotional eating, which might enable behavioural weight-loss treatments to better-address emotional eating. © 2015 John Wiley & Sons Ltd.

The impact of a change to assessment policy on students from a New Zealand school of nursing.

PubMed

Bland, Marian; Gallagher, Peter

2009-10-01

This article reports the findings of a small scale research project in one multi-sited nursing school in New Zealand. The project sought to evaluate the impact on students of a change in assessment policy which effectively removed resubmission opportunities for academic work in Year Three of a Bachelor of Nursing programme. The instrument was a brief questionnaire distributed to all students (n=125) who enrolled in the third year of the degree in 2005. Students were surveyed at the start (74% response rate) and end of the 2005 academic year (64% response rate). Their responses revealed the stress arising from the policy changes; limited knowledge of policy details; and changes in study habits and relationships with faculty. More specifically the study indicated that most students do not overly concern themselves with the detail of assessment policy even in the light of significant change. Secondly, although most students viewed themselves as potentially disadvantaged by the change, some considered it to be a positive quality improvement initiative. Finally, despite the anxieties students held about the perceived negative impact of the changes, a positive outcome was closer working relationships with lecturers, to ensure that their one and only submission was their best work.

Climate change impact on growing degree day accumulation values

NASA Astrophysics Data System (ADS)

Bekere, Liga; Sile, Tija; Bethers, Uldis; Sennikovs, Juris

2015-04-01

A well-known and often used method to assess and forecast plant growth cycle is the growing degree day (GDD) method with different formulas used for accumulation calculations. With this method the only factor that affects plant development is temperature. So with climate change and therefore also change in temperature the typical times of plant blooming or harvest can be expected to change. The goal of this study is to assess this change in the Northern Europe region. As an example strawberry bloom and harvest times are used. As the first part of this study it was required to define the current GDD amounts required for strawberry bloom and harvest. It was done using temperature data from the Danish Meteorological Institute's (DMI) NWP model HIRLAM for the years 2010-2012 and general strawberry growth observations in Latvia. This way we acquired an example amount of GDD required for strawberry blooming and harvest. To assess change in the plant growth cycle we used regional climate models (RCM) - Euro-CORDEX. RCM temperature data for both past and future periods was analyzed and bias correction was carried out. Then the GDD calculation methodology was applied on corrected temperature data and results showing change in strawberry growth cycle - bloom and harvest times - in Northern Europe were visualized.

The Portfolio Project: A Study of Assessment, Instruction, and Middle School Reform.

ERIC Educational Resources Information Center

Underwood, Terry

This book is a study, in research-based narrative form, of one middle school's implementation of a new portfolio assessment plan in response to statewide policy changes in California. The book highlights the interactions of state, district, and local forces as teachers work to implement a portfolio-assessment plan that collects student work and…

Analysis of spatio-temporal land cover changes for hydrological impact assessment within the Nyando River Basin of Kenya.

PubMed

Olang, Luke Omondi; Kundu, Peter; Bauer, Thomas; Fürst, Josef

2011-08-01

The spatio-temporal changes in the land cover states of the Nyando Basin were investigated for auxiliary hydrological impact assessment. The predominant land cover types whose conversions could influence the hydrological response of the region were selected. Six Landsat images for 1973, 1986, and 2000 were processed to discern the changes based on a methodology that employs a hybrid of supervised and unsupervised classification schemes. The accuracy of the classifications were assessed using reference datasets processed in a GIS with the help of ground-based information obtained through participatory mapping techniques. To assess the possible hydrological effect of the detected changes during storm events, a physically based lumped approach for infiltration loss estimation was employed within five selected sub-basins. The results obtained indicated that forests in the basin declined by 20% while agricultural fields expanded by 16% during the entire period of study. Apparent from the land cover conversion matrices was that the majority of the forest decline was a consequence of agricultural expansion. The model results revealed decreased infiltration amounts by between 6% and 15%. The headwater regions with the vast deforestation were noted to be more vulnerable to the land cover change effects. Despite the haphazard land use patterns and uncertainties related to poor data quality for environmental monitoring and assessment, the study exposed the vast degradation and hence the need for sustainable land use planning for enhanced catchment management purposes.

Does a regular Wessex Head Injury Matrix assessment identify early signs of infections in people with Prolonged Disorders of Consciousness?

PubMed

Dhamapurkar, Samira Kashinath; Wilson, Barbara A; Rose, Anita; Florschutz, Gerhard; Watson, Peter; Shiel, Agnes

2018-06-12

Patients with brain injury are at high risk for infections. Although infection and cognitive deterioration are established for people with dementia, this has not been shown for patients with a prolonged disorder of consciousness (PDOC). This study determines whether regular Wessex Head Injury Matrix (WHIM) assessments can identify early signs of infections in patients with PDOC. Retrospective and prospective approaches were used to assess the WHIM scores of patients with a PDOC (N = 21 in the retrospective study and 22 in the prospective study). The WHIM total scores decreased due to infections in 17 of the 21 cases of infection (p < 0.001) in the retrospective study and 15 (p = 0.001) of the 22 prospective cases of infection. Patients in a minimally conscious state (MCS) showed a bigger proportion of change between their baseline score and the scores taken in the pre-infection stage in both the retrospective and prospective studies when compared to patients in a vegetative state (VS). The findings suggest the importance of serial WHIM assessments throughout the period of recovery, not only to measure cognitive changes but also to highlight underlying physical changes such as infections that will impact the response to rehabilitation and recovery.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stone, Daithi A.; Hansen, Gerrit

Despite being a well-established research field, the detection and attribution of observed climate change to anthropogenic forcing is not yet provided as a climate service. One reason for this is the lack of a methodology for performing tailored detection and attribution assessments on a rapid time scale. Here we develop such an approach, based on the translation of quantitative analysis into the “confidence” language employed in recent Assessment Reports of the Intergovernmental Panel on Climate Change. While its systematic nature necessarily ignores some nuances examined in detailed expert assessments, the approach nevertheless goes beyond most detection and attribution studies inmore » considering contributors to building confidence such as errors in observational data products arising from sparse monitoring networks. When compared against recent expert assessments, the results of this approach closely match those of the existing assessments. Where there are small discrepancies, these variously reflect ambiguities in the details of what is being assessed, reveal nuances or limitations of the expert assessments, or indicate limitations of the accuracy of the sort of systematic approach employed here. Deployment of the method on 116 regional assessments of recent temperature and precipitation changes indicates that existing rules of thumb concerning the detectability of climate change ignore the full range of sources of uncertainty, most particularly the importance of adequate observational monitoring.« less

Multi-model approach to assess the impact of climate change on runoff

NASA Astrophysics Data System (ADS)

Dams, J.; Nossent, J.; Senbeta, T. B.; Willems, P.; Batelaan, O.

2015-10-01

The assessment of climate change impacts on hydrology is subject to uncertainties related to the climate change scenarios, stochastic uncertainties of the hydrological model and structural uncertainties of the hydrological model. This paper focuses on the contribution of structural uncertainty of hydrological models to the overall uncertainty of the climate change impact assessment. To quantify the structural uncertainty of hydrological models, four physically based hydrological models (SWAT, PRMS and a semi- and fully distributed version of the WetSpa model) are set up for a catchment in Belgium. Each model is calibrated using four different objective functions. Three climate change scenarios with a high, mean and low hydrological impact are statistically perturbed from a large ensemble of climate change scenarios and are used to force the hydrological models. This methodology allows assessing and comparing the uncertainty introduced by the climate change scenarios with the uncertainty introduced by the hydrological model structure. Results show that the hydrological model structure introduces a large uncertainty on both the average monthly discharge and the extreme peak and low flow predictions under the climate change scenarios. For the low impact climate change scenario, the uncertainty range of the mean monthly runoff is comparable to the range of these runoff values in the reference period. However, for the mean and high impact scenarios, this range is significantly larger. The uncertainty introduced by the climate change scenarios is larger than the uncertainty due to the hydrological model structure for the low and mean hydrological impact scenarios, but the reverse is true for the high impact climate change scenario. The mean and high impact scenarios project increasing peak discharges, while the low impact scenario projects increasing peak discharges only for peak events with return periods larger than 1.6 years. All models suggest for all scenarios a decrease of the lowest flows, except for the SWAT model with the mean hydrological impact climate change scenario. The results of this study indicate that besides the uncertainty introduced by the climate change scenarios also the hydrological model structure uncertainty should be taken into account in the assessment of climate change impacts on hydrology. To make it more straightforward and transparent to include model structural uncertainty in hydrological impact studies, there is a need for hydrological modelling tools that allow flexible structures and methods to validate model structures in their ability to assess impacts under unobserved future climatic conditions.

Response shift in quality of life assessment among cancer patients: A study from Iran

PubMed Central

Hosseini, Bayan; Nedjat, Saharnaz; Zendehdel, Kazem; Majdzadeh, Reza; Nourmohammadi, Azam; Montazer, Ali

2017-01-01

Background: During the course of disease, particularly of chronic diseases, changes in internal standards cause certain changes in the estimation of quality of life (QOL). These changes indicate the phenomenon of ‘response shift’. The present study aimed at assessing response shift in different scales of QOL in Iranian cancer patients. Methods: To assess response shift through the ‘then test’ approach, we asked 211 cancer patients to complete the EORTC QLQ-C30 questionnaire at pretest (at the beginning of the study), posttest (3 months later), and then test (administered immediately after the posttest). Paired t test and Cohen’s effect size were used for comparison. Results: Response shift was significant in all 4 scales under study, i.e. fatigue, pain, emotional functioning, and general QOL (p<0.001). Fatigue, pain, and global QOL have deteriorated significantly with then test approach and emotional function was significantly improved. Conclusion: We observed a response shift in Iranian cancer patients in our study. Thus, in light of the multifactorial nature of QOL and the effect of the response shift bias on different aspects of QOL changes, it is of utmost importance to keep this bias in mind when interpreting the results and managing cancer patients’ treatment regimens. PMID:29951421

Studies of Climate Change in the Yukon River Basin: Connecting Community and Science Through a Unique Partnership

USGS Publications Warehouse

Schuster, Paul F.; Maracle, Karonhiakta'tie Byran

2010-01-01

An exciting new partnership between the U.S. Geological Survey (USGS) and the Yukon River Inter-Tribal Watershed Council (YRITWC) is yielding critical data for the assessment of climate change effects in the Yukon River Basin. The foundation of this partnership is a shared interest in the current and future water quality of the Yukon River and its relation to climate. The USGS began a landmark study of the Yukon River and its major tributaries in 2000. A key objective of this study is to establish a baseline dataset of water quality, which will serve as an important frame of reference to assess future changes in the basin that may result from a warmer climate.

Reducing Anxiety and Increasing Self-Efficacy within an Advanced Graduate Psychology Statistics Course

ERIC Educational Resources Information Center

McGrath, April L.; Ferns, Alyssa; Greiner, Leigh; Wanamaker, Kayla; Brown, Shelley

2015-01-01

In this study we assessed the usefulness of a multifaceted teaching framework in an advanced statistics course. We sought to expand on past findings by using this framework to assess changes in anxiety and self-efficacy, and we collected focus group data to ascertain whether students attribute such changes to a multifaceted teaching approach.…

Standards-Based Assessment, Grading, and Reporting in Classrooms: Can District Training and Support Change Teacher Practice?

ERIC Educational Resources Information Center

McMunn, Nancy; Schenck, Patricia; McColskey, Wendy

Whether school district support and training in standards-based assessment, grading, and reporting in classrooms can change teacher practice in these areas was studied in a Florida school district. This district, Bay District Schools of Panama City, has been working with the SERVE Regional Educational Laboratory on a project that involves teachers…

Assessing Change in the Teaching Practice of Faculty in a Faculty Development Program for Primary Care Physicians: Toward a Mixed Method Evaluation Approach.

ERIC Educational Resources Information Center

Pinheiro, Sandro O.; Rohrer, Jonathan D.; Heimann, C. F. Larry

This paper describes a mixed method evaluation study that was developed to assess faculty teaching behavior change in a faculty development fellowship program for community-based hospital faculty. Principles of adult learning were taught to faculty participants over the fellowship period. These included instruction in teaching methods, group…

Social-Emotional Adjustment and Attachment in Children Adopted from China: Processes and Predictors of Change

ERIC Educational Resources Information Center

Cohen, Nancy J.; Farnia, Fataneh

2011-01-01

This study examined the processes and predictors of change in maternal ratings of internalizing and externalizing symptoms and attachment security in 70 infant girls adopted from China at a mean age of 13.5 months. These children's mental and language development were also directly assessed. The adopted children were assessed within the first…

Comparison and Evaluation of Global Scale Studies of Vulnerability and Risks to Climate Change

NASA Astrophysics Data System (ADS)

Muccione, Veruska; Allen, Simon K.; Huggel, Christian; Birkmann, Joern

2015-04-01

Understanding the present and future distribution of different climate change impacts and vulnerability to climate change is a central subject in the context of climate justice and international climate policy. Commonly, it is claimed that poor countries that contributed little to anthropogenic climate change are those most affected and most vulnerable to climate change. Such statements are backed by a number of global-scale vulnerability studies, which identified poor countries as most vulnerable. However, some studies have challenged this view, likewise highlighting the high vulnerability of richer countries. Overall, no consensus has been reached so far about which concept of vulnerability should be applied and what type of indicators should be considered. Furthermore, there is little agreement which specific countries are most vulnerable. This is a major concern in view of the need to inform international climate policy, all the more if such assessments should contribute to allocate climate adaptation funds as was invoked at some instances. We argue that next to the analysis of who is most vulnerable, it is also important to better understand and compare different vulnerability profiles assessed in present global studies. We perform a systematic literature review of global vulnerability assessments with the scope to highlight vulnerability distribution patterns. We then compare these distributions with global risk distributions in line with revised and adopted concepts by most recent IPCC reports. It emerges that improved differentiation of key drivers of risk and the understanding of different vulnerability profiles are important contributions, which can inform future adaptation policies at the regional and national level. This can change the perspective on, and basis for distributional issues in view of climate burden share, and therefore can have implications for UNFCCC financing instruments (e.g. Green Climate Fund). However, in order to better compare traditional vulnerability distributions with more recent conceptualisation of risks, more research should be devoted to global assessments of climate change risk distributions.

Assessment of pelvic floor muscle contraction with palpation, perineometry and transperineal ultrasound: a cross-sectional study.

PubMed

Volløyhaug, I; Mørkved, S; Salvesen, Ø; Salvesen, K Å

2016-06-01

To study the correlation between palpation, perineometry and transperineal ultrasound for assessment of pelvic floor muscle contraction and to define a contraction scale for ultrasound measurements. This was a cross-sectional study of 608 women examined with palpation of pelvic floor muscle contraction, using the Modified Oxford Scale, and measurement of the vaginal squeeze pressure with a vaginal balloon connected to a fiber-optic microtip transducer (perineometry). Transperineal ultrasound was used for measurements of levator hiatal area and anteroposterior (AP) diameter in the plane of minimal hiatal dimensions, at rest and on contraction. The pelvic floor muscle contraction was expressed as the percentage difference between values at rest and on contraction. Spearman's rank was used to test for correlation between the different methods of assessment. Significant correlations were found between all assessment methods (P < 0.001). Palpation correlated with perineometry (rs = 0.74) and with proportional change in hiatal area (rs = 0.67) and AP diameter (rs = 0.69) on ultrasound. Perineometry correlated with proportional change in hiatal area (rs = 0.60) and AP diameter (rs = 0.66) on ultrasound. We defined a contraction scale based on the proportional change in AP diameter. In this population, a change in AP diameter of < 7% corresponded to absence of contractions, 7-18% corresponded to weak contractions, 18-35% corresponded to normal contractions and > 35% corresponded to strong contractions. We found moderate to strong correlation between ultrasound measurements, palpation and perineometry for assessing pelvic floor muscle contraction. The proportional change in levator hiatal AP diameter was the ultrasound measurement with strongest correlation to palpation and perineometry and formed the basis for the contraction scale for ultrasound measurements. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.

The PULSE Vision & Change Rubrics, Version 1.0: A Valid and Equitable Tool to Measure Transformation of Life Sciences Departments at All Institution Types

PubMed Central

Brancaccio-Taras, Loretta; Pape-Lindstrom, Pamela; Peteroy-Kelly, Marcy; Aguirre, Karen; Awong-Taylor, Judy; Balser, Teri; Cahill, Michael J.; Frey, Regina F.; Jack, Thomas; Kelrick, Michael; Marley, Kate; Miller, Kathryn G.; Osgood, Marcy; Romano, Sandra; Uzman, J. Akif; Zhao, Jiuqing

2016-01-01

The PULSE Vision & Change Rubrics, version 1.0, assess life sciences departments’ progress toward implementation of the principles of the Vision and Change report. This paper reports on the development of the rubrics, their validation, and their reliability in measuring departmental change aligned with the Vision and Change recommendations. The rubrics assess 66 different criteria across five areas: Curriculum Alignment, Assessment, Faculty Practice/Faculty Support, Infrastructure, and Climate for Change. The results from this work demonstrate the rubrics can be used to evaluate departmental transformation equitably across institution types and represent baseline data about the adoption of the Vision and Change recommendations by life sciences programs across the United States. While all institution types have made progress, liberal arts institutions are farther along in implementing these recommendations. Generally, institutions earned the highest scores on the Curriculum Alignment rubric and the lowest scores on the Assessment rubric. The results of this study clearly indicate that the Vision & Change Rubrics, version 1.0, are valid and equitable and can track long-term progress of the transformation of life sciences departments. In addition, four of the five rubrics have broad applicability and can be used to evaluate departmental transformation by other science, technology, engineering, and mathematics disciplines. PMID:27856548

Using slides to test for changes in crown defoliation assessment methods. Part I: Visual assessment of slides.

PubMed

Dobbertin, Matthias; Hug, Christian; Mizoue, Nobuya

2004-11-01

In this study we used photographs of tree crowns to test whether the assessment methods for tree defoliation in Switzerland have changed over time. We randomly selected 24 series of slides of Norway spruce with field assessments made between 1986 and 1995. The slides were randomly arranged and assessed by three experts without prior knowledge of the year when the slide was taken or the tree number. Defoliation was assessed using the Swiss reference photo guide. Although the correlations between the field assessments and slide assessments were high (Spearman's rank correlation coefficient ranged between 0.79 and 0.83), we found significant differences between field and slide assessments (4.3 to 9% underprediction by the slide assessors) and between the slide assessments. However, no significant trends in field assessment methods could be detected. When the mean differences between field and slide assessments were subtracted, in some years, field assessors consistently underpredicted (1990, 1992) or overpredicted defoliation (1987, 1991). Defoliation tended to be overpredicted in slides taken against the light, and underpredicted for trees with more than 25% crown overlap. We conclude that slide series can be used to detect changes in assessment methods. However, potential observer bias calls for more objective methods of assessment.

Changes in eating pathology and associated symptoms among chronically ill adults attending a brief psychoeducational group.

PubMed

von Ranson, Kristin M; Stevenson, Andrea S; Cannon, Colleen K; Shah, Wendy

2010-08-01

Two quasi-experimental pilot studies examined eating pathology, eating self-efficacy, shame, guilt, and pride in adults with chronic illness before and after participating in brief cognitive-behavioral psychoeducational groups addressing eating concerns. In Study 1, 60 adults completed assessments before and after a series of two groups; in Study 2, 21 adults also completed an assessment five weeks prior to the first group to identify time-related changes in symptoms. Study 1 participants improved across domains, whereas Study 2 analyses also examining time-related changes showed improvements in eating self-efficacy, shame, guilt, and pride, but not in eating pathology. Psychoeducational groups may help improve symptoms including eating pathology, eating self-efficacy, shame, guilt, and pride among chronically-ill adults with eating concerns. 2009 Elsevier Ltd. All rights reserved.

One-to-one dietary interventions undertaken in a dental setting to change dietary behaviour.

PubMed

Harris, Rebecca; Gamboa, Ana; Dailey, Yvonne; Ashcroft, Angela

2012-03-14

The dental care setting is an appropriate place to deliver dietary assessment and advice as part of patient management. However, we do not know whether this is effective in changing dietary behaviour. To assess the effectiveness of one-to-one dietary interventions for all ages carried out in a dental care setting in changing dietary behaviour. The effectiveness of these interventions in the subsequent changing of oral and general health is also assessed. The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 24 January 2012), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 1), MEDLINE via OVID (1950 to 24 January 2012), EMBASE via OVID (1980 to 24 January 2012), CINAHL via EBSCO (1982 to 24 January 2012), PsycINFO via OVID (1967 to 24 January 2012), and Web of Science (1945 to 12 April 2011). We also undertook an electronic search of key conference proceedings (IADR and ORCA between 2000 and 13 July 2011). Reference lists of relevant articles, thesis publications (Dissertations Abstracts Online 1861 to 2011) were searched. The authors of eligible trials were contacted to identify any unpublished work. Randomised controlled trials assessing the effectiveness of one-to-one dietary interventions delivered in a dental care setting. Abstract screening, eligibility screening and data extraction decisions were all carried out independently and in duplicate by two review authors. Consensus between the two opinions was achieved by discussion, or involvement of a third review author. Five studies met the criteria for inclusion in the review. Two of these were multi-intervention studies where the dietary intervention was one component of a wider programme of prevention, but where data on dietary behaviour change were reported. One of the single intervention studies was concerned with dental caries prevention. The other two concerned general health outcomes. There were no studies concerned with dietary change aimed at preventing tooth erosion. In four out of the five included studies a significant change in dietary behaviour was found for at least one of the primary outcome variables. There is some evidence that one-to-one dietary interventions in the dental setting can change behaviour, although the evidence is greater for interventions aiming to change fruit/vegetable and alcohol consumption than for those aiming to change dietary sugar consumption. There is a need for more studies, particularly in the dental practice setting, as well as greater methodological rigour in the design, statistical analysis and reporting of such studies.

BASINS and WEPP Climate Assessment Tools (CAT): Case ...

EPA Pesticide Factsheets

This draft report supports application of two recently developed water modeling tools, the BASINS and WEPP climate assessment tools. The report presents a series of short case studies designed to illustrate the capabilities of these tools for conducting scenario based assessments of the potential future effects of climate change on water resources. This report presents a series of short, illustrative case studies using the BASINS and WEPP climate assessment tools.

Can research assessments themselves cause bias in behaviour change trials? A systematic review of evidence from solomon 4-group studies.

PubMed

McCambridge, Jim; Butor-Bhavsar, Kaanan; Witton, John; Elbourne, Diana

2011-01-01

The possible effects of research assessments on participant behaviour have attracted research interest, especially in studies with behavioural interventions and/or outcomes. Assessments may introduce bias in randomised controlled trials by altering receptivity to intervention in experimental groups and differentially impacting on the behaviour of control groups. In a Solomon 4-group design, participants are randomly allocated to one of four arms: (1) assessed experimental group; (2) unassessed experimental group (3) assessed control group; or (4) unassessed control group. This design provides a test of the internal validity of effect sizes obtained in conventional two-group trials by controlling for the effects of baseline assessment, and assessing interactions between the intervention and baseline assessment. The aim of this systematic review is to evaluate evidence from Solomon 4-group studies with behavioural outcomes that baseline research assessments themselves can introduce bias into trials. Electronic databases were searched, supplemented by citation searching. Studies were eligible if they reported appropriately analysed results in peer-reviewed journals and used Solomon 4-group designs in non-laboratory settings with behavioural outcome measures and sample sizes of 20 per group or greater. Ten studies from a range of applied areas were included. There was inconsistent evidence of main effects of assessment, sparse evidence of interactions with behavioural interventions, and a lack of convincing data in relation to the research question for this review. There were too few high quality completed studies to infer conclusively that biases stemming from baseline research assessments do or do not exist. There is, therefore a need for new rigorous Solomon 4-group studies that are purposively designed to evaluate the potential for research assessments to cause bias in behaviour change trials.

Implications of global climate change for the assessment and management of human health risks of chemicals in the natural environment.

PubMed

Balbus, John M; Boxall, Alistair B A; Fenske, Richard A; McKone, Thomas E; Zeise, Lauren

2013-01-01

Global climate change (GCC) is likely to alter the degree of human exposure to pollutants and the response of human populations to these exposures, meaning that risks of pollutants could change in the future. The present study, therefore, explores how GCC might affect the different steps in the pathway from a chemical source in the environment through to impacts on human health and evaluates the implications for existing risk-assessment and management practices. In certain parts of the world, GCC is predicted to increase the level of exposure of many environmental pollutants due to direct and indirect effects on the use patterns and transport and fate of chemicals. Changes in human behavior will also affect how humans come into contact with contaminated air, water, and food. Dietary changes, psychosocial stress, and coexposure to stressors such as high temperatures are likely to increase the vulnerability of humans to chemicals. These changes are likely to have significant implications for current practices for chemical assessment. Assumptions used in current exposure-assessment models may no longer apply, and existing monitoring methods may not be robust enough to detect adverse episodic changes in exposures. Organizations responsible for the assessment and management of health risks of chemicals therefore need to be more proactive and consider the implications of GCC for their procedures and processes. Copyright © 2012 SETAC.

Climate Change Ignorance: An Unacceptable Legacy

ERIC Educational Resources Information Center

Boon, Helen J.

2015-01-01

Climate change effects will be most acutely felt by future generations. Recent prior research has shown that school students' knowledge of climate change science is very limited in rural Australia. The purpose of this study was to assess the capacity of preservice teachers and parents to transmit climate change information and understanding to…

Assessing Information Literacy Skills Development in First Year Students: A Multi-Year Study

ERIC Educational Resources Information Center

Fain, Margaret

2011-01-01

Assessment data from 5 years of a pretest/posttest with first-year students was analyzed using McNemar's test. The results show that revisiting previous assessment data can identify significant changes in information literacy skill development.

Retesting personality in employee selection: implications of the context, sample, and setting.

PubMed

Holladay, Courtney L; David, Emily; Johnson, Stefanie K

2013-04-01

The present study sought to assess when and how actual job applicants change their responses when filling out an unproctored personality selection assessment for a second time. It was predicted feedback would be a key contextual motivator associated with how much applicants change their answers during the second administration. Mediation results showed that individuals receiving feedback that showed a low score on the personality assessment was the reason they did not get the job were more likely to employ faking response strategies in the second testing session, predicting the highest change in scores between the first and second testing sessions. Individuals receiving no feedback and those not experimentally motivated to fake (i.e., a comparison group of students) showed less change in responses across administrations.

Specialty Training’s Organizational Readiness for curriculum Change (STORC): validation of a questionnaire

PubMed Central

Jippes, Mariëlle; Leppink, Jimmie; Scherpbier, Albert JJA; den Rooyen, Corry; van Luijk, Scheltus J; Scheele, Fedde

2018-01-01

Background The field of postgraduate medical education (PGME) is continuously evolving as a result of social demands and advancing educational insights. Change experts contend that organizational readiness for change (ORC) is a critical precursor for successful implementation of change initiatives. However, in PGME, assessing change readiness is rarely considered while it could be of great value for managing educational change such as curriculum change. Therefore, in a previous Delphi study the authors developed an instrument for assessing ORC in PGME: Specialty Training’s Organizational Readiness for curriculum Change (STORC). In this study, the psychometric properties of this questionnaire were further explored. Methods In 2015, STORC was distributed among clinical teaching teams in the Netherlands. The authors conducted a confirmatory factor analysis on the internal factor structure of STORC. The reliability of the measurements was estimated by calculating Cronbach’s alpha for all sub-scales. Additionally, a behavioral support-for-change measure was distributed as well to assess correlations with change-related behavior. Results In total, the STORC questionnaire was completed by 856 clinical teaching team members from 39 specialties. Factor analysis led to the removal of 1 item but supported the expected factor structure with very good fit for the other 43 items. Supportive behavior was positively correlated to a higher level of ORC. Discussion In this study, additional steps to collect validity evidence for the STORC questionnaire were taken successfully. The final subscales of STORC represent the core components of ORC in the literature. By breaking down this concept into multiple measurable aspects, STORC could help to enable educational leaders to diagnose possible hurdles in implementation processes and to perform specifically targeted interventions when needed. PMID:29430202

Specialty Training's Organizational Readiness for curriculum Change (STORC): validation of a questionnaire.

PubMed

Bank, Lindsay; Jippes, Mariëlle; Leppink, Jimmie; Scherpbier, Albert Jja; den Rooyen, Corry; van Luijk, Scheltus J; Scheele, Fedde

2018-01-01

The field of postgraduate medical education (PGME) is continuously evolving as a result of social demands and advancing educational insights. Change experts contend that organizational readiness for change (ORC) is a critical precursor for successful implementation of change initiatives. However, in PGME, assessing change readiness is rarely considered while it could be of great value for managing educational change such as curriculum change. Therefore, in a previous Delphi study the authors developed an instrument for assessing ORC in PGME: Specialty Training's Organizational Readiness for curriculum Change (STORC). In this study, the psychometric properties of this questionnaire were further explored. In 2015, STORC was distributed among clinical teaching teams in the Netherlands. The authors conducted a confirmatory factor analysis on the internal factor structure of STORC. The reliability of the measurements was estimated by calculating Cronbach's alpha for all sub-scales. Additionally, a behavioral support-for-change measure was distributed as well to assess correlations with change-related behavior. In total, the STORC questionnaire was completed by 856 clinical teaching team members from 39 specialties. Factor analysis led to the removal of 1 item but supported the expected factor structure with very good fit for the other 43 items. Supportive behavior was positively correlated to a higher level of ORC. In this study, additional steps to collect validity evidence for the STORC questionnaire were taken successfully. The final subscales of STORC represent the core components of ORC in the literature. By breaking down this concept into multiple measurable aspects, STORC could help to enable educational leaders to diagnose possible hurdles in implementation processes and to perform specifically targeted interventions when needed.

The Localized Scleroderma Cutaneous Assessment Tool: responsiveness to change in a pediatric clinical population.

PubMed

Kelsey, Christina E; Torok, Kathryn S

2013-08-01

Lack of agreement on how to accurately capture disease outcomes in localized scleroderma (LS) has hindered the development of efficacious treatment protocols. The LS Cutaneous Assessment Tool (LoSCAT), consisting of the modified LS Skin Severity Index (mLoSSI) and the LS Damage Index, has potential for use in clinical trials. The goal of this article is to further evaluate the clinical responsiveness of the LoSCAT. Based on the modifiable nature of disease activity versus damage, we expected the mLoSSI to be responsive to change. At 2 study visits, a physician completed the LoSCAT and Physician Global Assessment (PGA) of Disease Activity and of Disease Damage for 29 patients with LS. Spearman correlations were used to examine the relationships between the change in the LoSCAT and the PGA scores. To evaluate contrasted group validity, patients were grouped according to disease activity classification and change scores of groups were compared. Minimal clinically important differences were calculated and compared with the standard error of measurement. Change in the mLoSSI score correlated strongly with change in the PGA of Disease Activity score, whereas change in the LS Damage Index score correlated weakly with change in the PGA of Disease Damage score. The mLoSSI and PGA of Disease Activity exhibited contrasted group validity. Minimal clinically important differences for the activity measures were greater than the respective standard errors of measurement. Only 2 study visits were included in analysis. This study gives further evidence that the LoSCAT, specifically the mLoSSI, is a responsive, valid measure of activity in LS and should be used in future treatment studies. Copyright © 2013 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

Can Mobile Phone Apps Influence People's Health Behavior Change? An Evidence Review.

PubMed

Zhao, Jing; Freeman, Becky; Li, Mu

2016-10-31

Globally, mobile phones have achieved wide reach at an unprecedented rate, and mobile phone apps have become increasingly prevalent among users. The number of health-related apps that were published on the two leading platforms (iOS and Android) reached more than 100,000 in 2014. However, there is a lack of synthesized evidence regarding the effectiveness of mobile phone apps in changing people's health-related behaviors. The aim was to examine the effectiveness of mobile phone apps in achieving health-related behavior change in a broader range of interventions and the quality of the reported studies. We conducted a comprehensive bibliographic search of articles on health behavior change using mobile phone apps in peer-reviewed journals published between January 1, 2010 and June 1, 2015. Databases searched included Medline, PreMedline, PsycINFO, Embase, Health Technology Assessment, Education Resource Information Center (ERIC), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Articles published in the Journal of Medical Internet Research during that same period were hand-searched on the journal's website. Behavior change mechanisms were coded and analyzed. The quality of each included study was assessed by the Cochrane Risk of Bias Assessment Tool. A total of 23 articles met the inclusion criteria, arranged under 11 themes according to their target behaviors. All studies were conducted in high-income countries. Of these, 17 studies reported statistically significant effects in the direction of targeted behavior change; 19 studies included in this analysis had a 65% or greater retention rate in the intervention group (range 60%-100%); 6 studies reported using behavior change theories with the theory of planned behavior being the most commonly used (in 3 studies). Self-monitoring was the most common behavior change technique applied (in 12 studies). The studies suggest that some features improve the effectiveness of apps, such as less time consumption, user-friendly design, real-time feedback, individualized elements, detailed information, and health professional involvement. All studies were assessed as having some risk of bias. Our results provide a snapshot of the current evidence of effectiveness for a range of health-related apps. Large sample, high-quality, adequately powered, randomized controlled trials are required. In light of the bias evident in the included studies, better reporting of health-related app interventions is also required. The widespread adoption of mobile phones highlights a significant opportunity to impact health behaviors globally, particularly in low- and middle-income countries. ©Jing Zhao, Becky Freeman, Mu Li. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 31.10.2016.

Can Mobile Phone Apps Influence People’s Health Behavior Change? An Evidence Review

PubMed Central

Freeman, Becky; Li, Mu

2016-01-01

Background Globally, mobile phones have achieved wide reach at an unprecedented rate, and mobile phone apps have become increasingly prevalent among users. The number of health-related apps that were published on the two leading platforms (iOS and Android) reached more than 100,000 in 2014. However, there is a lack of synthesized evidence regarding the effectiveness of mobile phone apps in changing people’s health-related behaviors. Objective The aim was to examine the effectiveness of mobile phone apps in achieving health-related behavior change in a broader range of interventions and the quality of the reported studies. Methods We conducted a comprehensive bibliographic search of articles on health behavior change using mobile phone apps in peer-reviewed journals published between January 1, 2010 and June 1, 2015. Databases searched included Medline, PreMedline, PsycINFO, Embase, Health Technology Assessment, Education Resource Information Center (ERIC), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Articles published in the Journal of Medical Internet Research during that same period were hand-searched on the journal’s website. Behavior change mechanisms were coded and analyzed. The quality of each included study was assessed by the Cochrane Risk of Bias Assessment Tool. Results A total of 23 articles met the inclusion criteria, arranged under 11 themes according to their target behaviors. All studies were conducted in high-income countries. Of these, 17 studies reported statistically significant effects in the direction of targeted behavior change; 19 studies included in this analysis had a 65% or greater retention rate in the intervention group (range 60%-100%); 6 studies reported using behavior change theories with the theory of planned behavior being the most commonly used (in 3 studies). Self-monitoring was the most common behavior change technique applied (in 12 studies). The studies suggest that some features improve the effectiveness of apps, such as less time consumption, user-friendly design, real-time feedback, individualized elements, detailed information, and health professional involvement. All studies were assessed as having some risk of bias. Conclusions Our results provide a snapshot of the current evidence of effectiveness for a range of health-related apps. Large sample, high-quality, adequately powered, randomized controlled trials are required. In light of the bias evident in the included studies, better reporting of health-related app interventions is also required. The widespread adoption of mobile phones highlights a significant opportunity to impact health behaviors globally, particularly in low- and middle-income countries. PMID:27806926

Means and extremes: building variability into community-level climate change experiments.

PubMed

Thompson, Ross M; Beardall, John; Beringer, Jason; Grace, Mike; Sardina, Paula

2013-06-01

Experimental studies assessing climatic effects on ecological communities have typically applied static warming treatments. Although these studies have been informative, they have usually failed to incorporate either current or predicted future, patterns of variability. Future climates are likely to include extreme events which have greater impacts on ecological systems than changes in means alone. Here, we review the studies which have used experiments to assess impacts of temperature on marine, freshwater and terrestrial communities, and classify them into a set of 'generations' based on how they incorporate variability. The majority of studies have failed to incorporate extreme events. In terrestrial ecosystems in particular, experimental treatments have reduced temperature variability, when most climate models predict increased variability. Marine studies have tended to not concentrate on changes in variability, likely in part because the thermal mass of oceans will moderate variation. In freshwaters, climate change experiments have a much shorter history than in the other ecosystems, and have tended to take a relatively simple approach. We propose a new 'generation' of climate change experiments using down-scaled climate models which incorporate predicted changes in climatic variability, and describe a process for generating data which can be applied as experimental climate change treatments. © 2013 John Wiley & Sons Ltd/CNRS.

Alabama Allied Health Needs Assessment Study.

ERIC Educational Resources Information Center

Morris, Libby V.

This study assessed the supply of and demand for allied health professionals in Alabama, focusing on the relationship between supply and demand in various workplace settings in the context of Alabama's demographics, current educational programs, and projected changes in health care. The health care professions included in the study were all fields…

Psychometric viability of measures of functional performance commonly used for people with dementia: a systematic review of measurement properties.

PubMed

Fox, Benjamin; Henwood, Timothy; Keogh, Justin; Neville, Christine

2016-08-01

Confidence in findings can only be drawn from measurement tools that have sound psychometric properties for the population with which they are used. Within a dementia specific population, measures of physical function have been poorly justified in exercise intervention studies, with justification of measures based on validity or reliability studies from dissimilar clinical populations, such as people with bronchitis or healthy older adults without dementia. To review the reliability and validity of quantitative measures of pre-identified physical function, as commonly used within exercise intervention literature for adults with dementia. Participants were adults, aged 65 years and older, with a confirmed medical diagnosis of dementia. n/a Desired studies were observational and cross-sectional and that assessed measures from a pre-identified list of measures of physical function. Studies that assessed the psychometric constructs of reliability and validity were targeted. COSMIN taxology was used to define reliability and validity. This included, but were not limited to, Intra-Class Correlations, Kappa, Cronbach's Alpha, Chi Squared, Standard Error of Measurement, Minimal Detectable Change and Limits of Agreement. Published material was sourced from the following four databases: MEDLINE, EMBASE, CINAHL and ISI Web of Science. Grey literature was searched for using ALOIS, Google Scholar and ProQuest. The COSMIN checklist was used to assess methodological quality of included studies. Assessment was completed by two reviewers independently. Reliability and validity data was extracted from included studies using standardized Joanna Briggs Institute data collection forms. Extraction was completed by two reviewers. A narrative synthesis of measurement properties of the tools used to measure physical function was performed. Quantitative meta-analysis was conducted for Intra-Class Correlation Coefficients only. With respect to relative reliability, studies reporting assessed measures had intraclass correlation coefficients greater than 0.71, indicating their suitability for use at a group level. However, a consistent finding among studies that included assessment of absolute reliability was that intra individual variation was too large for meaningful measurement of individuals. This was indicated by large Minimal Detectable Change (MDC) scores. Walk Speed has the smallest reported Mimimal Detectable Change score at 0.11m/s. This represented a change of 35% before statistical variation could be eliminated as the cause for this change. All measures had large MDC values. Walk Speed had the smallest MDC values at 0.11m/s, which represented a necessary change of 35%. Only a limited number of studies assessed the validity of measures. This supports the use of these measures in a very narrow selection of circumstances (see Summary of Findings). In summary, measures have shown appropriate levels of relative reliability. This supports their use at the group level. However, large levels of intra-individual variation undermine their applicability at the individual level. Limited studies of validity were available to this review, which limits a conclusion on whether measures are valid for people with dementia.

Assessing the observed impact of anthropogenic climate change

DOE PAGES

Hansen, Gerrit; Stone, Dáithí

2015-12-21

Impacts of recent regional changes in climate on natural and human systems are documented across the globe, yet studies explicitly linking these observations to anthropogenic forcing of the climate are scarce. Here in this work, we provide a systematic assessment of the role of anthropogenic climate change for the range of impacts of regional climate trends reported in the IPCC’s Fifth Assessment Report. We find that almost two-thirds of the impacts related to atmospheric and ocean temperature can be confidently attributed to anthropogenic forcing. In contrast, evidence connecting changes in precipitation and their respective impacts to human influence is stillmore » weak. Moreover, anthropogenic climate change has been a major influence for approximately three-quarters of the impacts observed on continental scales. Finally, hence the effects of anthropogenic emissions can now be discerned not only globally, but also at more regional and local scales for a variety of natural and human systems.« less

The importance of hydrological uncertainty assessment methods in climate change impact studies

NASA Astrophysics Data System (ADS)

Honti, M.; Scheidegger, A.; Stamm, C.

2014-08-01

Climate change impact assessments have become more and more popular in hydrology since the middle 1980s with a recent boost after the publication of the IPCC AR4 report. From hundreds of impact studies a quasi-standard methodology has emerged, to a large extent shaped by the growing public demand for predicting how water resources management or flood protection should change in the coming decades. The "standard" workflow relies on a model cascade from global circulation model (GCM) predictions for selected IPCC scenarios to future catchment hydrology. Uncertainty is present at each level and propagates through the model cascade. There is an emerging consensus between many studies on the relative importance of the different uncertainty sources. The prevailing perception is that GCM uncertainty dominates hydrological impact studies. Our hypothesis was that the relative importance of climatic and hydrologic uncertainty is (among other factors) heavily influenced by the uncertainty assessment method. To test this we carried out a climate change impact assessment and estimated the relative importance of the uncertainty sources. The study was performed on two small catchments in the Swiss Plateau with a lumped conceptual rainfall runoff model. In the climatic part we applied the standard ensemble approach to quantify uncertainty but in hydrology we used formal Bayesian uncertainty assessment with two different likelihood functions. One was a time series error model that was able to deal with the complicated statistical properties of hydrological model residuals. The second was an approximate likelihood function for the flow quantiles. The results showed that the expected climatic impact on flow quantiles was small compared to prediction uncertainty. The choice of uncertainty assessment method actually determined what sources of uncertainty could be identified at all. This demonstrated that one could arrive at rather different conclusions about the causes behind predictive uncertainty for the same hydrological model and calibration data when considering different objective functions for calibration.

Development and Demonstration of an Aerial Imagery Assessment Method to Monitor Changes in Restored Stream Condition

NASA Astrophysics Data System (ADS)

Fong, L. S.; Ambrose, R. F.

2017-12-01

Remote sensing is an excellent way to assess the changing condition of streams and wetlands. Several studies have measured large-scale changes in riparian condition indicators, but few have remotely applied multi-metric assessments on a finer scale to measure changes, such as those caused by restoration, in the condition of small riparian areas. We developed an aerial imagery assessment method (AIAM) that combines landscape, hydrology, and vegetation observations into one index describing overall ecological condition of non-confined streams. Verification of AIAM demonstrated that sites in good condition (as assessed on-site by the California Rapid Assessment Method) received high AIAM scores. (AIAM was not verified with poor condition sites.) Spearman rank correlation tests comparing AIAM and the field-based California Rapid Assessment Method (CRAM) results revealed that some components of the two methods were highly correlated. The application of AIAM is illustrated with time-series restoration trajectories of three southern California stream restoration projects aged 15 to 21 years. The trajectories indicate that the projects improved in condition in years following their restoration, with vegetation showing the most dynamic change over time. AIAM restoration trajectories also overlapped to different degrees with CRAM chronosequence restoration performance curves that demonstrate the hypothetical development of high-performing projects. AIAM has high potential as a remote ecological assessment method and effective tool to determine restoration trajectories. Ultimately, this tool could be used to further improve stream and wetland restoration management.

Assessing response of sediment load variation to climate change and human activities with six different approaches.

PubMed

Zhao, Guangju; Mu, Xingmin; Jiao, Juying; Gao, Peng; Sun, Wenyi; Li, Erhui; Wei, Yanhong; Huang, Jiacong

2018-05-23

Understanding the relative contributions of climate change and human activities to variations in sediment load is of great importance for regional soil, and river basin management. Considerable studies have investigated spatial-temporal variation of sediment load within the Loess Plateau; however, contradictory findings exist among methods used. This study systematically reviewed six quantitative methods: simple linear regression, double mass curve, sediment identity factor analysis, dam-sedimentation based method, the Sediment Delivery Distributed (SEDD) model, and the Soil Water Assessment Tool (SWAT) model. The calculation procedures and merits for each method were systematically explained. A case study in the Huangfuchuan watershed on the northern Loess Plateau has been undertaken. The results showed that sediment load had been reduced by 70.5% during the changing period from 1990 to 2012 compared to that of the baseline period from 1955 to 1989. Human activities accounted for an average of 93.6 ± 4.1% of the total decline in sediment load, whereas climate change contributed 6.4 ± 4.1%. Five methods produced similar estimates, but the linear regression yielded relatively different results. The results of this study provide a good reference for assessing the effects of climate change and human activities on sediment load variation by using different methods. Copyright © 2018. Published by Elsevier B.V.

Informing Estimates of Program Effects for Studies of Mathematics Professional Development Using Teacher Content Knowledge Outcomes.

PubMed

Phelps, Geoffrey; Kelcey, Benjamin; Jones, Nathan; Liu, Shuangshuang

2016-10-03

Mathematics professional development is widely offered, typically with the goal of improving teachers' content knowledge, the quality of teaching, and ultimately students' achievement. Recently, new assessments focused on mathematical knowledge for teaching (MKT) have been developed to assist in the evaluation and improvement of mathematics professional development. This study presents empirical estimates of average program change in MKT and its variation with the goal of supporting the design of experimental trials that are adequately powered to detect a specified program effect. The study drew on a large database representing five different assessments of MKT and collectively 326 professional development programs and 9,365 teachers. Results from cross-classified hierarchical growth models found that standardized average change estimates across the five assessments ranged from a low of 0.16 standard deviations (SDs) to a high of 0.26 SDs. Power analyses using the estimated pre- and posttest change estimates indicated that hundreds of teachers are needed to detect changes in knowledge at the lower end of the distribution. Even studies powered to detect effects at the higher end of the distribution will require substantial resources to conduct rigorous experimental trials. Empirical benchmarks that describe average program change and its variation provide a useful preliminary resource for interpreting the relative magnitude of effect sizes associated with professional development programs and for designing adequately powered trials. © The Author(s) 2016.

The Four-Day Workweek: An Assessment of Its Effects on Leisure Participation.

ERIC Educational Resources Information Center

Conner, Karen A.; Bultena, Gordon L.

A research study examined change in the quantity of leisure participation attributable to conversion from a five to a four-day workweek. Change in quantity was defined as (1) frequency change or change in the amount of time devoted to leisure, (2) activity change or change in the number of different leisure activities pursued, and (3) perceptual…

Intention stability assessed using residual change scores moderates the intention-behaviour association: a prospective cohort study.

PubMed

Rowan, Alicia A; McDermott, Máirtín S; Allen, Mark S

2017-12-01

Intention stability is considered to be one of the key pre-requisites for a strong association between intention and behaviour. It has been claimed, however, that studies examining the moderating impact of intention stability may be invalid, as they have relied on statistically inferior methods. Residual change scores have been suggested as a more appropriate method of measuring change (or lack thereof) in constructs. The aim of the current study, therefore, is to test whether intention stability, calculated using residual change scores, moderates the intention-physical activity behaviour association. A total of 163 participants (124 women, 39 men) completed questionnaires online at three time points separated by 14 day intervals. The moderating impact of intention stability was assessed using multiple linear regression followed up using simple slope analyses to identify the direction of any effect. The interaction of intention and intention stability was found to significantly improve the overall model fit. Intentions had a stronger positive association with behaviour when intentions were more stable than when they were more unstable. However, sensitivity analyses revealed that the association was not robust and reduced to non-significant with the removal of potential multivariate outliers. Future research should use residual change scores as the preferred method of assessing intention stability.

Promoting Physical Therapists' Instructional Expertise and Teacher Efficacy

ERIC Educational Resources Information Center

Behar-Horenstein, Linda S.; Hudson-Vassell, Charisee; Roberts, Kellie W.; Zafar, Mueen A.

2013-01-01

Most studies in faculty development focus on assessing participant satisfaction rather than documenting change. The purpose of this study was to explore the possible short-term outcomes of a faculty development initiative. The research question that guided our study was: How does a faculty development seminar influence change in participants'…

Physical Activity Related to Depression and Predicted Mortality Risk: Results from the Americans' Changing Lives Study

ERIC Educational Resources Information Center

Lee, Pai-Lin; Lan, William; Lee, Charles C.-L.

2012-01-01

This study examined the association between three types of physical activities (PA) and depression, and the relationship between PA and later mortality. Previous studies rarely assessed these associations in one single study in randomly selected population samples. Few studies have assessed these relations by adjusting the covariate of…

Commitment to Change and Challenges to Implementing Changes After Workplace-Based Assessment Rater Training.

PubMed

Kogan, Jennifer R; Conforti, Lisa N; Yamazaki, Kenji; Iobst, William; Holmboe, Eric S

2017-03-01

Faculty development for clinical faculty who assess trainees is necessary to improve assessment quality and impor tant for competency-based education. Little is known about what faculty plan to do differently after training. This study explored the changes faculty intended to make after workplace-based assessment rater training, their ability to implement change, predictors of change, and barriers encountered. In 2012, 45 outpatient internal medicine faculty preceptors (who supervised residents) from 26 institutions participated in rater training. They completed a commitment to change form listing up to five commitments and ranked (on a 1-5 scale) their motivation for and anticipated difficulty implementing each change. Three months later, participants were interviewed about their ability to implement change and barriers encountered. The authors used logistic regression to examine predictors of change. Of 191 total commitments, the most common commitments focused on what faculty would change about their own teaching (57%) and increasing direct observation (31%). Of the 183 commitments for which follow-up data were available, 39% were fully implemented, 40% were partially implemented, and 20% were not implemented. Lack of time/competing priorities was the most commonly cited barrier. Higher initial motivation (odds ratio [OR] 2.02; 95% confidence interval [CI] 1.14, 3.57) predicted change. As anticipated difficulty increased, implementation became less likely (OR 0.67; 95% CI 0.49, 0.93). While higher baseline motivation predicted change, multiple system-level barriers undermined ability to implement change. Rater-training faculty development programs should address how faculty motivation and organizational barriers interact and influence ability to change.

Interpreting landscape change: measured biophysical change and surrounding social context

Treesearch

Mimi M. Wagner; Paul H. Gobster

2007-01-01

Although research assessing both biophysical landscape conditions and social perceptions provide critical data on change, these methods are seldom integrated. In this study, we examined landscape change in the Central Iowa region by pairing quantitative data on changes to natural areas, streams, and housing density over the past 60 years with a qualitative social...

Global food security under climate change

PubMed Central

Schmidhuber, Josef; Tubiello, Francesco N.

2007-01-01

This article reviews the potential impacts of climate change on food security. It is found that of the four main elements of food security, i.e., availability, stability, utilization, and access, only the first is routinely addressed in simulation studies. To this end, published results indicate that the impacts of climate change are significant, however, with a wide projected range (between 5 million and 170 million additional people at risk of hunger by 2080) strongly depending on assumed socio-economic development. The likely impacts of climate change on the other important dimensions of food security are discussed qualitatively, indicating the potential for further negative impacts beyond those currently assessed with models. Finally, strengths and weaknesses of current assessment studies are discussed, suggesting improvements and proposing avenues for new analyses. PMID:18077404

Hotspots of uncertainty in land-use and land-cover change projections: A global-scale model comparison

DOE PAGES

Prestele, Reinhard; Alexander, Peter; Rounsevell, Mark D. A.; ...

2016-05-02

Model-based global projections of future land use and land cover (LULC) change are frequently used in environmental assessments to study the impact of LULC change on environmental services and to provide decision support for policy. These projections are characterized by a high uncertainty in terms of quantity and allocation of projected changes, which can severely impact the results of environmental assessments. In this study, we identify hotspots of uncertainty, based on 43 simulations from 11 global-scale LULC change models representing a wide range of assumptions of future biophysical and socio-economic conditions. We attribute components of uncertainty to input data, modelmore » structure, scenario storyline and a residual term, based on a regression analysis and analysis of variance. From this diverse set of models and scenarios we find that the uncertainty varies, depending on the region and the LULC type under consideration. Hotspots of uncertainty appear mainly at the edges of globally important biomes (e.g. boreal and tropical forests). Our results indicate that an important source of uncertainty in forest and pasture areas originates from different input data applied in the models. Cropland, in contrast, is more consistent among the starting conditions, while variation in the projections gradually increases over time due to diverse scenario assumptions and different modeling approaches. Comparisons at the grid cell level indicate that disagreement is mainly related to LULC type definitions and the individual model allocation schemes. We conclude that improving the quality and consistency of observational data utilized in the modeling process as well as improving the allocation mechanisms of LULC change models remain important challenges. Furthermore, current LULC representation in environmental assessments might miss the uncertainty arising from the diversity of LULC change modeling approaches and many studies ignore the uncertainty in LULC projections in assessments of LULC change impacts on climate, water resources or biodiversity.« less

Hotspots of uncertainty in land-use and land-cover change projections: A global-scale model comparison

DOE Office of Scientific and Technical Information (OSTI.GOV)

Prestele, Reinhard; Alexander, Peter; Rounsevell, Mark D. A.

Model-based global projections of future land use and land cover (LULC) change are frequently used in environmental assessments to study the impact of LULC change on environmental services and to provide decision support for policy. These projections are characterized by a high uncertainty in terms of quantity and allocation of projected changes, which can severely impact the results of environmental assessments. In this study, we identify hotspots of uncertainty, based on 43 simulations from 11 global-scale LULC change models representing a wide range of assumptions of future biophysical and socio-economic conditions. We attribute components of uncertainty to input data, modelmore » structure, scenario storyline and a residual term, based on a regression analysis and analysis of variance. From this diverse set of models and scenarios we find that the uncertainty varies, depending on the region and the LULC type under consideration. Hotspots of uncertainty appear mainly at the edges of globally important biomes (e.g. boreal and tropical forests). Our results indicate that an important source of uncertainty in forest and pasture areas originates from different input data applied in the models. Cropland, in contrast, is more consistent among the starting conditions, while variation in the projections gradually increases over time due to diverse scenario assumptions and different modeling approaches. Comparisons at the grid cell level indicate that disagreement is mainly related to LULC type definitions and the individual model allocation schemes. We conclude that improving the quality and consistency of observational data utilized in the modeling process as well as improving the allocation mechanisms of LULC change models remain important challenges. Furthermore, current LULC representation in environmental assessments might miss the uncertainty arising from the diversity of LULC change modeling approaches and many studies ignore the uncertainty in LULC projections in assessments of LULC change impacts on climate, water resources or biodiversity.« less

Severity of Acute Illness is Associated with Baseline Readiness to Change in Medical Intensive Care Unit Patients with Unhealthy Alcohol Use

PubMed Central

Clark, Brendan J.; Smart, Alexandra; House, Robert; Douglas, Ivor; Burnham, Ellen L.; Moss, Marc

2011-01-01

Introduction Unhealthy alcohol use predisposes to multiple conditions that frequently result in critical illness and is present in up to one-third of patients admitted to a medical intensive care unit (ICU). We sought to determine the baseline readiness to change in medical ICU patients with unhealthy alcohol use and hypothesized that the severity of acute illness would be independently associated with higher scores on readiness to change scales. We further sought to determine whether this effect is modified by the severity of unhealthy alcohol use. Materials and Methods We performed a cross-sectional observational study of current regular drinkers in three medical ICUs. The Alcohol Use Disorders Identification Test was used to differentiate low risk and unhealthy alcohol use and further categorize patients into risky alcohol use or an alcohol use disorder. The severity of a patient’s acute illness was assessed by calculating the Acute Physiology and Chronic Healthy Evaluation II score at the time of admission to the medical ICU. Readiness to change was assessed using standardized questionnaires. Results Of 101 medical ICU patients who were enrolled, 65 met the criteria for unhealthy alcohol use. The association between the severity of acute illness and readiness to change depended on the instrument used. A higher severity of illness measured by APACHEII score was an independent predictor of readiness to change as assessed by the Stages of Change Readiness and Treatment Eagerness Scale (Taking Action scale) (p< 0.01). When a visual analog scale was used to assess readiness to change, there was a significant association with severity of acute illness (p < 0.01) that was modified by the severity of unhealthy alcohol use (p = 0.04 for interaction term). Conclusion Medical ICU patients represent a population where brief interventions require further study. Studies of brief intervention should account for the severity of acute illness and the severity of unhealthy alcohol use as potential effect modifiers. PMID:21950704

Severity of acute illness is associated with baseline readiness to change in medical intensive care unit patients with unhealthy alcohol use.

PubMed

Clark, Brendan J; Smart, Alexandra; House, Robert; Douglas, Ivor; Burnham, Ellen L; Moss, Marc

2012-03-01

Unhealthy alcohol use predisposes to multiple conditions that frequently result in critical illness and is present in up to one-third of patients admitted to a medical intensive care unit (ICU). We sought to determine the baseline readiness to change in medical ICU patients with unhealthy alcohol use and hypothesized that the severity of acute illness would be independently associated with higher scores on readiness to change scales. We further sought to determine whether this effect is modified by the severity of unhealthy alcohol use. We performed a cross-sectional observational study of current regular drinkers in 3 medical ICUs. The Alcohol Use Disorders Identification Test was used to differentiate low-risk and unhealthy alcohol use and further categorize patients into risky alcohol use or an alcohol use disorder. The severity of a patient's acute illness was assessed by calculating the Acute Physiologic and Chronic Health Evaluation II (APACHE II) score at the time of admission to the medical ICU. Readiness to change was assessed using standardized questionnaires. Of 101 medical ICU patients who were enrolled, 65 met the criteria for unhealthy alcohol use. The association between the severity of acute illness and readiness to change depended on the instrument used. A higher severity of illness measured by APACHE II score was an independent predictor of readiness to change as assessed by the Stages of Change Readiness and Treatment Eagerness Scale (Taking Action scale; p < 0.01). When a visual analog scale was used to assess readiness to change, there was a significant association with severity of acute illness (p < 0.01) that was modified by the severity of unhealthy alcohol use (p = 0.04 for interaction term). Medical ICU patients represent a population where brief interventions require further study. Studies of brief intervention should account for the severity of acute illness and the severity of unhealthy alcohol use as potential effect modifiers. Copyright © 2011 by the Research Society on Alcoholism.

(Non-) robustness of vulnerability assessments to climate change: An application to New Zealand.

PubMed

Fernandez, Mario Andres; Bucaram, Santiago; Renteria, Willington

2017-12-01

Assessments of vulnerability to climate change are a key element to inform climate policy and research. Assessments based on the aggregation of indicators have a strong appeal for their simplicity but are at risk of over-simplification and uncertainty. This paper explores the non-robustness of indicators-based assessments to changes in assumptions on the degree of substitution or compensation between indicators. Our case study is a nationwide assessment for New Zealand. We found that the ranking of geographic areas is sensitive to different parameterisations of the aggregation function, that is, areas that are categorised as highly vulnerable may switch to the least vulnerable category even with respect to the same climate hazards and population groups. Policy implications from the assessments are then compromised. Though indicators-based approaches may help on identifying drivers of vulnerability, there are weak grounds to use them to recommend mitigation or adaptation decisions given the high level of uncertainty because of non-robustness. Copyright © 2017 Elsevier Ltd. All rights reserved.

A pilot study of a family cognitive adaptation training guide for individuals with schizophrenia.

PubMed

Kidd, Sean A; Kerman, Nick; Ernest, Debbie; Maples, Natalie; Arthur, Cicely; de Souza, Sara; Kath, Jennifer; Herman, Yarissa; Virdee, Gursharan; Collins, April; Velligan, Dawn

2018-06-01

There is a paucity of accessible, evidence-based tools for caregivers of individuals with schizophrenia. This study examines changes in the self-assessed and caregiver-assessed outcomes of people with schizophrenia after exposure to a cognitive adaptation training (CAT) guide that addressed pragmatic, in-home approaches to offset the cognitive impacts of the illness. This study examined the 4-month, pre-post outcomes of a CAT guide, as compared with a popular, general manual, for families of individuals with schizophrenia. A total of 17 caregiver-supported individual dyads completed all measures, having been randomized to either a CAT-guide group or a support-manual group. Measures included medication adherence, adaptive functioning, quality of life, and caregiver burden. Semistructured interviews assessed use and utility questions. Caregiver-assessed improvements in community functioning with medium-high effect sizes were observed in both study conditions. Self-report ratings by supported individuals did not change from baseline to 4 months and no change was observed in medication adherence or quality of life for either condition. Caregiver-burden ratings significantly declined with a large effect size, again with no difference as a function of manual type. These findings suggest that there is some promise in providing families with evidence-based information in manual form. Further research informed by this study's findings should include assessments of whether and how environmental cognitive supports can be of specific benefit to families affected by schizophrenia. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Longitudinal Associations Among Relationship Satisfaction, Sexual Satisfaction, and Frequency of Sex in Early Marriage.

PubMed

McNulty, James K; Wenner, Carolyn A; Fisher, Terri D

2016-01-01

The current research used two 8-wave longitudinal studies spanning the first 4-5 years of 207 marriages to examine the potential bidirectional associations among marital satisfaction, sexual satisfaction, and frequency of sex. All three variables declined over time, though the rate of decline in each variable became increasingly less steep. Controlling for these changes, own marital and sexual satisfaction were bidirectionally positively associated with one another; higher levels of marital satisfaction at one wave of assessment predicted more positive changes in sexual satisfaction from that assessment to the next and higher levels of sexual satisfaction at one wave of assessment predicted more positive changes in marital satisfaction from that assessment to the next. Likewise, own sexual satisfaction and frequency of sex were bidirectionally positively associated with one another. Additionally, partner sexual satisfaction positively predicted changes in frequency of sex and own sexual satisfaction among husbands, yet partner marital satisfaction negatively predicted changes in both frequency of sex and own sexual satisfaction. Controlling these associations, marital satisfaction did not directly predict changes in frequency of sex or vice versa. Only the association between partner sexual satisfaction and changes in own sexual satisfaction varied across men and women and none of the key effects varied across the studies. These findings suggest that sexual and relationship satisfaction are intricately intertwined and thus that interventions to treat and prevent marital distress may benefit by targeting the sexual relationship and interventions to treat and prevent sexual distress in marriage may benefit by targeting the marital relationship.

Longitudinal Associations among Relationship Satisfaction, Sexual Satisfaction, and Frequency of Sex in Early Marriage

PubMed Central

McNulty, James K.; Wenner, Carolyn A.; Fisher, Terri D.

2014-01-01

The current research used two 8-wave longitudinal studies spanning the first 4–5 years of 207 marriages to examine the potential bidirectional associations among marital satisfaction, sexual satisfaction, and frequency of sex. All three variables declined over time, though the rate of decline in each variable became increasingly less steep. Controlling for these changes, own marital and sexual satisfaction were bidirectionally positively associated with one another; higher levels of marital satisfaction at one wave of assessment predicted more positive changes in sexual satisfaction from that assessment to the next and higher levels of sexual satisfaction at one wave of assessment predicted more positive changes in marital satisfaction from that assessment to the next. Likewise, own sexual satisfaction and frequency of sex were bidirectionally positively associated with one another. Additionally, partner sexual satisfaction positively predicted changes in frequency of sex and own sexual satisfaction among husbands, yet partner marital satisfaction negatively predicted changes in both frequency of sex and own sexual satisfaction. Controlling these associations, marital satisfaction did not directly predict changes in frequency of sex or vice versa. Only the association between partner sexual satisfaction and changes in own sexual satisfaction varied across men and women and none of the key effects varied across the studies. These findings suggest that sexual and relationship satisfaction are intricately intertwined and thus that interventions to treat and prevent marital distress may benefit by targeting the sexual relationship and interventions to treat and prevent sexual distress in marriage may benefit by targeting the marital relationship. PMID:25518817

Recruitment, Methods, and Descriptive Results of a Physiologic Assessment of Latino Farmworkers: The California Heat Illness Prevention Study.

PubMed

Mitchell, Diane C; Castro, Javier; Armitage, Tracey L; Vega-Arroyo, Alondra J; Moyce, Sally C; Tancredi, Daniel J; Bennett, Deborah H; Jones, James H; Kjellstrom, Tord; Schenker, Marc B

2017-07-01

The California heat illness prevention study (CHIPS) devised methodology and collected physiological data to assess heat related illness (HRI) risk in Latino farmworkers. Bilingual researchers monitored HRI across a workshift, recording core temperature, work rate (metabolic equivalents [METs]), and heart rate at minute intervals. Hydration status was assessed by changes in weight and blood osmolality. Personal data loggers and a weather station measured exposure to heat. Interviewer administered questionnaires were used to collect demographic and occupational information. California farmworkers (n = 588) were assessed. Acceptable quality data was obtained from 80% of participants (core temperature) to 100% of participants (weight change). Workers (8.3%) experienced a core body temperature more than or equal to 38.5 °C and 11.8% experienced dehydration (lost more than 1.5% of body weight). Methodology is presented for the first comprehensive physiological assessment of HRI risk in California farmworkers.

Interactive Assessment as a Research Tool.

ERIC Educational Resources Information Center

Haywood, H. Carl; Wingenfeld, Sabine A.

1992-01-01

This paper discusses dynamic/interactive approaches to psychological assessment based on the concept of induced change as a research tactic. Studies are reviewed showing how interactive assessment has yielded new knowledge in psychopathology; neuropsychology; learning disabilities; intelligence testing (in normal, deaf, and immigrant children);…

Putting vulnerability to climate change on the map: a review of approaches, benefits, and risks

DOE Office of Scientific and Technical Information (OSTI.GOV)

Preston, Benjamin L

2011-01-01

There is growing demand among stakeholders across public and private institutions for spatially-explicit information regarding vulnerability to climate change at the local scale. However, the challenges associated with mapping the geography of climate change vulnerability are non-trivial, both conceptually and technically, suggesting the need for more critical evaluation of this practice. Here, we review climate change vulnerability mapping in the context of four key questions that are fundamental to assessment design. First, what are the goals of the assessment? A review of published assessments yields a range of objective statements that emphasize problem orientation or decision-making about adaptation actions. Second,more » how is the assessment of vulnerability framed? Assessments vary with respect to what values are assessed (vulnerability of what) and the underlying determinants of vulnerability that are considered (vulnerability to what). The selected frame ultimately influences perceptions of the primary driving forces of vulnerability as well as preferences regarding management alternatives. Third, what are the technical methods by which an assessment is conducted? The integration of vulnerability determinants into a common map remains an emergent and subjective practice associated with a number of methodological challenges. Fourth, who participates in the assessment and how will it be used to facilitate change? Assessments are often conducted under the auspices of benefiting stakeholders, yet many lack direct engagement with stakeholders. Each of these questions is reviewed in turn by drawing on an illustrative set of 45 vulnerability mapping studies appearing in the literature. A number of pathways for placing vulnerability« less

Responsiveness of the Care Dependency Scale for Rehabilitation (CDS-R).

PubMed

Eichhorn-Kissel, Juliane; Dassen, Theo; Lohrmann, Christa

2012-03-01

Around 10% of Western Europe's population suffer from a disability which can entail a decrease of independency and quality of life. However, the lives of these people can be improved by rehabilitative treatment and care. Changing the degree of dependency from dependent to independent is essential in rehabilitation, as is the assessment of these changes. To perform such kind of measurements, assessment instruments have to be responsive. In spite of this concern, responsiveness of assessment instruments is studied to a small extent only. This also applies to the Care Dependency Scale for Rehabilitation (CDS-R), a short assessment instrument measuring the care dependency of patients regarding physical and psychosocial aspects. In this longitudinal-study, the responsiveness of the CDS-R, in general and related to different disease-groups, should be determined. Therefore, a convenience sample of 1564 patients was assessed in an Austrian rehabilitation centre with the scale after admission and before discharge. Responsiveness was determined by descriptive analysis, calculation of effect-sizes and significance tests. Differences between admission and discharge occurred on a statistically significant level for patients who changed. Kazis' effect-sizes can be considered as of small/medium effect for patients who changed (0.24/0.49), and as of large effect according to Liang (0.86/1.46). Eta squared was 0.10/0.19 which can be interpreted as of moderate/large effect for patients who changed. Responsiveness-analyses related to different disease-groups showed constantly large effect-sizes for patients with musculoskeletal-disorders. These results indicate that the CDS-R can detect patient-changes over time and discriminate between patients who change under rehabilitation or not. These aspects argue for the responsiveness of the scale, wherefore the CDS-R seems to be appropriate for the assessment of treatment/health-care effectiveness and the evaluation of individual patient-changes. Nevertheless further research is recommended to confirm the level of responsiveness of the scale in general and for different disease-groups. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

Assessment of the impact of climate change and land cover change on landslide in Tana Toraja district

NASA Astrophysics Data System (ADS)

Ardiansyah, M.; Rafiuddin, A.; Jadmiko, S. D.; Boer, R.

2018-05-01

Landslides are the frequent and widespread climate hazard in Indonesia that cause loss of human life and damage to property. Tana Toraja District is one of the regencies in Indonesia with the highest number of landslide events. Throughout the year 2016 there were at least 3 (three) landslide incidents that caused casualties and disconnection of transportation access. The study aimed to assess the impact of climate change and land cover change on landslide hazard in the Tana Toraja District. The study showed that in 2014 the number of landslide area with high risk was 53.3% and very high risk 14.4%, while in 2031 the high risk 56.4% and very high risk 12.7%. Thus, in high climate risk area, landslide adaptation and risk reduction strategies in the framework of climate change are necessary.

Driving Safety after Spinal Surgery: A Systematic Review

PubMed Central

Alkhalili, Kenan; Hannallah, Jack; Ibeche, Bashar; Bajammal, Sohail; Baco, Abdul Moeen

2017-01-01

This study aimed to assess driving reaction times (DRTs) after spinal surgery to establish a timeframe for safe resumption of driving by the patient postoperatively. The MEDLINE and Google Scholar databases were analyzed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) Statement for clinical studies that investigated changes in DRTs following cervical and lumbar spinal surgery. Changes in DRTs and patients' clinical presentation, pathology, anatomical level affected, number of spinal levels involved, type of intervention, pain level, and driving skills were assessed. The literature search identified 12 studies that investigated postoperative DRTs. Six studies met the inclusion criteria; five studies assessed changes in DRT after lumbar spine surgery and two studies after cervical spina surgery. The spinal procedures were selective nerve root block, anterior cervical discectomy and fusion, and lumbar fusion and/ordecompression. DRTs exhibited variable responses to spinal surgery and depended on the patients' clinical presentation, spinal level involved, and type of procedure performed. The evidence regarding the patients' ability to resume safe driving after spinal surgery is scarce. Normalization of DRT or a return of DRT to pre-spinal intervention level is a widely accepted indicator for safe driving, with variable levels of statistical significance owing to multiple confounding factors. Considerations of the type of spinal intervention, pain level, opioid consumption, and cognitive function should be factored in the assessment of a patient's ability to safely resume driving. PMID:28443178

Driving Safety after Spinal Surgery: A Systematic Review.

PubMed

Alhammoud, Abduljabbar; Alkhalili, Kenan; Hannallah, Jack; Ibeche, Bashar; Bajammal, Sohail; Baco, Abdul Moeen

2017-04-01

This study aimed to assess driving reaction times (DRTs) after spinal surgery to establish a timeframe for safe resumption of driving by the patient postoperatively. The MEDLINE and Google Scholar databases were analyzed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) Statement for clinical studies that investigated changes in DRTs following cervical and lumbar spinal surgery. Changes in DRTs and patients' clinical presentation, pathology, anatomical level affected, number of spinal levels involved, type of intervention, pain level, and driving skills were assessed. The literature search identified 12 studies that investigated postoperative DRTs. Six studies met the inclusion criteria; five studies assessed changes in DRT after lumbar spine surgery and two studies after cervical spina surgery. The spinal procedures were selective nerve root block, anterior cervical discectomy and fusion, and lumbar fusion and/ordecompression. DRTs exhibited variable responses to spinal surgery and depended on the patients' clinical presentation, spinal level involved, and type of procedure performed. The evidence regarding the patients' ability to resume safe driving after spinal surgery is scarce. Normalization of DRT or a return of DRT to pre-spinal intervention level is a widely accepted indicator for safe driving, with variable levels of statistical significance owing to multiple confounding factors. Considerations of the type of spinal intervention, pain level, opioid consumption, and cognitive function should be factored in the assessment of a patient's ability to safely resume driving.

San Francisco Bay Area Rapid Transit District (BART) climate change adaptation assessment pilot.

DOT National Transportation Integrated Search

2013-12-01

The objective of this pilot study was to evaluate the impacts of climate change on the San Francisco Bay Area Rapid Transit District : (BART) infrastructure and to develop and implement adaptation strategies against those impacts. Climate change haza...

Exploring mechanisms of change in schema therapy for chronic depression.

PubMed

Renner, Fritz; DeRubeis, Robert; Arntz, Arnoud; Peeters, Frenk; Lobbestael, Jill; Huibers, Marcus J H

2018-03-01

The underlying mechanisms of symptom change in schema therapy (ST) for chronic major depressive disorder (cMDD) have not been studied. The aim of this study was to explore the impact of two potentially important mechanisms of symptom change, maladaptive schemas (proxied by negative idiosyncratic core-beliefs) and the therapeutic alliance. We drew data from a single-case series of ST for cMDD. Patients with cMDD (N = 20) received on average 78 repeated weekly assessments over a course of up to 65 individual sessions of ST. Focusing on repeated assessments within-individuals, we used mixed regression to test whether change in core-beliefs and therapeutic alliance preceded, followed, or occurred concurrently with change in depressive symptoms. Changes in core-beliefs did not precede but were concurrently related to changes in symptoms. Repeated goal and task agreement ratings (specific aspects of alliance) of the same session, completed on separate days, were at least in part associated with concurrent changes in symptoms. By design this study had a small sample-size and no control group. Contrary to what would be expected based on theory, our findings suggest that change in core-beliefs does not precede change in symptoms. Instead, change in these variables occurs concurrently. Moreover, alliance ratings seem to be at least in part colored by changes in current mood state. Copyright © 2017 Elsevier Ltd. All rights reserved.

Promoting Behavior Change from Alcohol Use through Mobile Technology: The Future of Ecological Momentary Assessment

PubMed Central

Cohn, Amy M.; Hunter-Reel, Dorian; Hagman, Brett T.; Mitchell, Jessica

2011-01-01

Background Interactive and mobile technologies (i.e., smartphones such as Blackberries, iPhones, and palm-top computers) show promise as an efficacious and cost-effective means of communicating health-behavior risks, improving public health outcomes, and accelerating behavior change (Abroms and Maibach, 2008). The present study was conducted as a “needs assessment” to examine the current available mobile smartphone applications (e.g., apps) that utilize principles of ecological momentary assessment (EMA) -- daily self-monitoring or near real-time self-assessment of alcohol use behavior -- to promote positive behavior change, alcohol harm reduction, psycho-education about alcohol use, or abstinence from alcohol. Methods Data were collected and analyzed from iTunes for Apple iPhone©. An inventory assessed the number of available apps that directly addressed alcohol use and consumption, alcohol treatment, or recovery, and whether these apps incorporated empirically-based components of alcohol treatment. Results Findings showed that few apps addressed alcohol use behavior change or recovery. Aside from tracking drinking consumption, a minority utilized empirically-based components of alcohol treatment. Some apps claimed they could serve as an intervention, however no empirical evidence was provided. Conclusions More studies are needed to examine the efficacy of mobile technology in alcohol intervention studies. The large gap between availability of mobile apps and their use in alcohol treatment programs indicate several important future directions for research. PMID:21689119

Vegetation resurvey is robust to plot location uncertainty

PubMed Central

Kopecký, Martin; Macek, Martin

2017-01-01

Aim Resurveys of historical vegetation plots are increasingly used for the assessment of decadal changes in plant species diversity and composition. However, historical plots are usually relocated only approximately. This potentially inflates temporal changes and undermines results. Location Temperate deciduous forests in Central Europe. Methods To explore if robust conclusions can be drawn from resurvey studies despite location uncertainty, we compared temporal changes in species richness, frequency, composition and compositional heterogeneity between exactly and approximately relocated plots. We hypothesized that compositional changes should be lower and changes in species richness should be less variable on exactly relocated plots, because pseudo-turnover inflates temporal changes on approximately relocated plots. Results Temporal changes in species richness were not more variable and temporal changes in species composition and compositional heterogeneity were not higher on approximately relocated plots. Moreover, the frequency of individual species changed similarly on both plot types. Main conclusions The resurvey of historical vegetation plots is robust to uncertainty in original plot location and, when done properly, provides reliable evidence of decadal changes in plant communities. This provides important background for other resurvey studies and opens up the possibility for large-scale assessments of plant community change. PMID:28503083

The Big Five personality factors and psychological well-being following stroke: a systematic review.

PubMed

Dwan, Toni; Ownsworth, Tamara

2017-12-22

To identify and appraise studies investigating the relationship between the Big Five personality factors and psychological well-being following stroke and evidence for personality change. Systematic searches of six databases (PsychINFO, CINAHL, Ovid Medline, Cochrane, PubMed, and Web of Science) were conducted from inception to June 2017. Studies involving adult stroke samples that employed a validated measure of at least one of the Big Five personality factors were included. Two reviewers independently assessed the eligibility and methodological quality of studies. Eleven studies were identified that assessed associations between personality and psychological well-being after stroke (nine studies) or post-stroke personality change (two studies). A consistent finding was that higher neuroticism was significantly related to poorer psychological well-being. The evidence for the other Big Five factors was mixed. In terms of personality change, two cross-sectional studies reported high rates of elevated neuroticism (38-48%) and low extraversion (33-40%) relative to normative data. Different questionnaires and approaches to measuring personality (i.e., self vs. informant ratings, premorbid personality vs. current personality) complicated comparisons between studies. People high on neuroticism are at increased risk of poor psychological well-being after stroke. Prospective longitudinal studies are needed to address the limited research on post-stroke personality change. Implications for rehabilitation High neuroticism is associated with poorer psychological well-being after stroke. Assessing personality characteristics early after stroke may help to identify those at risk of poor psychological outcomes.

Can environmental improvement change the population distribution of walking?

PubMed

Panter, Jenna; Ogilvie, David

2017-06-01

Few studies have explored the impact of environmental change on walking using controlled comparisons. Even fewer have examined whose behaviour changes and how. In a natural experimental study of new walking and cycling infrastructure, we explored changes in walking, identified groups who changed in similar ways and assessed whether exposure to the infrastructure was associated with trajectories of walking. 1257 adults completed annual surveys assessing walking, sociodemographic and health characteristics and use of the infrastructure (2010-2012). Residential proximity to the new routes was assessed objectively. We used latent growth curve models to assess change in total walking, walking for recreation and for transport, used simple descriptive analysis and latent class analysis (LCA) to identify groups who changed in similar ways and examined factors associated with group membership using multinomial regression. LCA identified five trajectories, characterised by consistently low levels; consistently high levels; decreases; short-lived increases; and sustained increases. Those with lower levels of education and lower incomes were more likely to show both short-lived and sustained increases in walking for transport. However, those with lower levels of education were less likely to take up walking. Proximity to the intervention was associated with both uptake of and short-lived increases in walking for transport. Environmental improvement encouraged the less active to take up walking for transport, as well as encouraging those who were already active to walk more. Further research should disentangle the role of socioeconomic characteristics in determining use of new environments and changes in walking. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Psychometric Properties of Performance-based Measurements of Functional Capacity: Test-Retest Reliability, Practice Effects, and Potential Sensitivity to Change

PubMed Central

Leifker, Feea R.; Patterson, Thomas L.; Bowie, Christopher R.; Mausbach, Brent T.; Harvey, Philip D.

2010-01-01

Performance-based measures of the ability to perform social and everyday living skills are being more widely used to assess functional capacity in people with serious mental illnesses such as schizophrenia and bipolar disorder. Since they are also being used as outcome measures in pharmacological and cognitive remediation studies aimed at cognitive impairments in schizophrenia, understanding their measurement properties and potential sensitivity to change is important. In this study, the test-retest reliability, practice effects, and reliable change indices of two different performance-based functional capacity measures, the UCSD Performance-based skills assessment (UPSA) and Social skills performance assessment (SSPA) were examined over several different retest intervals in two different samples of people with schizophrenia (n’s=238 and 116) and a healthy comparison sample (n=109). These psychometric properties were compared to those of a neuropsychological assessment battery. Test-retest reliabilities of the long form of the UPSA ranged from r=.63 to r=.80 over follow-up periods up to 36 months in people with schizophrenia, while brief UPSA reliabilities ranged from r=.66 to r=.81. Test-retest reliability of the NP performance scores ranged from r=.77 to r=.79. Test-retest reliabilities of the UPSA were lower in healthy controls, while NP performance was slightly more reliable. SSPA test-retest reliability was lower. Practice effect sizes ranged from .05 to .16 for the UPSA and .07 to .19 for the NP assessment in patients, with HC having more practice effects. Reliable change intervals were consistent across NP and both FC measures, indicating equal potential for detection of change. These performance-based measures of functional capacity appear to have similar potential to be sensitive to change compared to NP performance in people with schizophrenia. PMID:20399613

Assessment of tissue perfusion changes in port wine stains after vascular targeted photodynamic therapy: a short-term follow-up study.

PubMed

Ren, Jie; Li, Pengcheng; Zhao, Hongyou; Chen, Defu; Zhen, Jie; Wang, Ying; Wang, Yucheng; Gu, Ying

2014-03-01

The occlusion effect of vascular targeted photodynamic therapy (V-PDT) for malformed vessels in port wine stains (PWS) often last for some time after the treatment. A relatively longer period after V-PDT is needed to accurately assess the final response of PWS microcirculation to the treatment. In this study, we intended to use laser speckle imaging (LSI) to assess the tissue perfusion changes of PWS at follow-up after V-PDT and preliminarily analyze the relationship between perfusion change and color bleaching. Seventeen patients with 40 PWS lesions were scanned by LSI before and 3-6 months after they received V-PDT. The speckle flow indices of PWS lesions and normal skin before and at follow-up after V-PDT were recorded. We also performed analyses on the correlation between perfusion changes and color bleaching. Before V-PDT, the 40 PWS lesions showed higher perfusion than the normal skin (1,421 ± 463 and 1,115 ± 386 perfusion unit (PU), respectively, P < 0.01). The PWS lesions scanned at follow-up showed decreased perfusion level compared to the preoperative values (1,282 ± 460 and 1,421 ± 463 PU, respectively, P < 0.01). After V-PDT, the perfusion change rates coincide well with the color bleaching rates (correlation coefficient, 0.73). In conclusion, the LSI system is capable of imaging PWS perfusion precisely, and it has shown promising results in assessing the changes of tissue perfusion of V-PDT for PWS, with objective and quantitative data, real-time images, and a shorter detection time. It may also provide an effectiveness assessment method for the treatment of PWS.

A Critical Analysis of Assessment Quality in Genomics and Bioinformatics Education Research

PubMed Central

Campbell, Chad E.; Nehm, Ross H.

2013-01-01

The growing importance of genomics and bioinformatics methods and paradigms in biology has been accompanied by an explosion of new curricula and pedagogies. An important question to ask about these educational innovations is whether they are having a meaningful impact on students’ knowledge, attitudes, or skills. Although assessments are necessary tools for answering this question, their outputs are dependent on their quality. Our study 1) reviews the central importance of reliability and construct validity evidence in the development and evaluation of science assessments and 2) examines the extent to which published assessments in genomics and bioinformatics education (GBE) have been developed using such evidence. We identified 95 GBE articles (out of 226) that contained claims of knowledge increases, affective changes, or skill acquisition. We found that 1) the purpose of most of these studies was to assess summative learning gains associated with curricular change at the undergraduate level, and 2) a minority (<10%) of studies provided any reliability or validity evidence, and only one study out of the 95 sampled mentioned both validity and reliability. Our findings raise concerns about the quality of evidence derived from these instruments. We end with recommendations for improving assessment quality in GBE. PMID:24006400

Assessment of Vulnerability to Climate Change Effects on Urban Stormwater Infrastructure in City of Las Vegas, NV

NASA Astrophysics Data System (ADS)

Thakali, R.; Kalra, A.; Mastino, L.; Velotta, M.; Ahmad, S.

2016-12-01

In the spring of 2016 the City of Las Vegas and the Southern Illinois University began collaborating on a project that seeks to assess the city's current vulnerability to drought, extreme heat, and extreme precipitation patterns, as well as the response mechanisms that are already in place within its jurisdiction. The document analyzes a series of scenarios to assess to what extent the vulnerability of four Key Planning Areas will change in the long term (30-50 years), what will be the most affected city operations, and what mechanisms the City will need to put into place to adapt to such changes. As part of the vulnerability report, this study assessed the impacts of climate change in the existing stormwater system of the Gowan watershed within City of Las Vegas, NV, by assessing projected design storms. The climate change projection for the region was evaluated using the high-resolution North American Regional Climate Change Assessment Program (NARCCAP) climate model data. The design storms (6h 100y) were calculated using the best fitted probability distribution among twenty-seven distributions for the historic and future NARCCAP climate model projection. North American Regional Reanalysis (NARR) data were used to assess the performance of NARCCAP data. The projected design storms were implemented in an existing U.S. Army Corps of Engineers' Hydrologic Engineering Center Hydrologic Modeling System (HEC-HMS) model developed by Clark County Regional Flood Control District (CCRFCD), Las Vegas. The simulation results showed an increase in the design storms which exceeded the capacity of existing stormwater infrastructure.

The Impact of Academic Vocabulary Instruction on Reading Performance of Sophomore Students on the Florida Comprehensive Assessment Test from 2008 and 2009

ERIC Educational Resources Information Center

McMillen, Margaret

2009-01-01

This study investigated the change in sophomore reading scores on the Florida Comprehensive Assessment Test after the implementation of an academic vocabulary program and the change in teacher knowledge and professional practice after a program of staff development in academic vocabulary. The purpose was to determine if the impact of the…

Welfare Reform's Effect on Child Welfare Caseloads. Discussion Papers 01-04. Assessing the New Federalism: An Urban Institute To Assess Changing Social Policies.

ERIC Educational Resources Information Center

Geen, Rob; Fender, Lynn; Leos-Urbel, Jacob; Markowitz, Teresa

Advocates, policymakers, and researchers have predicted that changes in the welfare system brought about by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 would increase the number of children who are abused and neglected, referred to child protective services, and placed in foster care. This study examined how welfare…

Impact of organ transplantation in heart, lung and liver recipients: assessment of positive life changes.

PubMed

Anand-Kumar, Vinayak; Kung, Mary; Painter, Liz; Broadbent, Elizabeth

2014-01-01

The majority of psychological studies with organ transplant recipients have examined negative psychological effects. This study aimed to further investigate the positive effects of organ transplantation and to construct a specific measurement instrument. The initial pool of 14 items for the Positive Effects of Transplant Scale (PETS) was derived from organ recipient interviews. A cross-sectional postal study included 87 heart, 46 lung and 193 liver transplant recipients. The PETS was subjected to principal components analysis (PCA) using varimax rotation, and associations with other measures investigated. PETS and an open-ended item about positive effects. Coding of the open-ended item revealed that the majority of recipients attributed positive life changes to the transplant experience. PCA of the PETS indicated three factors that accounted for 58.82% of the variance. The 12-item questionnaire assesses improvements in: (1) life philosophy, (2) gratitude and (3) health. The total PETS scores exhibited adequate internal consistency and validity. Most transplant patients report positive psychological effects, which suggests this may be an understudied area. The initial development of an assessment tool provides researchers and clinicians a way to assess the degree and nature of these life changes.

Forest climate change Vulnerability and Adaptation Assessment in Himalayas

NASA Astrophysics Data System (ADS)

Chitale, V. S.; Shrestha, H. L.; Agarwal, N. K.; Choudhurya, D.; Gilani, H.; Dhonju, H. K.; Murthy, M. S. R.

2014-11-01

Forests offer an important basis for creating and safeguarding more climate-resilient communities over Hindu Kush Himalayan region. The forest ecosystem vulnerability assessment to climate change and developing knowledge base to identify and support relevant adaptation strategies is realized as an urgent need. The multi scale adaptation strategies portray increasing complexity with the increasing levels in terms of data requirements, vulnerability understanding and decision making to choose a particular adaptation strategy. We present here how such complexities could be addressed and adaptation decisions could be either directly supported by open source remote sensing based forestry products or geospatial analysis and modelled products. The forest vulnerability assessment under climate change scenario coupled with increasing forest social dependence was studied using IPCC Landscape scale Vulnerability framework in Chitwan-Annapurna Landscape (CHAL) situated in Nepal. Around twenty layers of geospatial information on climate, forest biophysical and forest social dependence data was used to assess forest vulnerability and associated adaptation needs using self-learning decision tree based approaches. The increase in forest fires, evapotranspiration and reduction in productivity over changing climate scenario was observed. The adaptation measures on enhancing productivity, improving resilience, reducing or avoiding pressure with spatial specificity are identified to support suitable decision making. The study provides spatial analytical framework to evaluate multitude of parameters to understand vulnerabilities and assess scope for alternative adaptation strategies with spatial explicitness.

Assessment of the Impacts of Climate Change on Stream Discharge and Water Quality in an Arid, Urbanized Watershed

NASA Astrophysics Data System (ADS)

Ranatunga, T.; Tong, S.; Yang, J.

2011-12-01

Hydrologic and water quality models can provide a general framework to conceptualize and investigate the relationships between climate and water resources. Under a hot and dry climate, highly urbanized watersheds are more vulnerable to changes in climate, such as excess heat and drought. In this study, a comprehensive watershed model, Hydrological Simulation Program FORTRAN (HSPF), is used to assess the impacts of future climate change on the stream discharge and water quality in Las Vegas Wash in Nevada, the only surface water body that drains from the Las Vegas Valley (an area with rapid population growth and urbanization) to Lake Mead. In this presentation, the process of model building, calibration and validation, the generation of climate change scenarios, and the assessment of future climate change effects on stream hydrology and quality are demonstrated. The hydrologic and water quality model is developed based on the data from current national databases and existing major land use categories of the watershed. The model is calibrated for stream discharge, nutrients (nitrogen and phosphorus) and sediment yield. The climate change scenarios are derived from the outputs of the Global Climate Models (GCM) and Regional Climate Models (RCM) simulations, and from the recent assessment reports from the Intergovernmental Panel on Climate Change (IPCC). The Climate Assessment Tool from US EPA's BASINS is used to assess the effects of likely future climate scenarios on the water quantity and quality in Las Vegas Wash. Also the presentation discusses the consequences of these hydrologic changes, including the deficit supplies of clean water during peak seasons of water demand, increased eutrophication potentials, wetland deterioration, and impacts on wild life habitats.

Some Good Practices for Integration and Outreach and their Implementation in the Community Integrated Assessment System (CIAS) and its associated web portal CLIMASCOPE

NASA Astrophysics Data System (ADS)

Warren, R. F.; Price, J. T.; Goswami, S.

2010-12-01

Successful communication of knowledge to climate change policy makers requires the careful integration of scientific knowledge in an integrated assessment that can be clearly communicated to stakeholders, and which encapsulates the uncertainties in the analysis and conveys the need for using a risk assessment approach. It is important that (i) the system is co-designed with the users (ii) relevant disciplines are included (iii) assumptions made are clear (iv) the robustness of outputs to uncertainties is demonstrated (v) the system is flexible so that it can keep up with changing stakeholder needs and (vi) the results are communicated clearly and are readily accessible. The “Community Integrated Assessment System” (CIAS) is a unique multi-institutional, modular, and flexible integrated assessment system for modeling climate change which fulfils the above six criteria. It differs from other integrated models in being a flexible system allowing various combinations of component modules, to be connected together into alternative integrated assessment models. These modules may be written at different institutions in different computer languages and/or based on different operating systems. Scientists are able determine which particular CIAS coupled model they wish to use through a web portal. This includes the facility to implement Latin hypercube experimental design facilitating formal uncertainty analysis. Further exploration of robustness is possible through the ability to select, for example, alternative hyrdrological or climate models to address the same questions. It has been applied to study future scenarios of climate change mitigation, through for example the AVOIDing dangerous climate change project for DEFRA, in which the avoided impacts (benefits) of alternative climate policies were compared to no-policy baselines. These highlight the potential for mitigation to remove a substantial fraction of the climate change impacts that would otherwise occur; but also show that is not possible to avoid all the impacts, and hence that adaptation will still be required. For example, this has been shown for projections of future European drought. CIAS has also been used for analyses used in the IPCC 4AR and the Stern review. Recent applications include a study of the role of avoided deforestation in climate mitigation, and a study of the impacts of climate change on biodiversity. A second web portal, CLIMASCOPE, is being developed for use by stakeholders, currently focusing on the needs of adaptation planners. This will benefit communication by allowing a wide range of users free access to regional climate change projections in simple manner, yet one which encourages risk assessment through encapsulation of the uncertainties in climate change projection. Examples of CLIMASCOPE output that is being made available to stakeholders will be shown.

Century long assessment of herbaceous plants' physiological responses to climate change in Switzerland

NASA Astrophysics Data System (ADS)

Moreno-Gutierrez, Cristina; Kahmen, Ansgar

2017-04-01

The isotopic analysis of archived plant material offers the exceptional opportunity to reconstruct the physiological activity of plants over long time periods and thus, to assess plant responses to environmental changes during the last centuries. In addition, the stable isotope analysis of herbarium samples offers the opportunity to reconstruct the physiological processes of a large range of different plant species and from different environments. Interestingly, only few studies have to date assessed these archives. We will present a novel analysis of leaf nitrogen, oxygen and carbon isotope ratios of more than a thousand herbarium specimens collected since 1800 until present from the unique herbaria hold at the University of Basel. The objective of our study was to assess century-long physiological responses of herbaceous plant species from different plant functional groups and along an altitudinal gradient in Switzerland. The goal of our study was to determine with our investigations the long-term responses of plants to climate change. Such investigations are important as they allow to assess long-term processes of acclimation and adaptation in plants to global enviromental change. In our study we found that herbaceous plants have increased their intrinsic water use efficiency in response to increasing atmospheric CO2 concentration but this increment was higher in plants from higher altitudes, due to the higher efficiency of CO2 assimilation of alpine plants compared to plants from lowlands. There were also differences among functional groups, with grasses and forbs showing the highest increments. In addition, herbaceous plants showed a decreasing trend with time in their N isotopic composition, which may indicate progressive N limitation due to higher biological activity with increasing atmospheric CO2 concentration.

Assessment of winter wheat loss risk impacted by climate change from 1982 to 2011

NASA Astrophysics Data System (ADS)

Du, Xin

2017-04-01

The world's farmers will face increasing pressure to grow more food on less land in succeeding few decades, because it seems that the continuous population growth and agricultural products turning to biofuels would extend several decades into the future. Therefore, the increased demand for food supply worldwide calls for improved accuracy of crop productivity estimation and assessment of grain production loss risk. Extensive studies have been launched to evaluate the impacts of climate change on crop production based on various crop models drove with global or regional climate model (GCM/RCM) output. However, assessment of climate change impacts on agriculture productivity is plagued with uncertainties of the future climate change scenarios and complexity of crop model. Therefore, given uncertain climate conditions and a lack of model parameters, these methods are strictly limited in application. In this study, an empirical assessment approach for crop loss risk impacted by water stress has been established and used to evaluate the risk of winter wheat loss in China, United States, Germany, France and United Kingdom. The average value of winter wheat loss risk impacted by water stress for the three countries of Europe is about -931kg/ha, which is obviously higher in contrast with that in China (-570kg/ha) and in United States (-367kg/ha). Our study has important implications for further application of operational assessment of crop loss risk at a country or region scale. Future studies should focus on using higher spatial resolution remote sensing data, combining actual evapo-transpiration to estimate water stress, improving the method for downscaling of statistic crop yield data, and establishing much more rational and elaborate zoning method.

Longitudinal change instead of baseline testosterone predicts depressive symptoms.

PubMed

Kische, Hanna; Pieper, Lars; Venz, John; Klotsche, Jens; März, Winfried; Koch-Gromus, Uwe; Pittrow, David; Lehnert, Hendrik; Silber, Sigmund; Stalla, G K; Zeiher, Andreas M; Wittchen, Hans-Ulrich; Haring, Robin

2018-03-01

The association between total testosterone (T) and depression mostly relies on single sex hormone assessment and remains inconclusive. Thus, we investigated the comparative predictive performance of baseline T and change in T with development of depressive symptoms and incident depressive episodes. We used data from 6493 primary care patients (2653 men and 3840 women) of the DETECT study (Diabetes Cardiovascular Risk-Evaluation: Targets and Essential Data for Commitment of Treatment), including four-year follow-up, repeated immunoassay-based measurement of serum T and depressive symptoms assessed by the Depression Screening Questionnaire (DSQ). Cross-sectional and longitudinal associations of baseline T and one-year change in T with prevalent and incident depression were investigated using age- and multivariable-adjusted regression models. Baseline T showed no association with prevalent or incident depressive symptoms and episodes in both sexes. In men, a positive change in T (higher T at one-year follow-up compared to baseline) was associated with a lower burden of depressive symptoms (β-coefficient per unit change in T: -0.17; 95% CI: -0.31 to -0.04) and lower risk of incident depressive symptoms (odds ratio per unit change in T: 0.84; 95% CI: 0.72-0.98) at four-year follow-up. In women, the association of T change with incident depressive episodes was rendered non-significant after multivariable adjustment. The present study observed a sex-specific inverse association of T change, but not baseline T, with increased depressive symptom burden in men. Future studies should assess longitudinal changes in sex hormone status as predictor of adverse health outcomes related to low T. Copyright © 2017 Elsevier Ltd. All rights reserved.

A new method for large-scale assessment of change in ecosystem functioning in relation to land degradation

NASA Astrophysics Data System (ADS)

Horion, Stephanie; Ivits, Eva; Verzandvoort, Simone; Fensholt, Rasmus

2017-04-01

Ongoing pressures on European land are manifold with extreme climate events and non-sustainable use of land resources being amongst the most important drivers altering the functioning of the ecosystems. The protection and conservation of European natural capital is one of the key objectives of the 7th Environmental Action Plan (EAP). The EAP stipulates that European land must be managed in a sustainable way by 2020 and the UN Sustainable development goals define a Land Degradation Neutral world as one of the targets. This implies that land degradation (LD) assessment of European ecosystems must be performed repeatedly allowing for the assessment of the current state of LD as well as changes compared to a baseline adopted by the UNCCD for the objective of land degradation neutrality. However, scientifically robust methods are still lacking for large-scale assessment of LD and repeated consistent mapping of the state of terrestrial ecosystems. Historical land degradation assessments based on various methods exist, but methods are generally non-replicable or difficult to apply at continental scale (Allan et al. 2007). The current lack of research methods applicable at large spatial scales is notably caused by the non-robust definition of LD, the scarcity of field data on LD, as well as the complex inter-play of the processes driving LD (Vogt et al., 2011). Moreover, the link between LD and changes in land use (how land use changes relates to change in vegetation productivity and ecosystem functioning) is not straightforward. In this study we used the segmented trend method developed by Horion et al. (2016) for large-scale systematic assessment of hotspots of change in ecosystem functioning in relation to LD. This method alleviates shortcomings of widely used linear trend model that does not account for abrupt change, nor adequately captures the actual changes in ecosystem functioning (de Jong et al. 2013; Horion et al. 2016). Here we present a new methodology for assessing gradual and abrupt changes in ecosystem functioning in Europe. Based on segmented trend analysis of water-use efficiency (WUE) time series, an Ecosystem Change Type (ECT) map was produced over Europe at 1km resolution for the period 1999 to 2013. An analysis of auxiliary data on land use/cover change, drought trends, and soil threats was performed over hotspot areas to better understand the observed changes in ecosystem functioning and their driving mechanisms. The ECT map was validated using the case study sites from the EU-funded RECARE project. Overall, the ECT map accurately highlighted areas characterized by a major change in pathways of ecosystem functioning as well as indicated the type and timing of changes. Allan, R. et al. (2007). Climate and land degradation. Verlag Berlin Heidelberg: Springer. de Jong, R et al. (2013). Remote Sensing, 5, 1117-1133 Horion, S. et al. (2016). Global Change Biology, 22, 2801-2817 Vogt, J. V et al. (2011). Land Degradation & Development, 22: 150-165.

Interaction of single nucleotide polymorphisms in ADRB2, ADRB3, TNF, IL6, IGF1R, LIPC, LEPR, and GHRL with physical activity on the risk of type 2 diabetes mellitus and changes in characteristics of the metabolic syndrome: The Finnish Diabetes Prevention Study.

PubMed

Kilpeläinen, Tuomas O; Lakka, Timo A; Laaksonen, David E; Mager, Ursula; Salopuro, Titta; Kubaszek, Agata; Todorova, Boryana; Laukkanen, Olli; Lindström, Jaana; Eriksson, Johan G; Hämäläinen, Helena; Aunola, Sirkka; Ilanne-Parikka, Pirjo; Keinänen-Kiukaanniemi, Sirkka; Tuomilehto, Jaako; Laakso, Markku; Uusitupa, Matti

2008-03-01

Single nucleotide polymorphisms (SNPs) in the ADRB2, ADRB3, TNF, IL6, IGF1R, LIPC, LEPR, and GHRL genes were associated with the conversion from impaired glucose tolerance (IGT) to type 2 diabetes mellitus (T2D) in the Finnish Diabetes Prevention Study (DPS). In this study, we determined whether polymorphisms in these genes modified the effect of changes in physical activity (PA) on the risk of T2D in the DPS. Moreover, we assessed whether the polymorphisms modified the effect of changes in PA on changes in measures of body fat, serum lipids, and blood pressure during the first year of the follow-up of the DPS. Overweight subjects with IGT (n = 487) were followed for an average of 4.1 years, and PA was assessed annually with a questionnaire. The interactions of the polymorphisms with changes in total and moderate-to-vigorous PA on the conversion to T2D during the 4.1-year follow-up were assessed using Cox regression with adjustments for the other components of the intervention (dietary changes, weight reduction). Univariate analysis of variance was used to assess interactions on changes in continuous variables during the first year of the follow-up. No interaction between the polymorphisms and PA on the conversion to T2D was found. The Leu72Met (rs696217) polymorphism in GHRL modified the effect of moderate-to-vigorous PA on changes in weight and waist circumference, the -501A/C (rs26802) polymorphism in GHRL modified the effect of total and moderate-to-vigorous PA on change in high-density lipoprotein cholesterol, and the Lys109Arg (rs1137100) polymorphism in LEPR modified the effect of total PA on change in blood pressure. In conclusion, genetic variation may modify the magnitude of the beneficial effects of PA on characteristics of the metabolic syndrome in persons with IGT.

Development of an Empirically-Based Conditional Learning Progression for Climate Change

ERIC Educational Resources Information Center

Breslyn, Wayne; Drewes, Andrea; McGinnis, J. Randy; Hestness, Emily; Mouza, Chrystalla

2017-01-01

Climate change encompasses a broad and complex set of concepts that is often challenging for students and educators. Using a learning progressions (LPs) knowledge system, we developed a LP that described student learning of climate change. In this exploratory study, we present findings from written assessments of climate change (n = 294) and…

Do repeated assessments of performance status improve predictions for risk of death among patients with cancer? A population-based cohort study.

PubMed

Su, Jiandong; Barbera, Lisa; Sutradhar, Rinku

2015-06-01

Prior work has utilized longitudinal information on performance status to demonstrate its association with risk of death among cancer patients; however, no study has assessed whether such longitudinal information improves the predictions for risk of death. To examine whether the use of repeated performance status assessments improve predictions for risk of death compared to using only performance status assessment at the time of cancer diagnosis. This was a population-based longitudinal study of adult outpatients who had a cancer diagnosis and had at least one assessment of performance status. To account for each patient's changing performance status over time, we implemented a Cox model with a time-varying covariate for performance status. This model was compared to a Cox model using only a time-fixed (baseline) covariate for performance status. The regression coefficients of each model were derived based on a randomly selected 60% of patients, and then, the predictive ability of each model was assessed via concordance probabilities when applied to the remaining 40% of patients. Our study consisted of 15,487 cancer patients with over 53,000 performance status assessments. The utilization of repeated performance status assessments improved predictions for risk of death compared to using only the performance status assessment taken at diagnosis. When studying the hazard of death among patients with cancer, if available, researchers should incorporate changing information on performance status scores, instead of simply baseline information on performance status. © The Author(s) 2015.

Reliability, validity, and minimal detectable change of the push-off test scores in assessing upper extremity weight-bearing ability.

PubMed

Mehta, Saurabh P; George, Hannah R; Goering, Christian A; Shafer, Danielle R; Koester, Alan; Novotny, Steven

2017-11-01

Clinical measurement study. The push-off test (POT) was recently conceived and found to be reliable and valid for assessing weight bearing through injured wrist or elbow. However, further research with larger sample can lend credence to the preliminary findings supporting the use of the POT. This study examined the interrater reliability, construct validity, and measurement error for the POT in patients with wrist conditions. Participants with musculoskeletal (MSK) wrist conditions were recruited. The performance on the POT, grip isometric strength of wrist extensors was assessed. The shortened version of the Disabilities of the Arm, Shoulder and Hand and numeric pain rating scale were completed. The intraclass correlation coefficient assessed interrater reliability of the POT. Pearson correlation coefficients (r) examined the concurrent relationships between the POT and other measures. The standard error of measurement and the minimal detectable change at 90% confidence interval were assessed as measurement error and index of true change for the POT. A total of 50 participants with different elbow or wrist conditions (age: 48.1 ± 16.6 years) were included in this study. The results of this study strongly supported the interrater reliability (intraclass correlation coefficient: 0.96 and 0.93 for the affected and unaffected sides, respectively) of the POT in patients with wrist MSK conditions. The POT showed convergent relationships with the grip strength on the injured side (r = 0.89) and the wrist extensor strength (r = 0.7). The POT showed smaller standard error of measurement (1.9 kg). The minimal detectable change at 90% confidence interval for the POT was 4.4 kg for the sample. This study provides additional evidence to support the reliability and validity of the POT. This is the first study that provides the values for the measurement error and true change on the POT scores in patients with wrist MSK conditions. Further research should examine the responsiveness and discriminant validity of the POT in patients with wrist conditions. Copyright © 2017 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

76 FR 71341 - BASINS and WEPP Climate Assessment Tools: Case Study Guide to Potential Applications

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-17

... report presents a series of short case studies designed to illustrate the capabilities of these tools for... change impacts on water. This report presents a series of short case studies using the BASINS and WEPP climate assessment tools. The case studies are designed to illustrate the capabilities of these tools for...

Towards a Global Water Scarcity Risk Assessment Framework: Incorporation of Probability Distributions and Hydro-Climatic Variability

NASA Technical Reports Server (NTRS)

Veldkamp, T. I. E.; Wada, Y.; Aerts, J. C. J. H.; Ward, P. J.

2016-01-01

Changing hydro-climatic and socioeconomic conditions increasingly put pressure on fresh water resources and are expected to aggravate water scarcity conditions towards the future. Despite numerous calls for risk-based water scarcity assessments, a global-scale framework that includes UNISDR's definition of risk does not yet exist. This study provides a first step towards such a risk based assessment, applying a Gamma distribution to estimate water scarcity conditions at the global scale under historic and future conditions, using multiple climate change and population growth scenarios. Our study highlights that water scarcity risk, expressed in terms of expected annual exposed population, increases given all future scenarios, up to greater than 56.2% of the global population in 2080. Looking at the drivers of risk, we find that population growth outweigh the impacts of climate change at global and regional scales. Using a risk-based method to assess water scarcity, we show the results to be less sensitive than traditional water scarcity assessments to the use of fixed threshold to represent different levels of water scarcity. This becomes especially important when moving from global to local scales, whereby deviations increase up to 50% of estimated risk levels.

Case study applications of the BASINS climate assessment tool (CAT)

EPA Science Inventory

This EPA report will illustrate the application of different climate assessment capabilities within EPA’s BASINS modeling system for assessing a range of potential questions about the effects of climate change on streamflow and water quality in different watershed settings and us...

Assessing Demand for Graduate and Professional Programs.

ERIC Educational Resources Information Center

Syverson, Peter D.

1996-01-01

Graduate education is entering an era of market segmentation, varying student demand, and changing requirements from employers, meaning graduate students will assess graduate opportunities differently and institutions will assess programs differently. The traditional view of graduate study as preparation for a research or teaching career and…

Contextual assessment in science education: Background, issues, and policy

NASA Astrophysics Data System (ADS)

Klassen, Stephen

2006-09-01

Contemporary assessment practices in science education have undergone significant changes in recent decades. The basis for these changes and the resulting new assessment practices are the subject of this two-part paper. Part 1 considers the basis of assessment that, more than 25 years ago, was driven by the assumptions of decomposability and decontextualization of knowledge, resulting in a low-inference testing system, often described as traditional. This assessment model was replaced not on account of direct criticism, but rather on account of a larger revolution - the change from behavioral to cognitive psychology, developments in the philosophy of science, and the rise of constructivism. Most notably, the study of the active cognitive processes of the individual resulted in a major emphasis on context in learning and assessment. These changes gave rise to the development of various contextual assessment methodologies in science education, for example, concept mapping assessment, performance assessment, and portfolio assessment. In Part 2, the literature relating to the assessment methods identified in Part 1 is reviewed, revealing that there is not much research that supports their validity and reliability. However, encouraging new work on selected-response tests is forming the basis for reconsideration of past criticisms of this technique. Despite the major developments in contextual assessment methodologies in science education, two important questions remain unanswered, namely, whether grades can be considered as genuine numeric quantities and whether the individual student is the appropriate unit of assessment in public accountability. Given these issues and the requirement for science assessment to satisfy the goals of the individual, the classroom, and the society, tentative recommendations are put forward addressing these parallel needs in the assessment of science learning.

Modifying patterns of movement in people with low back pain -does it help? A systematic review.

PubMed

Laird, Robert A; Kent, Peter; Keating, Jennifer L

2012-09-07

Physiotherapy for people with low back pain frequently includes assessment and modification of lumbo-pelvic movement. Interventions commonly aim to restore normal movement and thereby reduce pain and improve activity limitation. The objective of this systematic review was to investigate: (i) the effect of movement-based interventions on movement patterns (muscle activation, lumbo-pelvic kinematics or postural patterns) of people with low back pain (LBP), and (ii) the relationship between changes in movement patterns and subsequent changes in pain and activity limitation. MEDLINE, Cochrane Central, EMBASE, AMI, CINAHL, Scopus, AMED, ISI Web of Science were searched from inception until January 2012. Randomised controlled trials or controlled clinical trials of people with LBP were eligible for inclusion. The intervention must have been designed to influence (i) muscle activity patterns, (ii) lumbo-pelvic kinematic patterns or (iii) postural patterns, and included measurement of such deficits before and after treatment, to allow determination of the success of the intervention on the lumbo-pelvic movement. Twelve trials (25% of retrieved studies) met the inclusion criteria. Two reviewers independently identified, assessed and extracted data. The PEDro scale was used to assess method quality. Intervention effects were described using standardised differences between group means and 95% confidence intervals. The included trials showed inconsistent, mostly small to moderate intervention effects on targeted movement patterns. There was considerable heterogeneity in trial design, intervention type and outcome measures. A relationship between changes to movement patterns and improvements in pain or activity limitation was observed in one of six studies on muscle activation patterns, one of four studies that examined the flexion relaxation response pattern and in two of three studies that assessed lumbo-pelvic kinematics or postural characteristics. Movement-based interventions were infrequently effective for changing observable movement patterns. A relationship between changes in movement patterns and improvement in pain or activity limitation was also infrequently observed. No independent studies confirm any observed relationships. Challenges for future research include defining best methods for measuring (i) movement aberrations, (ii) improvements in movements, and (iii) the relationship between changes in how people move and associated changes in other health indicators such as activity limitation.

The use of multi temporal LiDAR to assess basin-scale erosion and deposition following the catastrophic January 2011 Lockyer flood, SE Queensland, Australia

NASA Astrophysics Data System (ADS)

Croke, Jacky; Todd, Peter; Thompson, Chris; Watson, Fiona; Denham, Robert; Khanal, Giri

2013-02-01

Advances in remote sensing and digital terrain processing now allow for a sophisticated analysis of spatial and temporal changes in erosion and deposition. Digital elevation models (DEMs) can now be constructed and differenced to produce DEMs of Difference (DoD), which are used to assess net landscape change for morphological budgeting. To date this has been most effectively achieved in gravel-bed rivers over relatively small spatial scales. If the full potential of the technology is to be realised, additional studies are required at larger scales and across a wider range of geomorphic features. This study presents an assessment of the basin-scale spatial patterns of erosion, deposition, and net morphological change that resulted from a catastrophic flood event in the Lockyer Creek catchment of SE Queensland (SEQ) in January 2011. Multitemporal Light Detection and Ranging (LiDAR) DEMs were used to construct a DoD that was then combined with a one-dimensional flow hydraulic model HEC-RAS to delineate five major geomorphic landforms, including inner-channel area, within-channel benches, macrochannel banks, and floodplain. The LiDAR uncertainties were quantified and applied together with a probabilistic representation of uncertainty thresholded at a conservative 95% confidence interval. The elevation change distribution (ECD) for the 100-km2 study area indicates a magnitude of elevation change spanning almost 10 m but the mean elevation change of 0.04 m confirms that a large part of the landscape was characterised by relatively low magnitude changes over a large spatial area. Mean elevation changes varied by geomorphic feature and only two, the within-channel benches and macrochannel banks, were net erosional with an estimated combined loss of 1,815,149 m3 of sediment. The floodplain was the zone of major net deposition but mean elevation changes approached the defined critical limit of uncertainty. Areal and volumetric ECDs for this extreme event provide a representative expression of the balance between erosion and deposition, and importantly sediment redistribution, which is extremely difficult to quantify using more traditional channel planform or cross-sectional surveys. The ability of LiDAR to make a rapid and accurate assessment of key geomorphic processes over large spatial scales contributes to our understanding of key processes and, as demonstrated here, to the assessment of major geomorphological hazards such as extreme flood events.

The effect of video review of resident laparoscopic surgical skills measured by self- and external assessment

PubMed Central

Herrera-Almario, Gabriel E.; Kirk, Katherine; Guerrero, Veronica T.; Jeong, Kwonho; Kim, Sara; Hamad, Giselle G.

2015-01-01

Background Video review of surgical skills is an educational modality that allows trainees to reflect on self-performance. The purpose of this study was to determine whether resident and attending assessments of a resident’s laparoscopic performance differ and whether video review changes assessments. Methods Third-year surgery residents were invited to participate. Elective laparoscopic procedures were video-recorded. The Global Operative Assessment of Laparoscopic Skills evaluation was completed immediately after the procedure and again 7–10 days later by both resident and attending. Scores were compared using t- tests. Results Nine residents participated and 76 video reviews were completed. Residents scored themselves significantly lower than the faculty scores both prior to and after video review. Resident scores did not change significantly after video review. Conclusions Attending and resident self-assessment of laparoscopic skills differ and subsequent video review doesn’t significantly affect GOALS scores. Further studies should evaluate the impact of video review combined with verbal feedback on skill acquisition and assessment. PMID:26590043

Longitudinal validity of abdominal adiposity assessment by regional bioelectrical impedance.

PubMed

Alvero-Cruz, José Ramón; García-Romero, Jerónimo C; Carrillo de Albornoz-Gil, Margarita; Jiménez, Manuel; Correas-Gomez, Lorena; Peñaloza, Piero; López-Fernández, Iván; Carnero, Elvis A

2018-03-20

The main goal of this study was to analyze the longitudinal agreement between changes in trunk and abdominal adiposity variables assessed by DXA and portable bioimpedance device (ViScan). A total of 44 women, enrolled in a 4-month exercise intervention, were included in this analysis. Trunk/abdominal compartments were assessed by ViScan and DXA. Adjusted correlations for age and FM at first assessment (pre) were utilized to perform concurrent validation among methods and completed with an agreement analysis. We observed significant differences between the changes detected by DXA and ViScan for %TFM (difference = -1.41%; p < 0.05), and proportional bias (Kendall's Tau = 0.53; p < 0.0001). Changes in abdominal adiposity were similar (difference = -0.1037 z-score units, p = 0.53), although there was proportional bias (Kendall's Tau = -0.24, p < 0.022). ViScan has a limited capability to evaluated changes in trunk and abdominal adiposity, at least for clinical purposes in adult women.

Hydrological change: Towards a consistent approach to assess changes on both floods and droughts

NASA Astrophysics Data System (ADS)

Quesada-Montano, Beatriz; Di Baldassarre, Giuliano; Rangecroft, Sally; Van Loon, Anne F.

2018-01-01

Several studies have found that the frequency, magnitude and spatio-temporal distribution of droughts and floods have significantly increased in many regions of the world. Yet, most of the methods used in detecting trends in hydrological extremes 1) focus on either floods or droughts, and/or 2) base their assessment on characteristics that, even though useful for trend identification, cannot be directly used in decision making, e.g. integrated water resources management and disaster risk reduction. In this paper, we first discuss the need for a consistent approach to assess changes on both floods and droughts, and then propose a method based on the theory of runs and threshold levels. Flood and drought changes were assessed in terms of frequency, length and surplus/deficit volumes. This paper also presents an example application using streamflow data from two hydrometric stations along the Po River basin (Italy), Piacenza and Pontelagoscuro, and then discuss opportunities and challenges of the proposed method.

A Business Studies Oriented Taxonomy for Assessing Viewpoint Change through Sustainability Education: Messages, Measures and Moves

ERIC Educational Resources Information Center

Woodward, Russell; Hagerup, Clare

2017-01-01

This paper explores and deploys a business oriented taxonomy of decisions from which to ascertain change in student viewpoint regarding the study of sustainability modules. A review of conceptual and empirical studies to date on business cohorts' viewpoints regarding sustainability study notes the lack of business contextualization and the…

Mixture modeling methods for the assessment of normal and abnormal personality, part II: longitudinal models.

PubMed

Wright, Aidan G C; Hallquist, Michael N

2014-01-01

Studying personality and its pathology as it changes, develops, or remains stable over time offers exciting insight into the nature of individual differences. Researchers interested in examining personal characteristics over time have a number of time-honored analytic approaches at their disposal. In recent years there have also been considerable advances in person-oriented analytic approaches, particularly longitudinal mixture models. In this methodological primer we focus on mixture modeling approaches to the study of normative and individual change in the form of growth mixture models and ipsative change in the form of latent transition analysis. We describe the conceptual underpinnings of each of these models, outline approaches for their implementation, and provide accessible examples for researchers studying personality and its assessment.

Landscape change analysis and assessment (case studies in Slovakia and Bulgaria)

NASA Astrophysics Data System (ADS)

Feranec, Jan; Kopecka, Monika; Vatseva, Rumiana; Stoimenov, Anton; Otahel, Jan; Betak, Juraj; Husar, Karol

2009-03-01

Landscape change assessment was conducted in selected areas of Slovakia and Bulgaria in 1990-2000 using CORINE land cover (CLC) data layer analysis. Assessment of causes that led to these changes was undertaken, with an emphasis on those that determined the extensification of agriculture. The LC data were obtained under the CLC90 and I&CLC2000 projects, jointly managed by the European Environment Agency in Copenhagen, Denmark and the Joint Research Centre of the European Commission in Ispra, Italy. The CLC1990-2000-changes data layer was generated by overlaying the CLC90 and CLC2000 data layers for change in areas of a minimum 5 ha. The analysed causes of changes (driving forces) were then classified. Land cover (LC) changes characterizing urbanization processes occurred only in the Trnava and Tatras areas. Intensification of agriculture was also higher in these two areas. LC changes characterizing the extensification of agriculture were dominant in Plovdiv and Trnava. Deforestation and forestation were identified in all areas (Trnava, Tatras, Plovdiv, and Burgas). The basic reasons of these changes were related to the transformation of national economies from being centrally planned to market controlled, following the fall of socialism and before the countries joined the European Union.

Social and health dimensions of climate change in the Amazon.

PubMed

Brondízio, Eduardo S; de Lima, Ana C B; Schramski, Sam; Adams, Cristina

2016-07-01

The Amazon region has been part of climate change debates for decades, yet attention to its social and health dimensions has been limited. This paper assesses literature on the social and health dimensions of climate change in the Amazon. A conceptual framework underscores multiple stresses and exposures created by interactions between climate change and local social-environmental conditions. Using the Thomson-Reuter Web of Science, this study bibliometrically assessed the overall literature on climate change in the Amazon, including Physical Sciences, Social Sciences, Anthropology, Environmental Science/Ecology and Public, Environmental/Occupational Health. From this assessment, a relevant sub-sample was selected and complemented with literature from the Brazilian database SciELO. This sample discusses three dimensions of climate change impacts in the region: livelihood changes, vector-borne diseases and microbial proliferation, and respiratory diseases. This analysis elucidates imbalance and disconnect between ecological, physical and social and health dimensions of climate change and between continental and regional climate analysis, and sub-regional and local levels. Work on the social and health implications of climate change in the Amazon falls significantly behind other research areas, limiting reliable information for analytical models and for Amazonian policy-makers and society at large. Collaborative research is called for.

Assessing and managing freshwater ecosystems vulnerable to global change

USGS Publications Warehouse

Angeler, David G.; Allen, Craig R.; Birge, Hannah E.; Drakare, Stina; McKie, Brendan G.; Johnson, Richard K.

2014-01-01

Freshwater ecosystems are important for global biodiversity and provide essential ecosystem services. There is consensus in the scientific literature that freshwater ecosystems are vulnerable to the impacts of environmental change, which may trigger irreversible regime shifts upon which biodiversity and ecosystem services may be lost. There are profound uncertainties regarding the management and assessment of the vulnerability of freshwater ecosystems to environmental change. Quantitative approaches are needed to reduce this uncertainty. We describe available statistical and modeling approaches along with case studies that demonstrate how resilience theory can be applied to aid decision-making in natural resources management. We highlight especially how long-term monitoring efforts combined with ecological theory can provide a novel nexus between ecological impact assessment and management, and the quantification of systemic vulnerability and thus the resilience of ecosystems to environmental change.

Single-leg lateral, horizontal, and vertical jump assessment: reliability, interrelationships, and ability to predict sprint and change-of-direction performance.

PubMed

Meylan, Cesar; McMaster, Travis; Cronin, John; Mohammad, Nur Ikhwan; Rogers, Cailyn; Deklerk, Melissa

2009-07-01

The purposes of this study were to determine the reliability of unilateral vertical, horizontal, and lateral countermovement jump assessments, the interrelationship between these tests, and their usefulness as predictors of sprint (10 m) and change-of-direction (COD) performance for 80 men and women physical education students. Jump performance was assessed on a contact mat and sprint, and COD performances were assessed using timing lights. With regard to the reliability statistics, the largest coefficient of variation (CV) was observed for the vertical jump (CV = 6.7-7.2%) of both genders, whereas the sprint and COD assessments had smallest variability (CV = 0.8 to 2.8%). All intraclass correlation coefficients (ICC) were greater than 0.85, except for the men's COD assessment with the alternate leg. The shared variance between the single-leg vertical, horizontal, and lateral jumps for men and women was less than 50%, indicating that the jumps are relatively independent of one another and represent different leg strength/power qualities. The ability of the jumps to predict sprint and COD performance was limited (R2 < 43%). It would seem that the ability to change direction with 1 leg is relatively independent of a COD with the other leg, especially in the women (R < 30%) of this study. However, if 1 jump assessment were selected to predict sprint and COD performance in a test battery, the single-leg horizontal countermovement jump would seem the logical choice, given the results of this study. Many of the findings in this study have interesting diagnostic and training implications for the strength and conditioning coach.

Changing Me, Changing Us: Relationship Quality and Collective Efficacy as Major Outcomes in Systemic Couple Therapy.

PubMed

Aguilar-Raab, Corina; Grevenstein, Dennis; Gotthardt, Linda; Jarczok, Marc N; Hunger, Christina; Ditzen, Beate; Schweitzer, Jochen

2018-06-01

We examine the sensitivity to change in the Evaluation of Social Systems (EVOS) scale, which assesses relationship quality and collective efficacy. In Study 1 we conducted a waitlist-control, short-term couple therapy RCT study (N = 43 couples) with five systemic therapy sessions treating communication and partnership problems; our intent was to provide high external validity. Construct validity of EVOS was assessed by comparison with additionally applied scales (Family Scales; Outcome Questionnaire, OQ-45.2). In Study 2, N = 332 individuals completed an experiment with high internal validity in order to verify sensitivity to change in three different social contexts. Results from Study 1 revealed a significant increase in relationship quality in the treatment group directly after treatment, as compared to the control group. Sensitivity to change was slightly better for EVOS than for other measures. While this positive change could not be fully sustained between posttreatment and a 4-week follow-up, EVOS score did not fall below baseline and pretreatment levels, supporting moderate-to-large sensitivity to change. Study 2 supported high sensitivity to change in EVOS for couple relations, family relations, and work-team relationships. Therefore, EVOS can be used as an outcome measure to monitor the process of systemic interventions focusing on relationship quality and collective efficacy. Due to its sensitivity to change, EVOS can provide evidence for treatment success with regard to relationship aspects. © 2017 Family Process Institute.

Metacognitive monitoring and control in visual change detection: Implications for situation awareness and cognitive control

PubMed Central

McAnally, Ken I.; Morris, Adam P.; Best, Christopher

2017-01-01

Metacognitive monitoring and control of situation awareness (SA) are important for a range of safety-critical roles (e.g., air traffic control, military command and control). We examined the factors affecting these processes using a visual change detection task that included representative tactical displays. SA was assessed by asking novice observers to detect changes to a tactical display. Metacognitive monitoring was assessed by asking observers to estimate the probability that they would correctly detect a change, either after study of the display and before the change (judgement of learning; JOL) or after the change and detection response (judgement of performance; JOP). In Experiment 1, observers failed to detect some changes to the display, indicating imperfect SA, but JOPs were reasonably well calibrated to objective performance. Experiment 2 examined JOLs and JOPs in two task contexts: with study-time limits imposed by the task or with self-pacing to meet specified performance targets. JOPs were well calibrated in both conditions as were JOLs for high performance targets. In summary, observers had limited SA, but good insight about their performance and learning for high performance targets and allocated study time appropriately. PMID:28915244

Adaptations of School Effectiveness Research to Practice: A Case Study.

ERIC Educational Resources Information Center

Guzzetti, Barbara J.

This case study of a Colorado school district sought to assess the process and outcomes of administrative leadership in implementing school effectiveness research on time-on-task classroom strategies. The study examines the interrelationship of conditions bearing upon the change effort and focuses on those changes affecting the district's…

An Assessment of Learning Outcomes in Short-Term Study Abroad and Human Rights Education

ERIC Educational Resources Information Center

Nagengast, Emil

2017-01-01

How does short-term study abroad affect students' attitudes toward human rights? What role does study abroad play in human rights education? This study assesses the learning outcomes of two study abroad programs that aimed to promote human rights education. I applied a mixed methods approach to measure the changes in the opinions of students who…

Temporal assessment on land use land cover of Somalia after the effect of the civil war using remote sensing

NASA Astrophysics Data System (ADS)

Abdulle, Abdinur; Tan, Adhwa Amir; Pradhan, Biswajeet; Abdullahi, Saleh

2016-06-01

The aim of this study is to analyse land use and cover changes for the studied area during 1992-2015 and particularly evaluate the effect of civil war on these changes. Three Landsat images were used; Landsat 4 (1992), Landsat 7 (2000) and Landsat 8 (2015). Assessment of changes has been applied through three supervised classification algorithms, support vector machine, minimum classifier, and mahalanobis classifier. The result shows that SVM is providing highest overall accuracy of 98.5% for the years 2000 and 2015 with kappa coefficient of 0.9803 in year 2015. The change detection result show that the higher changes is between year 1992-2000 where vegetation land cover has dropped down to 11.1% and undeveloped area has increased to 11.4%. Whereas for year 2000-2015, higher changes belongs to build up area by 3.30% while undeveloped area and vegetation land cover keep decreasing by 2.64% and 1.93% respectively.

Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy.

PubMed

Schwind, Julia; Neng, Julia M B; Weck, Florian

2016-09-01

Cognitive-behavioural therapy can change dysfunctional symptom attributions in patients with hypochondriasis. Past research has used forced-choice answer formats, such as questionnaires, to assess these misattributions; however, with this approach, idiosyncratic attributions cannot be assessed. Free associations are an important complement to existing approaches that assess symptom attributions. With this study, we contribute to the current literature by using an open-response instrument to investigate changes in freely associated attributions after exposure therapy (ET) and cognitive therapy (CT) compared with a wait list (WL). The current study is a re-examination of a formerly published randomized controlled trial (Weck, Neng, Richtberg, Jakob and Stangier, 2015) that investigated the effectiveness of CT and ET. Seventy-three patients with hypochondriasis were randomly assigned to CT, ET or a WL, and completed a 12-week treatment (or waiting period). Before and after the treatment or waiting period, patients completed an Attribution task in which they had to spontaneously attribute nine common bodily sensations to possible causes in an open-response format. Compared with the WL, both CT and ET reduced the frequency of somatic attributions regarding severe diseases (CT: Hedges's g = 1.12; ET: Hedges's g = 1.03) and increased the frequency of normalizing attributions (CT: Hedges's g = 1.17; ET: Hedges's g = 1.24). Only CT changed the attributions regarding moderate diseases (Hedges's g = 0.69). Changes in somatic attributions regarding mild diseases and psychological attributions were not observed. Both CT and ET are effective for treating freely associated misattributions in patients with hypochondriasis. This study supplements research that used a forced-choice assessment.

Developing and implementing climate change adaptation options in forest ecosystems: a case study in southwestern Oregon, USA

Treesearch

Jessica E. Halofsky; David L. Peterson; Kerry L. Metlen; Gwyneth M. Myer; Alaric V. Sample

2016-01-01

Climate change will likely have significant effects on forest ecosystems worldwide. In Mediterranean regions, such as that in southwestern Oregon, USA, changes will likely be driven mainly by wildfire and drought. To minimize the negative effects of climate change, resource managers require tools and information to assess climate change vulnerabilities and to develop...

A novel framework for the use of remote sensing for monitoring catchments at continental scales.

PubMed

Bugnot, A B; Lyons, M B; Scanes, P; Clark, G F; Fyfe, S K; Lewis, A; Johnston, E L

2018-07-01

Historical ecology can teach us valuable lessons on the processes and drivers of environmental change that can inform future monitoring priorities and management strategies. Environmental data to study environmental history, however, is often absent or of low quality. Even when studying changes occurring during the last few decades, monitoring efforts are scarce due to logistical and cost limitations, leaving large areas unassessed. The aim of this study is to evaluate the use of estuarine water colour as an indicator of historical environmental change in catchments. Water colour change was assessed in estuaries in Australia from 1987 to 2015 using satellite remote sensing. Random points were selected for each estuary and applied to the Australian Geoscience Data Cube (based on Landsat images) to obtain reflectance data through time. We propose a framework where (i) water colour is used to detect historical changes in catchments using generalised additive models, (ii) possible stressors and pressures driving those changes are evaluated using other available historical data, and (iii) lessons learned inform appropriate monitoring and management actions. This framework represents a novel approach to generate historical data for large-scale assessments of environmental change at catchment level, even in poorly studied areas. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Personality and Relationship Quality During the Transition From High School to Early Adulthood

PubMed Central

Parker, Philip D.; Lüdtke, Oliver; Trautwein, Ulrich; Roberts, Brent W.

2013-01-01

The post–high school transition period is believed to be associated with considerable changes in social networks, yet longitudinal studies documenting these changes are scarce. To address this gap, the current research explored 3 relevant issues. First, changes in participants’ relationship characteristics during the transition from high school were examined. Second, the roles of personality traits as antecedents of these changes were studied. Third, the association between change in relationship characteristics and personality during the transition was explored. A sample of over 2,000 German emerging adults, surveyed before leaving school and then 2 years after the transition from high school, was assessed on personality traits and a multidimensional assessment of the quality of their relationships. Findings indicated that participants experienced mostly positive changes in relationship quality during the transition from high school and that antecedent personality at school was an important predictor of the nature of this change. Finally, change in relationship quality was found to be associated with personality change during the post-school transition. Findings indicated that personality traits may influence transition success and that change in relationships during this transition may influence personality development. The implications of the research for post-school transition success are discussed. PMID:22224909

Northeast and Midwest regional species and habitats at greatest risk and most vulnerable to climate impacts

USGS Publications Warehouse

Staudinger, Michelle D.; Hilberg, Laura; Janowiak, Maria; Swanton, C.O.

2016-01-01

The objectives of this Chapter are to describe climate change vulnerability, it’s components, the range of assessment methods being implemented regionally, and examples of training resources and tools. Climate Change Vulnerability Assessments (CCVAs) have already been conducted for numerous Regional Species of Greatest Conservation Need and their dependent 5 habitats across the Northeast and Midwest. This chapter provides a synthesis of different assessment frameworks, information on the locations (e.g., States) where vulnerability assessments were conducted, lists of individual species and habitats with their respective vulnerability rankings, and a comparison of how vulnerability rankings were determined among studies.

Future Climate Change Impact Assessment of River Flows at Two Watersheds of Peninsular Malaysia

NASA Astrophysics Data System (ADS)

Ercan, A.; Ishida, K.; Kavvas, M. L.; Chen, Z. R.; Jang, S.; Amin, M. Z. M.; Shaaban, A. J.

2016-12-01

Impacts of climate change on the river flows under future climate change conditions were assessed over Muda and Dungun watersheds of Peninsular Malaysia by means of a coupled regional climate model and a physically-based hydrology model utilizing an ensemble of 15 different future climate realizations. Coarse resolution GCMs' future projections covering a wide range of emission scenarios were dynamically downscaled to 6 km resolution over the study area. Hydrologic simulations of the two selected watersheds were carried out at hillslope-scale and at hourly increments.

Changes in quality of life after elective surgery: an observational study comparing two measures.

PubMed

Kronzer, Vanessa L; Jerry, Michelle R; Ben Abdallah, Arbi; Wildes, Troy S; McKinnon, Sherry L; Sharma, Anshuman; Avidan, Michael S

2017-08-01

Our main objective was to compare the change in a validated quality of life measure to a global assessment measure. The secondary objectives were to estimate the minimum clinically important difference (MCID) and to describe the change in quality of life by surgical specialty. This prospective cohort study included 7902 adult patients undergoing elective surgery. Changes in the Veterans RAND 12-Item Health Survey (VR-12), composed of a physical component summary (PCS) and a mental component summary (MCS), were calculated using preoperative and postoperative questionnaires. The latter also contained a global assessment question for quality of life. We compared PCS and MCS to the global assessment using descriptive statistics and weighted kappa. MCID was calculated using an anchor-based approach. Analyses were pre-specified and registered (NCT02771964). By the change in VR-12 scores, an equal proportion of patients experienced improvement and deterioration in quality of life (28% for PCS, 25% for MCS). In contrast, by the global assessment measure, 61% reported improvement, while only 10% reported deterioration. Agreement with the global assessment was slight for both PCS (kappa = 0.20, 57% matched) and MCS (kappa = 0.10, 54% matched). The MCID for the overall VR-12 score was approximately 2.5 points. Patients undergoing orthopedic surgery showed the most improvement in quality of life measures, while patients undergoing gastrointestinal/hepatobiliary or urologic surgery showed the most deterioration. Subjective global quality of life report does not agree well with a validated quality of life instrument, perhaps due to patient over-optimism.

ECOLOGICAL RISK ASSESSMENT IN THE CONTEXT OF GLOBAL CLIMATE CHANGE

PubMed Central

Landis, Wayne G; Durda, Judi L; Brooks, Marjorie L; Chapman, Peter M; Menzie, Charles A; Stahl, Ralph G; Stauber, Jennifer L

2013-01-01

Changes to sources, stressors, habitats, and geographic ranges; toxicological effects; end points; and uncertainty estimation require significant changes in the implementation of ecological risk assessment (ERA). Because of the lack of analog systems and circumstances in historically studied sites, there is a likelihood of type III error. As a first step, the authors propose a decision key to aid managers and risk assessors in determining when and to what extent climate change should be incorporated. Next, when global climate change is an important factor, the authors recommend seven critical changes to ERA. First, develop conceptual cause–effect diagrams that consider relevant management decisions as well as appropriate spatial and temporal scales to include both direct and indirect effects of climate change and the stressor of management interest. Second, develop assessment end points that are expressed as ecosystem services. Third, evaluate multiple stressors and nonlinear responses—include the chemicals and the stressors related to climate change. Fourth, estimate how climate change will affect or modify management options as the impacts become manifest. Fifth, consider the direction and rate of change relative to management objectives, recognizing that both positive and negative outcomes can occur. Sixth, determine the major drivers of uncertainty, estimating and bounding stochastic uncertainty spatially, temporally, and progressively. Seventh, plan for adaptive management to account for changing environmental conditions and consequent changes to ecosystem services. Good communication is essential for making risk-related information understandable and useful for managers and stakeholders to implement a successful risk-assessment and decision-making process. Environ. Toxicol. Chem. 2013;32:79–92. © 2012 SETAC PMID:23161373

Ecological risk assessment in the context of global climate change.

PubMed

Landis, Wayne G; Durda, Judi L; Brooks, Marjorie L; Chapman, Peter M; Menzie, Charles A; Stahl, Ralph G; Stauber, Jennifer L

2013-01-01

Changes to sources, stressors, habitats, and geographic ranges; toxicological effects; end points; and uncertainty estimation require significant changes in the implementation of ecological risk assessment (ERA). Because of the lack of analog systems and circumstances in historically studied sites, there is a likelihood of type III error. As a first step, the authors propose a decision key to aid managers and risk assessors in determining when and to what extent climate change should be incorporated. Next, when global climate change is an important factor, the authors recommend seven critical changes to ERA. First, develop conceptual cause-effect diagrams that consider relevant management decisions as well as appropriate spatial and temporal scales to include both direct and indirect effects of climate change and the stressor of management interest. Second, develop assessment end points that are expressed as ecosystem services. Third, evaluate multiple stressors and nonlinear responses-include the chemicals and the stressors related to climate change. Fourth, estimate how climate change will affect or modify management options as the impacts become manifest. Fifth, consider the direction and rate of change relative to management objectives, recognizing that both positive and negative outcomes can occur. Sixth, determine the major drivers of uncertainty, estimating and bounding stochastic uncertainty spatially, temporally, and progressively. Seventh, plan for adaptive management to account for changing environmental conditions and consequent changes to ecosystem services. Good communication is essential for making risk-related information understandable and useful for managers and stakeholders to implement a successful risk-assessment and decision-making process. Copyright © 2012 SETAC.

Predictors of change in sports participation in Latino and non-Latino children.

PubMed

Corder, Kirsten; Crespo, Noe C; van Sluijs, Esther M F; Sallis, James F; Shadron, Lisa M; Moody, Jamie S; Elder, John P

2012-07-01

Few prospective studies have examined predictors of change in specific physical activity (PA) behaviours in different ethnic groups. To assess predictors of change in sports participation in Latino and non-Latino 5-8 year-old children in San Diego, California. Average sports participation frequency (days/week) was assessed by validated parent-report at baseline (Nov 2006-May 2008) and 1 year later in 541 children (45.0% male, 41.1% Latino; mean ± SD age: 6.6 ± 0.7 years) taking part in an obesity prevention study (Project MOVE). Biological (sex, age, Body Mass Index z-score), socio-cultural (ethnicity, income, care giver education), parental (PA rules, PA encouragement) and environmental factors (home PA equipment, PA location) were assessed at baseline. Associations between change in sports participation and potential predictors were studied using multilevel linear regression stratified by Latino ethnicity, adjusted for sex, baseline sport participation, study condition and recruitment area. Sports participation increased over 1 year (mean change: +0.5 days; p<0.001) and change was similar for boys and girls (p=0.95), but Latino children showed a greater increase (p=0.03). The number of locations used for PA (p=0.024) and the total frequency of PA location use (p=0.018) were positively associated with increased sports participation among Latinos. No predictors were identified for non-Latino children. Only factors relating to PA location were identified as predictors of change in sports participation for Latino children. Interventions targeting specific PA behaviours such as sports participation may need to consider PA locations for Latino children and be tailored for specific ethnic groups.

Predictors of Change in Sports Participation in Latino and non-Latino Children

PubMed Central

Corder, Kirsten; Crespo, Noe C.; van Sluijs, Esther M. F.; Sallis, James F.; Shadron, Lisa M.; Moody, Jamie S.; Elder, John P.

2013-01-01

Background Few prospective studies have examined predictors of change in specific physical activity (PA) behaviours in different ethnic groups. Purpose To assess predictors of change in sports participation in Latino and non-Latino 5-8 year-old children in San Diego, California. Methods Average sports participation frequency (days/week) was assessed by validated parent-report at baseline (Nov 2006 to May 2008) and one year later in 541 children (45.0% male, 41.1% Latino; Mean±SD age: 6.6±0.7 yrs) taking part in an obesity prevention study (Project MOVE). Biological (sex, age, BMI z-score), socio-cultural (ethnicity, income, caregiver education), parental (PA rules, PA encouragement) and environmental factors (home PA equipment, PA location) were assessed at baseline. Associations between change in sports participation and potential predictors were studied using multi-level linear regression stratified by Latino ethnicity, adjusted for sex, baseline sport participation, study condition and recruitment area. Results Sports participation increased over one year (mean change: +0.5 days; p<0.001) and change was similar for boys and girls (p=0.95), but Latino children showed a greater increase (p=0.03). The number of locations used for PA (p=0.024) and the total frequency of PA location use (p=0.018) were positively associated with increased sports participation among Latinos. No predictors were identified for non-Latino children. Conclusions Only factors relating to PA location were identified as predictors of change in sports participation for Latino children. Interventions targeting specific PA behaviours such as sports participation may need to consider PA locations for Latino children and be tailored for specific ethnic groups. PMID:21903618

Association of study quality with completeness of reporting: have completeness of reporting and quality of systematic reviews and meta-analyses in major radiology journals changed since publication of the PRISMA statement?

PubMed

Tunis, Adam S; McInnes, Matthew D F; Hanna, Ramez; Esmail, Kaisra

2013-11-01

To evaluate whether completeness of reporting of systematic reviews and meta-analyses in major radiology journals has changed since publication of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement; a secondary objective is to evaluate whether completeness of reporting (ie, PRISMA) is associated with study quality (ie, Assessing the Methodological Quality of Systematic Reviews [AMSTAR]). Systematic reviews and meta-analyses published in major radiology journals between January 2007 and December 2011 were identified by searching MEDLINE with the modified Montori method. Studies were reviewed independently by two investigators and assessed for adherence to the AMSTAR and PRISMA checklists. The average results were analyzed to assess for change in mean score before and after PRISMA publication and to assess results over time; a Pearson correlation coefficient was calculated to assess for any association between PRISMA and AMSTAR results. Included were 130 studies from 11 journals. Average PRISMA and AMSTAR results were 21.8 of 27 and 7.2 of 11, respectively. The average result was higher after publication of PRISMA, and PRISMA-reported items were 22.6 of 27 after publication of PRISMA versus 20.9 of 27 before publication of PRISMA; AMSTAR results were 7.7 of 11 after publication of PRISMA versus 6.7 of 11 before publication of PRISMA. There was a strong positive correlation (r = 0.86) between the PRISMA and AMSTAR results. There was high variability between journals. Radiology had the highest PRISMA reported items (24.7 of 27), and American Journal of Neuroradiology had the lowest (19.6 of 27). Two major areas for improvement include study protocol registration and assessment of risk of bias across studies (ie, publication bias). In major radiology journal studies, there was modest improvement in completeness of reporting of systematic reviews and meta-analyses, assessed by PRISMA, which was strongly associated with higher study quality, assessed by AMSTAR. http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.13130273/-/DC1. RSNA, 2013

BASINs and WEPP Climate Assessment Tools (CAT): Case ...

EPA Pesticide Factsheets

EPA announced the release of the final report, BASINs and WEPP Climate Assessment Tools (CAT): Case Study Guide to Potential Applications. This report supports application of two recently developed water modeling tools, the Better Assessment Science Integrating point & Non-point Sources (BASINS) and the Water Erosion Prediction Project Climate Assessment Tool (WEPPCAT). The report presents a series of short case studies designed to illustrate the capabilities of these tools for conducting scenario based assessments of the potential effects of climate change on streamflow and water quality. This report presents a series of short, illustrative case studies using the BASINS and WEPP climate assessment tools.

Trajectory analysis of land use and land cover maps to improve spatial-temporal patterns, and impact assessment on groundwater recharge

NASA Astrophysics Data System (ADS)

Zomlot, Z.; Verbeiren, B.; Huysmans, M.; Batelaan, O.

2017-11-01

Land use/land cover (LULC) change is a consequence of human-induced global environmental change. It is also considered one of the major factors affecting groundwater recharge. Uncertainties and inconsistencies in LULC maps are one of the difficulties that LULC timeseries analysis face and which have a significant effect on hydrological impact analysis. Therefore, an accuracy assessment approach of LULC timeseries is needed for a more reliable hydrological analysis and prediction. The objective of this paper is to assess the impact of land use uncertainty and to improve the accuracy of a timeseries of CORINE (coordination of information on the environment) land cover maps by using a new approach of identifying spatial-temporal LULC change trajectories as a pre-processing tool. This ensures consistency of model input when dealing with land-use dynamics and as such improves the accuracy of land use maps and consequently groundwater recharge estimation. As a case study the impact of consistent land use changes from 1990 until 2013 on groundwater recharge for the Flanders-Brussels region is assessed. The change trajectory analysis successfully assigned a rational trajectory to 99% of all pixels. The methodology is shown to be powerful in correcting interpretation inconsistencies and overestimation errors in CORINE land cover maps. The overall kappa (cell-by-cell map comparison) improved from 0.6 to 0.8 and from 0.2 to 0.7 for forest and pasture land use classes respectively. The study shows that the inconsistencies in the land use maps introduce uncertainty in groundwater recharge estimation in a range of 10-30%. The analysis showed that during the period of 1990-2013 the LULC changes were mainly driven by urban expansion. The results show that the resolution at which the spatial analysis is performed is important; the recharge differences using original and corrected CORINE land cover maps increase considerably with increasing spatial resolution. This study indicates that improving consistency of land use map timeseries is of critical importance for assessing land use change and its environmental impact.

Changes in experienced value of everyday occupations after nature-based vocational rehabilitation.

PubMed

Pálsdóttir, Anna María; Grahn, Patrik; Persson, Dennis

2014-01-01

The aim of this study was to describe and assess changes in participants' experiences of everyday occupations after nature-based vocational rehabilitation (NBVR), to assess changes regarding symptoms of severe stress and the rate of return to work and possible association with experiencing the occupational value of everyday occupations. The NBVR was carried out by a transdisciplinary rehabilitation team and took place in a specially designed rehabilitation garden. The study had a longitudinal and mixed-method approach. Data concerning experiences of everyday occupations (Oval-pd), self-assessed occupational competence (OSA-F), health status (EQ-VAS, SCI-93), and sense of coherence (SOC-13) were collected before and after the intervention, and a one-year follow-up was carried out regarding returning to work. Semi-structured interviews were performed 12 weeks after the intervention. Significant changes were measured regarding perceived occupational values in daily life, symptoms of severe stress, and returning to work. Both the return to work rate and symptoms of severe stress were significantly associated with changed experience of everyday occupation. In the interviews, participants explained that they now had a slower pace of everyday life and that everyday occupations were more often related to nature and creativity. This could be interpreted as nature-based rehabilitation inducing changes through meaningful occupations in restorative environments, leading to a positive change in perceived values of everyday occupations.

Changes in movement symmetry over the stages of the shoeing process in military working horses.

PubMed

Pfau, T; Daly, K; Davison, J; Bould, A; Housby, N; Weller, R

2016-08-20

Military working horses perform a high proportion of work on road surfaces and are shod frequently to deal with high attrition rates. The authors investigate the influence of shoeing on movement symmetry as an indirect indicator of mechanical differences affecting force production between contralateral limbs. In this quantitative observational study, inertial sensor gait analysis was performed in 23 Irish sport type horses (4-21 years, 1.58-1.85 m) in full ceremonial work at the King's Troop, Royal Horse Artillery. Changes in two movement symmetry measures (SI: symmetry index; MinDiff: difference between displacement minima) for head and pelvic movement were assessed at four stages of routine shoeing: 'old shoes', 'shoes removed', 'trimmed', 'reshod'. Horses were assessed applying shoes to the front limbs (N=10), to the hindlimbs (N=10) or both (N=3). Changes in head movement symmetry between conditions were small and inconsistent. Changes in pelvic movement symmetry were small and showed significant differences between shoeing stages (SI: P=0.013, MinDiff: P=0.04) with most symmetrical pelvic movement after trimming. In military working horses with high frequency shoeing small changes in movement symmetry were measured. All significant changes involved trimming, which indicates that future studies should in particular assess changes before/after trimming and investigate longer shoeing intervals. British Veterinary Association.

The assessment of post-vasectomy pain in mice using behaviour and the Mouse Grimace Scale.

PubMed

Leach, Matthew C; Klaus, Kristel; Miller, Amy L; Scotto di Perrotolo, Maud; Sotocinal, Susana G; Flecknell, Paul A

2012-01-01

Current behaviour-based pain assessments for laboratory rodents have significant limitations. Assessment of facial expression changes, as a novel means of pain scoring, may overcome some of these limitations. The Mouse Grimace Scale appears to offer a means of assessing post-operative pain in mice that is as effective as manual behavioural-based scoring, without the limitations of such schemes. Effective assessment of post-operative pain is not only critical for animal welfare, but also the validity of science using animal models. This study compared changes in behaviour assessed using both an automated system ("HomeCageScan") and using manual analysis with changes in facial expressions assessed using the Mouse Grimace Scale (MGS). Mice (n = 6/group) were assessed before and after surgery (scrotal approach vasectomy) and either received saline, meloxicam or bupivacaine. Both the MGS and manual scoring of pain behaviours identified clear differences between the pre and post surgery periods and between those animals receiving analgesia (20 mg/kg meloxicam or 5 mg/kg bupivacaine) or saline post-operatively. Both of these assessments were highly correlated with those showing high MGS scores also exhibiting high frequencies of pain behaviours. Automated behavioural analysis in contrast was only able to detect differences between the pre and post surgery periods. In conclusion, both the Mouse Grimace Scale and manual scoring of pain behaviours are assessing the presence of post-surgical pain, whereas automated behavioural analysis could be detecting surgical stress and/or post-surgical pain. This study suggests that the Mouse Grimace Scale could prove to be a quick and easy means of assessing post-surgical pain, and the efficacy of analgesic treatment in mice that overcomes some of the limitations of behaviour-based assessment schemes.

ATTENUATION/STABILIZATION OF ARSENIC BY IRON (HYDR)OXIDES IN SOILS/SEDIMENTS: LABORATORY STUDY.

EPA Science Inventory

Laboratory studies will be performed to assess the role of naturally occurring soil/sediment iron (hydr)oxides on the attenuation/stabilization of arsenic. Changes in the reversibility of arsenic partitioning will be assessed as a function of aging time using model experimental ...

Scientific and regulatory policy committee (SRPC) paper: Assessment of Circulating Hormones in Nonclinical Toxicity Studies. III Female Reproductive Hormones

EPA Science Inventory

Hormonally mediated effects on the female reproductive system may manifest in pathologic changes of endocrine-responsive organs and altered reproductive function. Identification of these effects requires proper assessment, which may include investigative studies of female reprod...

IMPLICATIONS OF GLOBAL CLIMATE CHANGE FOR THE ASSESSMENT AND MANAGEMENT OF HUMAN HEALTH RISKS OF CHEMICALS IN THE NATURAL ENVIRONMENT

PubMed Central

Balbus, John M; Boxall, Alistair BA; Fenske, Richard A; McKone, Thomas E; Zeise, Lauren

2013-01-01

Global climate change (GCC) is likely to alter the degree of human exposure to pollutants and the response of human populations to these exposures, meaning that risks of pollutants could change in the future. The present study, therefore, explores how GCC might affect the different steps in the pathway from a chemical source in the environment through to impacts on human health and evaluates the implications for existing risk-assessment and management practices. In certain parts of the world, GCC is predicted to increase the level of exposure of many environmental pollutants due to direct and indirect effects on the use patterns and transport and fate of chemicals. Changes in human behavior will also affect how humans come into contact with contaminated air, water, and food. Dietary changes, psychosocial stress, and coexposure to stressors such as high temperatures are likely to increase the vulnerability of humans to chemicals. These changes are likely to have significant implications for current practices for chemical assessment. Assumptions used in current exposure-assessment models may no longer apply, and existing monitoring methods may not be robust enough to detect adverse episodic changes in exposures. Organizations responsible for the assessment and management of health risks of chemicals therefore need to be more proactive and consider the implications of GCC for their procedures and processes. Environ. Toxicol. Chem. 2013;32:62–78. © 2012 SETAC PMID:23147420

The Contribution of Project Environmental Assessment to Assessing and Managing Cumulative Effects: Individually and Collectively Insignificant?

PubMed

Noble, Bram; Liu, Jialang; Hackett, Paul

2017-04-01

This paper explores the opportunities and constraints to project-based environmental assessment as a means to support the assessment and management of cumulative environmental effects. A case study of the hydroelectric sector is used to determine whether sufficient information is available over time through project-by-project assessments to support an adequate understanding of cumulative change. Results show inconsistency from one project to the next in terms of the components and indicators assessed, limited transfer of baseline information between project assessments over time, and the same issues and concerns being raised by review panels-even though the projects reviewed are operating in the same watershed and operated by the same proponent. Project environmental assessments must be managed, and coordinated, as part of a larger system of impact assessment, if project-by-project assessments are to provide a meaningful forum for learning and understanding cumulative change. The paper concludes with recommendations for improved project-based assessment practice in support of cumulative effects assessment and management.

The impacts of climate change on irrigation and crop production in Northeast China and implications for energy use and GHG Emission

NASA Astrophysics Data System (ADS)

Yan, Tingting; Wang, Jinxia; Huang, Jikun; Xie, Wei; Zhu, Tingju

2018-06-01

The water-food-energy-GHG nexus under climate change has been gaining increasing attention from both the research and policy communities, especially over the past several years. However, most existing nexus studies are qualitative and explorative in nature. So far, very few studies provide integrated analysis of this nexus across all the four sectors. The purpose of this paper is to examine this nexus by assessing the effects of climate change on agricultural production through the change in water availability, evaluating the adjustment responses and resulting energy consumption and GHG emission, with the Northeast China as a case study. Based on our simulation results, by 2030, climate change is projected to increase water supply and demand gap for irrigation in Northeast China. Due to the increase in water scarcity, irrigated areas will decrease, and the cropping pattern will be adjusted by increasing maize sown areas and decreasing rice sown areas. As a result, the total output of crops and profits will clearly be reduced. Finally, energy consumption and GHG emission from irrigation will be reduced. This study suggests that climate change impact assessment fully consider the nexus among water, food, energy and GHG; however, more studies need to be conducted in the future.

Effectiveness of Psychosocial Interventions in Complex Palliative Care Patients: A Quasi-Experimental, Prospective Multicenter Study.

PubMed

Mateo-Ortega, Dolors; Gómez-Batiste, Xavier; Maté, Jorge; Beas, Elba; Ela, Sara; Lasmarias, Cristina; Limonero, Joaquín T

2018-03-13

To determine whether specific psychosocial interventions can ease discomfort in palliative care (PC) patients, particularly in those with high levels of pain or emotional distress. Changes in the psychological parameters of 8333 patients were assessed in a quasi-experimental, prospective, multicenter, single group pretest/post-test study. Psychosocial care was delivered by 29 psychosocial care teams (PSTs; 137 professionals). Pre- and post-intervention changes in these variables were assessed: mood, anxiety, and emotional distress. Patients were classified as complex, when presented with high levels of anxiety, mood, suffering (or perception of time as slow), and distress (or unease, or discomfort), or noncomplex. These groups were compared to assess changes in suffering-related parameters from baseline. Psychosocial interventions reduced patients' suffering. These interventions were more effective in complex patients. After successive psychosocial interventions, the level of suffering in complex patients decreased until close to parity with noncomplex patients, suggesting that patients with major complexity could benefit most from specific psychosocial treatment. These findings support the importance of assessing and treating patients' psychosocial needs.

Changes in body composition of neonatal piglets during growth

USDA-ARS?s Scientific Manuscript database

During studies of neonatal piglet growth it is important to be able to accurately assess changes in body composition. Previous studies have demonstrated that quantitative magnetic resonance (QMR) provides precise and accurate measurements of total body fat mass, lean mass and total body water in non...

Towards a global water scarcity risk assessment framework: using scenarios and risk distributions

NASA Astrophysics Data System (ADS)

Veldkamp, Ted; Wada, Yoshihide; Aerts, Jeroen; Ward, Philip

2016-04-01

Over the past decades, changing hydro-climatic and socioeconomic conditions have led to increased water scarcity problems. A large number of studies have shown that these water scarcity conditions will worsen in the near future. Despite numerous calls for risk-based assessments of water scarcity, a framework that includes UNISDR's definition of risk does not yet exist at the global scale. This study provides a first step towards such a risk-based assessment, applying a Gamma distribution to estimate water scarcity conditions at the global scale under historic and future conditions, using multiple climate change projections and socioeconomic scenarios. Our study highlights that water scarcity risk increases given all future scenarios, up to >56.2% of the global population in 2080. Looking at the drivers of risk, we find that population growth outweigh the impacts of climate change at global and regional scales. Using a risk-based method to assess water scarcity in terms of Expected Annual Exposed Population, we show the results to be less sensitive than traditional water scarcity assessments to the use of fixed threshold to represent different levels of water scarcity. This becomes especially important when moving from global to local scales, whereby deviations increase up to 50% of estimated risk levels. Covering hazard, exposure, and vulnerability, risk-based methods are well-suited to assess water scarcity adaptation. Completing the presented risk framework therefore offers water managers a promising perspective to increase water security in a well-informed and adaptive manner.

Responding to climate change in New York State: the ClimAID integrated assessment for effective climate change adaptation in New York State. Final report.

PubMed

2011-12-01

Climate change is already beginning to affect New York State, and these impacts are projected to grow. At the same time, the state has the ability to develop adaptation strategies to prepare for and respond to climate risks now and in the future. The ClimAID assessment provides information on climate change impacts and adaptation for eight sectors in New York State: water resources, coastal zones, ecosystems, agriculture, energy, transportation,telecommunications, and public health. Observed climate trends and future climate projections were developed for seven regions across the state. Within each of the sectors, climate risks, vulnerabilities, and adaptation strategies are identified. Integrating themes across all of the sectors are equity and environmental justice and economics.Case studies are used to examine specific vulnerabilities and potential adaptation strategies in each of the eight sectors. These case studies also illustrate the linkages among climate vulnerabilities, risks, and adaptation, and demonstrate specific monitoring needs. Stakeholder participation was critical to the ClimAID assessment process to ensure relevance to decision makers across the state.

Elkhorn Slough: Detecting Eutrophication through Geospatial Modeling Applications

NASA Astrophysics Data System (ADS)

Caraballo Álvarez, I. O.; Childs, A.; Jurich, K.

2016-12-01

Elkhorn Slough in Monterey, California, has experienced substantial nutrient loading and eutrophication over the past 21 years as a result of fertilizer-rich runoff from nearby agricultural fields. This study seeks to identify and track spatial patterns of eutrophication hotspots and the correlation to land use changes, possible nutrient sources, and general climatic trends using remotely sensed and in situ data. Threats of rising sea level, subsiding marshes, and increased eutrophication hotspots demonstrate the necessity to analyze the effects of increasing nutrient loads, relative sea level changes, and sedimentation within Elkhorn Slough. The Soil & Water Assessment Tool (SWAT) model integrates specified inputs to assess nutrient and sediment loading and their sources. TerrSet's Land Change Modeler forecasts the future potential of land change transitions for various land cover classes around the slough as a result of nutrient loading, eutrophication, and increased sedimentation. TerrSet's Earth Trends Modeler provides a comprehensive analysis of image time series to rapidly assess long term eutrophication trends and detect spatial patterns of known hotspots. Results from this study will inform future coastal management practices and provide greater spatial and temporal insight into Elkhorn Slough eutrophication dynamics.

Using the CAS Standards in Assessment Projects

ERIC Educational Resources Information Center

Dean, Laura A.

2013-01-01

This chapter provides an overview of the use of professional standards of practice in assessment and of the Council for the Advancement of Standards in Higher Education (CAS). It outlines a model for conducting program self-studies and discusses the importance of implementing change based on assessment results.

Bioassessments to detect changes in Pacific Northwest river fish assemblages: A Malheur River case study

EPA Science Inventory

The EPA’s Environmental Monitoring and Assessment Program large-river assessment protocol was applied to assess the ecological condition, major stressors, and likely human disturbances of the mainstem Malheur River, OR. We used inflatable rafts to allow launching and retrieving ...

Global Environmental Change: Modifying Human Contributions Through Education

NASA Astrophysics Data System (ADS)

Carter, Lynne M.

1998-12-01

The 1995 Intergovernmental Panel on Climate Change (IPCC, 1996) Science report concludes that evidence now available "points toward a discernible human influence on global climate" (p. 439). Reductions in emissions will require changes in human behavior. This study assessed whether gains in global environmental change knowledge would lead to changes in human behaviors that could be deemed environmentally responsible. The study assessed the impact on participant behavior of a two-and-one-half day National Informal Educators Workshop and Videoconference held November 14-16, 1994. The workshops were located in seven down-link sites around the continental U.S. and Hawaii. The program utilized a variety of pedagogical techniques during five hours of satellite programming with national expertise on global change topics (natural variability, greenhouse effect, ozone depletion, ecosystem response, and population and resource distribution) and applications of that information with local experts in regional workshops. Participants implemented many personal and professional behavior changes after participation in this program. Six behavior change scales were created from assessment of survey responses (four coefficient alphas were above .7, one was .68, and one was .58). Personal behavior changes grouped into three categories: Use of Fewer Resources (acts of everyday life generally under volitional control), Purchasing Choices/Options (less frequent acts, not under total volitional control, with significant environmental effect over the lifetime of the decision, e.g., an automobile) and Increased Awareness and Discussion (indicating changes in "habits of mind"). The professional behavior changes also grouped into three categories: Curriculum Development (developing/revising curricula including new knowledge); Networking (with colleagues from the program); and Office Procedures (reflecting environmentally responsible behavior). The statistically significant behavior changes implemented correspond with increases in content knowledge, confidence, a developing national network, regional applications, and satisfaction with the program.

Adapting to climate change at Olympic National Forest and Olympic National Park

USGS Publications Warehouse

Halofsky, Jessica E.; Peterson, David L.; O'Halloran, Kathy A.; Hoffman, Catherine H.

2011-01-01

Climate change presents a major challenge to natural resource managers both because of the magnitude of potential effects of climate change on ecosystem structure, processes, and function, and because of the uncertainty associated with those potential ecological effects. Concrete ways to adapt to climate change are needed to help natural resource managers take the first steps to incorporate climate change into management and take advantage of opportunities to counteract the negative effects of climate change. We began a climate change adaptation case study at Olympic National Forest (ONF) in partnership with Olympic National Park (ONP) to determine how to adapt management of federal lands on the Olympic Peninsula, Washington, to climate change. The case study began in the summer of 2008 and continued for 1½ years. The case study process involved science-based sensitivity assessments, review of management activities and constraints, and adaptation workshops in each of four focus areas (hydrology and roads, fish, vegetation, and wildlife). The process produced adaptation options for ONF and ONP, and illustrated the utility of place-based vulnerability assessment and science-management workshops in adapting to climate change. The case study process provides an example for other national forests, national parks, and natural resource agencies of how federal land management units can collaborate in the initial stages of climate change adaptation. Many of the ideas generated through this process can potentially be applied in other locations and in other agencies

Assessing Acculturation Over Time: A Four-year Prospective Study of Asian American Young Adults

PubMed Central

Murray, Kate E.; Klonoff, Elizabeth A.; Garcini, Luz M.; Ullman, Jodie B.; Wall, Tamara L.; Myers, Mark G.

2014-01-01

Acculturation is commonly defined as a dynamic and multidimensional process in which individuals and groups change over time when coming into contact with another culture. Despite the emphasis on acculturation as a process of change over time, few researchers have directly assessed this hypothesis. The current study first identifies and then examines “stable” and “dynamic” dimensions of acculturation within a 4-year prospective study of 433 first- and second-generation Chinese- and Korean-American college students. Separate growth model analyses revealed significant linear change for first-generation students toward greater U.S. acculturation. In comparison, tests of linear and quadratic change for second-generation students were not significant. When stratifying by gender, acculturation increased for women but there was no significant change in acculturation for men. While all students reported increases in alcohol consumption over the study period, changes in acculturation predicted changes in alcohol consumption only for women. Chinese men showed greater increases in alcohol consumption than Korean men but there was no effect for ethnicity among women. There was significant individual variability in the models, which underscores the importance of examining change prospectively through within and between person analyses. The findings highlight the importance of examining acculturation changes over time for different migrant groups with implications for further development of acculturation measures, research methodologies, and health interventions. More prospective research designs of acculturation are needed to examine changes in health behavior and overall adaptation across migrant groups at varying stages of development. PMID:25558310

Vulnerability Assessment of Natural Disasters for Small and Mid-Sized Streams due to Climate Change and Stream Improvement

NASA Astrophysics Data System (ADS)

Choi, D.; Jun, H. D.; Kim, S.

2012-04-01

Vulnerability assessment plays an important role in drawing up climate change adaptation plans. Although there are some studies on broad vulnerability assessment in Korea, there have been very few studies to develop and apply locally focused and specific sector-oriented climate change vulnerability indicators. Especially, there has seldom been any study to investigate the effect of an adaptation project on assessing the vulnerability status to climate change for fundamental local governments. In order to relieve adverse effects of climate change, Korean government has performed the project of the Major Four Rivers (Han, Geum, Nakdong and Yeongsan river) Restoration since 2008. It is expected that water level in main stream of 4 rivers will be dropped through this project, but flood effect will be mainly occurred in small and mid-sized streams which flows in main stream. Hence, we examined how much the project of the major four rivers restoration relieves natural disasters. Conceptual framework of vulnerability-resilience index to climate change for the Korean fundamental local governments is defined as a function of climate exposure, sensitivity, and adaptive capacity. Then, statistical data on scores of proxy variables assumed to comprise climate change vulnerability for local governments are collected. Proxy variables and estimated temporary weights of them are selected by surveying a panel of experts using Delphi method, and final weights are determined by modified Entropy method. Developed vulnerability-resilience index was applied to Korean fundamental local governments and it is calculated under each scenario as follows. (1) Before the major four rivers restoration, (2) 100 years after represented climate change condition without the major four rivers restoration, (3) After the major four rivers restoration without representing climate change (this means present climate condition) and (4) After the major four rivers restoration and 100 years after represented climate change condition. In the results of calculated vulnerability-resilience index of each scenario, it can be noticed that vulnerability of watersheds which are located near main stream of four rivers is alleviated, but because of climate change, vulnerability is getting high in most watersheds. Also, considering future climate change and river restoration, vulnerability of several watersheds is relieved by river restoration. Acknowledges This work was funded by the National Emergency Management Agency (NEMA) in Korea Program under Grant NEMA-10-NH-04.

Global variation in thermal tolerances and vulnerability of endotherms to climate change

PubMed Central

Khaliq, Imran; Hof, Christian; Prinzinger, Roland; Böhning-Gaese, Katrin; Pfenninger, Markus

2014-01-01

The relationships among species' physiological capacities and the geographical variation of ambient climate are of key importance to understanding the distribution of life on the Earth. Furthermore, predictions of how species will respond to climate change will profit from the explicit consideration of their physiological tolerances. The climatic variability hypothesis, which predicts that climatic tolerances are broader in more variable climates, provides an analytical framework for studying these relationships between physiology and biogeography. However, direct empirical support for the hypothesis is mostly lacking for endotherms, and few studies have tried to integrate physiological data into assessments of species' climatic vulnerability at the global scale. Here, we test the climatic variability hypothesis for endotherms, with a comprehensive dataset on thermal tolerances derived from physiological experiments, and use these data to assess the vulnerability of species to projected climate change. We find the expected relationship between thermal tolerance and ambient climatic variability in birds, but not in mammals—a contrast possibly resulting from different adaptation strategies to ambient climate via behaviour, morphology or physiology. We show that currently most of the species are experiencing ambient temperatures well within their tolerance limits and that in the future many species may be able to tolerate projected temperature increases across significant proportions of their distributions. However, our findings also underline the high vulnerability of tropical regions to changes in temperature and other threats of anthropogenic global changes. Our study demonstrates that a better understanding of the interplay among species' physiology and the geography of climate change will advance assessments of species' vulnerability to climate change. PMID:25009066

Predicting implementation from organizational readiness for change: a study protocol

PubMed Central

2011-01-01

Background There is widespread interest in measuring organizational readiness to implement evidence-based practices in clinical care. However, there are a number of challenges to validating organizational measures, including inferential bias arising from the halo effect and method bias - two threats to validity that, while well-documented by organizational scholars, are often ignored in health services research. We describe a protocol to comprehensively assess the psychometric properties of a previously developed survey, the Organizational Readiness to Change Assessment. Objectives Our objective is to conduct a comprehensive assessment of the psychometric properties of the Organizational Readiness to Change Assessment incorporating methods specifically to address threats from halo effect and method bias. Methods and Design We will conduct three sets of analyses using longitudinal, secondary data from four partner projects, each testing interventions to improve the implementation of an evidence-based clinical practice. Partner projects field the Organizational Readiness to Change Assessment at baseline (n = 208 respondents; 53 facilities), and prospectively assesses the degree to which the evidence-based practice is implemented. We will conduct predictive and concurrent validities using hierarchical linear modeling and multivariate regression, respectively. For predictive validity, the outcome is the change from baseline to follow-up in the use of the evidence-based practice. We will use intra-class correlations derived from hierarchical linear models to assess inter-rater reliability. Two partner projects will also field measures of job satisfaction for convergent and discriminant validity analyses, and will field Organizational Readiness to Change Assessment measures at follow-up for concurrent validity (n = 158 respondents; 33 facilities). Convergent and discriminant validities will test associations between organizational readiness and different aspects of job satisfaction: satisfaction with leadership, which should be highly correlated with readiness, versus satisfaction with salary, which should be less correlated with readiness. Content validity will be assessed using an expert panel and modified Delphi technique. Discussion We propose a comprehensive protocol for validating a survey instrument for assessing organizational readiness to change that specifically addresses key threats of bias related to halo effect, method bias and questions of construct validity that often go unexplored in research using measures of organizational constructs. PMID:21777479

Assessing climate change impacts, benefits of mitigation, and uncertainties on major global forest regions under multiple socioeconomic and emissions scenarios

Treesearch

John B Kim; Erwan Monier; Brent Sohngen; G Stephen Pitts; Ray Drapek; James McFarland; Sara Ohrel; Jefferson Cole

2016-01-01

We analyze a set of simulations to assess the impact of climate change on global forests where MC2 dynamic global vegetation model (DGVM) was run with climate simulations from the MIT Integrated Global System Model-Community Atmosphere Model (IGSM-CAM) modeling framework. The core study relies on an ensemble of climate simulations under two emissions scenarios: a...

Determinants of Weight Gain in Women with Early-Stage Breast Cancer

DTIC Science & Technology

2008-04-30

changes during and following therapy . This study will be the first to comprehensively examine predictors and modulators of post-diagnostic weight gain in...past 6 months and was patterned on the Functional Assessment of Cancer Therapy – Fatigue Subscale (FACT-F) and the Multidimensional Assessment of...was not shown to vary with radiation treatment, chemotherapy treatment or hormonal therapy . These results suggest that changes in body temperature

Assessment of Physical Activity, Exercise Self-Efficacy, and Stages of Change in College Students Using a Street-Based Survey Method

ERIC Educational Resources Information Center

Leenders, Nicole Y. J. M.; Silver, Lorraine Wallace; White, Susan L.; Buckworth, Janet; Sherman, W. Michael

2002-01-01

This study assessed the level of physical activity, exercise self-efficacy, and stages of change for exercise behavior among college students at a large midwestern university using a street-based survey method. The 50% response rate produced 925 student responses comprising 95% as young ([less than or equal to]24 years of age), 53% female, and 79%…

Longitudinal assessment of mouse renal injury using high-resolution anatomic and magnetization transfer MR imaging.

PubMed

Wang, Feng; Jiang, Rosie; Takahashi, Keiko; Gore, John; Harris, Raymond C; Takahashi, Takamune; Quarles, C Chad

2014-11-01

The purpose of this study is to evaluate the utility of high-resolution non-invasive endogenous high-field MRI methods for the longitudinal structural and quantitative assessments of mouse kidney disease using the model of unilateral ureter obstruction (UUO). T1-weighted, T2-weighted and magnetization transfer (MT) imaging protocols were optimized to improve the regional contrast in mouse kidney. Conventional T1 and T2 weighted images were collected in UUO mice on day 0 (~3h), day 1, day 3 and day 6 after injury, on a 7 T small animal MRI system. Cortical and medullary thickness, corticomedullary contrast and Magnetization Transfer Ratio (MTR) were assessed longitudinally. Masson trichrome staining was used to histologically assess changes in tissue microstructure. Over the course of UUO progression there were significant (p<0.05) changes in thickness of cortex and outer medulla, and regional changes in T2 signal intensity and MTR values. Histological changes included tubular cell death, tubular dilation, urine retention, and interstitial fibrosis, assessed by histology. The MRI measures of renal cortical and medullary atrophy, cortical-medullary differentiation and MTR changes provide an endogenous, non-invasive and quantitative evaluation of renal morphology and tissue composition during UUO progression. Copyright © 2014 Elsevier Inc. All rights reserved.

Promoting evidence-based practice: managing change in the assessment of pressure damage risk.

PubMed

Gerrish, K; Clayton, J; Nolan, M; Parker, K; Morgan, L

1999-11-01

This study set out to facilitate the development of evidence-based practice in the assessment of pressure damage risk to patients within a large acute hospital. The importance of nursing practice being based on the best available evidence is emphasized in recent health policy. Meeting this objective is not easy as both individual and organizational factors create barriers to the implementation of research findings and the achievement of change. The study was based on an action research model. It comprised three stages: a review of the research evidence; a survey of qualified nurses' knowledge of risk assessment of pressure damage and an audit of record keeping, and a multifaceted approach to achieving change in which researchers, managers, practitioners and clinical nurse specialists worked together collaboratively. The findings from the survey and audit indicated a shortfall in nurses' knowledge of risk assessment of pressure damage and in their record keeping. The researchers, with the help of the clinical nurse specialist, built upon these findings by assisting practitioners and managers to take ownership of the need to base practice on the appropriate evidence. Achieving evidence-based practice is a complex undertaking that requires the development of an evaluative culture and a commitment by practitioners and managers to change practice. Researchers can play a valuable role in facilitating this process.

The effect of dietary intake changes on nutritional status in acute leukaemia patients after first induction chemotherapy.

PubMed

Malihi, Z; Kandiah, M; Chan, Y M; Esfandbod, M; Vakili, M; Hosseinzadeh, M; Zarif Yeganeh, M

2015-07-01

This study aimed to evaluate how changes in dietary intake among acute lymphoblastic and acute myeloid leukaemia (ALL and AML) patients affect nutritional status after the first induction chemotherapy. Dietary intake was assessed using 24-h recall and a 136-item food frequency questionnaire. Nutritional status was assessed by Patients Subjective Global Assessment questionnaire before starting induction therapy and again after 1 month. All newly diagnosed acute leukaemia patients aged 15 years old and older who attended three referral hospitals for initiation of their induction chemotherapy were included in the sample selection provided that they gave informed consent. A total of 30 AML and 33 ALL patients participated in the study. Dietary intake and nutritional status worsened after the chemotherapy treatment. Dietary intake in terms of macronutrients, micronutrients, food variety and diet diversity score changed significantly after the induction chemotherapy. No significant relationship was found between the changes in dietary indices and nutritional status. Chemotherapy-related side effects as an additional factor to cancer itself could affect dietary intake of leukaemia patients. The effectiveness of an early assessment of nutritional status and dietary intake should be further investigated in order to deter further deterioration. © 2014 The Authors. European Journal of Cancer Care Published by John Wiley & Sons Ltd.

Quantitative assessment of resilience of a water supply system under rainfall reduction due to climate change

NASA Astrophysics Data System (ADS)

Amarasinghe, Pradeep; Liu, An; Egodawatta, Prasanna; Barnes, Paul; McGree, James; Goonetilleke, Ashantha

2016-09-01

A water supply system can be impacted by rainfall reduction due to climate change, thereby reducing its supply potential. This highlights the need to understand the system resilience, which refers to the ability to maintain service under various pressures (or disruptions). Currently, the concept of resilience has not yet been widely applied in managing water supply systems. This paper proposed three technical resilience indictors to assess the resilience of a water supply system. A case study analysis was undertaken of the Water Grid system of Queensland State, Australia, to showcase how the proposed indicators can be applied to assess resilience. The research outcomes confirmed that the use of resilience indicators is capable of identifying critical conditions in relation to the water supply system operation, such as the maximum allowable rainfall reduction for the system to maintain its operation without failure. Additionally, resilience indicators also provided useful insight regarding the sensitivity of the water supply system to a changing rainfall pattern in the context of climate change, which represents the system's stability when experiencing pressure. The study outcomes will help in the quantitative assessment of resilience and provide improved guidance to system operators to enhance the efficiency and reliability of a water supply system.

Hurricane Sandy washover deposits on southern Long Beach Island, New Jersey

USGS Publications Warehouse

Bishop, James M.; Richmond, Bruce M.; Zaremba, Nicholas J.; Lunghino, Brent D.; Kane, Haunani H.

2016-07-22

Sedimentologic and topographic data from Hurricane Sandy washover deposits were collected from southern Long Beach Island, New Jersey, in order to document changes to the barrier-island beaches, dunes, and coastal wetlands caused by Hurricane Sandy and subsequent storm events. These data will provide a baseline dataset for use in future coastal change descriptive and predictive studies and assessments. The data presented here were collected as part of the U.S. Geological Survey’s Barrier Island and Estuarine Wetland Physical Change Assessment Project (http://coastal.er.usgs.gov/sandy-wetland-assessment/), which aims to assess ecological and societal vulnerability that results from long- and short-term physical changes to barrier islands and coastal wetlands. This report describes data that were collected in April 2015, approximately 2½ years after Hurricane Sandy’s landfall on October 29, 2012. During the field campaign, washover deposits were photographed and described, and sediment cores, sediment samples, and surface-elevation data were collected. Data collected during this study, including sample locations and elevations, core photographs, computed tomography scans, descriptive core logs, sediment grain-size data, and accompanying Federal Geographic Data Committee metadata, are available in the associated U.S. Geological Survey data release (Bishop and others, 2016; http://dx.doi.org/10.5066/F7PK0D7S).

Changes to Students' Learning Processes Following Instruction on the Topic

ERIC Educational Resources Information Center

Clump, Michael A.

2005-01-01

Previous research indicates that students' learning styles, as assessed by the Inventory of Learning Processes (ILP; Schmeck, Ribich, & Ramanaiah, 1977), change during college. Additionally, prior research indicates that teaching students about their learning styles enables them to change those learning styles. The current study investigated…

INTEGRATING LANDSCAPE ASSESSMENT AND HYDROLOGIC MODELING FOR LAND COVER CHANGE ANALYSIS

EPA Science Inventory

This study is based on the assumption that land cover change and rainfall spatial variability affect the r-ainfall-runoff relationships on the watershed. Hydrologic response is an integrated indicator of watershed condition, and changes in land cover may affect the overall health...

Lack of robustness of textural measures obtained from 3D brain tumor MRIs impose a need for standardization.

PubMed

Molina, David; Pérez-Beteta, Julián; Martínez-González, Alicia; Martino, Juan; Velasquez, Carlos; Arana, Estanislao; Pérez-García, Víctor M

2017-01-01

Textural measures have been widely explored as imaging biomarkers in cancer. However, their robustness under dynamic range and spatial resolution changes in brain 3D magnetic resonance images (MRI) has not been assessed. The aim of this work was to study potential variations of textural measures due to changes in MRI protocols. Twenty patients harboring glioblastoma with pretreatment 3D T1-weighted MRIs were included in the study. Four different spatial resolution combinations and three dynamic ranges were studied for each patient. Sixteen three-dimensional textural heterogeneity measures were computed for each patient and configuration including co-occurrence matrices (CM) features and run-length matrices (RLM) features. The coefficient of variation was used to assess the robustness of the measures in two series of experiments corresponding to (i) changing the dynamic range and (ii) changing the matrix size. No textural measures were robust under dynamic range changes. Entropy was the only textural feature robust under spatial resolution changes (coefficient of variation under 10% in all cases). Textural measures of three-dimensional brain tumor images are not robust neither under dynamic range nor under matrix size changes. Standards should be harmonized to use textural features as imaging biomarkers in radiomic-based studies. The implications of this work go beyond the specific tumor type studied here and pose the need for standardization in textural feature calculation of oncological images.

America's Climate Choices: Adapting to the Impacts of Climate Change (Invited)

NASA Astrophysics Data System (ADS)

Wilbanks, T.; Yohe, G.; Mengelt, C.; Casola, J.

2010-12-01

At the request of Congress, the National Academy of Sciences convened a series of coordinated activities to provide advice on actions and strategies that the nation can take to respond to climate change. As part of this suite of activities, this study assessed, this study assessed how the nation can begin to adapt to the impacts of climate change. Much of the nation’s experience to date in managing and protecting its people, resources, and infrastructure is based on the historic record of climate variability during a period of relatively stable climate. Adaptation to climate change calls for a new paradigm - one that considers a range of possible future climate conditions and associated impacts. The Adapting to the Impacts of Climate Change report calls for action at all levels of government, NGOs, and the private sector to assess vulnerabilities to the impacts of climate change and identify options for adaptation. Current adaptation efforts are hampered by a lack of solid information about the benefits, costs, and effectiveness of various adaptation options, by uncertainty about future climate change impacts at a scale necessary for decision-making, and by a lack of coordination. The report outlines a risk management framework that can be applied to assess vulnerabilities, compare and evaluate potential adaptation options, recognizing that decision makers across the country are likely to pursue a diverse set of adaptation measures. A major research effort is needed to improve knowledge about current and future vulnerabilities, explore new adaptation options, and better inform adaptation decisions. Therefore, the report also emphasizes the need to continually re-assess adaptation decisions as the experience and knowledge regarding effective adaptation evolves. A national adaptation strategy is needed in which the federal government would support and enhance adaptation activities undertaken by state, local, tribal, and private entities; identify and modify policies that might provide incentives for maladaptive behavior; bolster scientific research regarding adaptation; and encourage adaptation on a global scale through national programs with international components.

The effect of video review of resident laparoscopic surgical skills measured by self- and external assessment.

PubMed

Herrera-Almario, Gabriel E; Kirk, Katherine; Guerrero, Veronica T; Jeong, Kwonho; Kim, Sara; Hamad, Giselle G

2016-02-01

Video review of surgical skills is an educational modality that allows trainees to reflect on self-performance. The purpose of this study was to determine whether resident and attending assessments of a resident's laparoscopic performance differ and whether video review changes assessments. Third-year surgery residents were invited to participate. Elective laparoscopic procedures were video recorded. The Global Operative Assessment of Laparoscopic Skills evaluation was completed immediately after the procedure and again 7 to 10 days later by both resident and attending. Scores were compared using t tests. Nine residents participated and 76 video reviews were completed. Residents scored themselves significantly lower than the faculty scores both before and after video review. Resident scores did not change significantly after video review. Attending and resident self-assessment of laparoscopic skills differs and subsequent video review does not significantly affect Global Operative Assessment of Laparoscopic Skills scores. Further studies should evaluate the impact of video review combined with verbal feedback on skill acquisition and assessment. Copyright © 2016 Elsevier Inc. All rights reserved.

Changes in erectile dysfunction over time in relation to Framingham cardiovascular risk in the Boston Area Community Health (BACH) Survey.

PubMed

Fang, Shona C; Rosen, Raymond C; Vita, Joseph A; Ganz, Peter; Kupelian, Varant

2015-01-01

Erectile dysfunction (ED) is associated with cardiovascular disease (CVD); however, the association between change in ED status over time and future underlying CVD risk is unclear. The aim of this study was to investigate the association between change in ED status and Framingham CVD risk, as well change in Framingham risk. We studied 965 men free of CVD in the Boston Area Community Health (BACH) Survey, a longitudinal cohort study with three assessments. ED was assessed with the five-item International Index of Erectile Function at BACH I (2002-2005) and BACH II (2007-2010) and classified as no ED/transient ED/persistent ED. CVD risk was assessed with 10-year Framingham CVD risk algorithm at BACH I and BACH III (2010-2012). Linear regression models controlled for baseline age, socio-demographic and lifestyle factors, as well as baseline Framingham risk. Models were also stratified by age (≥/< 50 years). Framingham CVD risk and change in Framingham CVD risk were the main outcome measures. Transient and persistent ED was significantly associated with increased Framingham risk and change in risk over time in univariate and age-adjusted models. In younger men, persistent ED was associated with a Framingham risk that was 1.58 percentage points higher (95% confidence interval [CI]: 0.11, 3.06) and in older men, a Framingham risk that was 2.54 percentage points higher (95% CI: -1.5, 6.59), compared with those without ED. Change in Framingham risk over time was also associated with transient and persistent ED in men <50 years, but not in older men. Data suggest that even after taking into account other CVD risk factors, transient and persistent ED is associated with Framingham CVD risk and a greater increase in Framingham risk over time, particularly in younger men. Findings further support clinical assessment of CVD risk in men presenting with ED, especially those under 50 years. © 2014 International Society for Sexual Medicine.

Trends of quality of life changes in amyotrophic lateral sclerosis patients.

PubMed

Shamshiri, Hosein; Fatehi, Farzad; Abolfazli, Roya; Harirchian, Mohammad Hossein; Sedighi, Behnaz; Zamani, Babak; Roudbari, Ali; Razazian, Nazanin; Khamseh, Fatemeh; Nafissi, Shahriar

2016-09-15

Amyotrophic lateral sclerosis (ALS) is an incurable progressive neurodegenerative disease and thus the assessment of quality of life (QOL) changes and factors that may influence its course is valuable in the meantime. The present study aimed to assess the deterioration rate of QOL and influencing factors in different subgroups of Iranian ALS patients. 132 patients were evaluated in this prospective multicenter observational study. QOL was measured using ALS Assessment Questionnaire (ALSAQ-40) during 1year follow up and its progression rate was assessed in different subgroups of patients according to age, sex, stage of disease, riluzole consumption, onset type. Also physical disability and functional disability were measured using MMT and ALSFRS-R scores respectively and their progression rates were compared with ALSAQ-40 changes. Significant deterioration of the scores of ALSAQ-40 during study was consistent in all of its domains (p=0.000). There was a significant negative correlation between ALSFRS-R and MMT changes and ALSAQ-40 change (p=0.000) and this was consistently observed in all domains of ALSAQ-40 (p=0.00). ALSAQ-40 deterioration rate was shown to be significantly lower in severe/terminal stages compared to mild/moderate stages (p=0.00). Significantly higher deterioration rate was observed in bulbar onset versus limb onset patients [F (1,130)=4.52, p=0.04] but no significant difference was observed among other subgroups according to age, sex and riluzole consumption. All domains of QOL significantly deteriorate during ALS course and there is a significant correlation between their changes and progression of physical and functional disabilities. Rate of degradation of QOL may be different at different stages of the disease. QOL worsens independent of factors such as sex, age and consumption of riluzole; but onset type (bulbar versus limb) is an imperative factor in quality of life changes during the disease course. Copyright © 2016 Elsevier B.V. All rights reserved.

Comparative assessment of "plaque/media" change on three modalities of IVUS immediately after implantation of either everolimus-eluting bioresorbable vascular scaffold or everolimus-eluting metallic stent in Absorb II study.

PubMed

Zeng, Yaping; Cavalcante, Rafael; Tenekecioglu, Erhan; Suwannasom, Pannipa; Sotomi, Yohei; Collet, Carlos; Abdelghani, Mahammad; Jonker, Hans; Digne, Franck; Horstkotte, Dieter; Zehender, Manfred; Indolfi, Ciro; Saia, Francesco; Fiorilli, Rosario; Chevalier, Bernard; Bolognese, Leonardo; Goicolea, Javier; Nie, Shaoping; Onuma, Yoshinobu; Serruys, Patrick W

2017-04-01

The purpose of the study to assess the comparability of immediate changes in plaque/media volume (PV) on three modalities of intravascular ultrasound (IVUS) after implantation of either bioresorbable vascular scaffold (BVS) or everolimus-eluting metallic stent (EES) in Absorb II Study. The two devices have different device volume and ultrasound backscattering that may interfere with the "plaque/media" assessed by three modalities on IVUS: grayscale, backscattering of radiofrequency and brightness function. In a multicenter randomized controlled trial, 501 patients with stable or unstable angina underwent documentary IVUS pre- and post- implantation. The change in plaque/media volume (PV) was categorized into three groups according to the relative PV change in device segment: PV "increased" >+5% (PVI), PV unchanged ±5% (PVU), and PV decreased <-5% (PVD). The change in PV was re-evaluated three times: after subtraction of theoretical device volume, after analysis of echogenicity based on brightness function. In 449 patients, 483 lesions were analyzed pre- and post-implantation. "PVI" was more frequently observed in BVS (53.8%) than EES group (39.4%), p = 0.006. After subtraction of the theoretical device volume, the frequency of "PVI" decreased in both BVS (36.2%) and EES (32.1%) groups and became comparable (p = 0.581). In addition, the percentage of "PVI" was further reduced in both device groups after correction for either radiofrequency backscattering (BVS 34.4% vs. EES 22.6%) or echogenicity (BVS 25.2% vs. EES 9.7%). PV change in device segment was differently affected by BVS and EES devices implantation due to their differences in device volume and ultrasound backscattering. It implies that the lumen volume was also artifactually affected by the type of device implanted. Comparative IVUS assessment of lumen and plaque/media volume changes following implantation of BVS and EES requires specific methodological adjustment.

Assessing the Vulnerability of Agriculture to Climate Change in Jordan

NASA Astrophysics Data System (ADS)

Khresat, Sa'eb; Shraidaeh, Fadi; Maddat, Amer

2015-04-01

Climate change represents one of the greatest environmental, social and economic threats facing Jordan. In particular, the combined effects of climate change and water scarcity threaten to affect food and water resources that are critical for livelihoods in Jordan. This is especially true for those communities who live in the dryland area in the country and who rely wholly on rain-fed agriculture. The exact nature and extent of the impact of climate change on temperature and precipitation distribution pattern remain uncertain and it is the poor and vulnerable who will be the most susceptible to climate change adverse effects. A vulnerability assessment of rain fed agriculture to climate change and variability in semi-arid parts of Jordan was conducted in 2014. The purpose of this study is to assess the vulnerability and resilience of the most vulnerable groups where rainfed and irrigated agriculture is practiced. Also, the study focused on quantifying the impacts on agricultural productivity in response to climate change. This will help policymakers and researchers better understand and anticipate the likely impacts of climate change on agriculture and on vulnerable communities in Jordan. Also, it will provide them with tools to identify and implement appropriate adaptation strategies. The data used includes; Representative Concentration Pathways (RCPs), RCP 4.5 and RCP 8.5 adopted by the IPCC for its fifth Assessment Report (AR5). Those pathways were used for climate modeling. A decision support system (DSSAT) for agricultural production was used to assess the impact of climate changes on agricultural production. This approach was used for the Identification of climate change risk and their impacts on Agriculture. Outputs from models are used to assess the vulnerability of farmers and crops to climate and socio-economic change by estimating their sensitivity and capacity to adapt to external factors as a means of identifying what causes the differences in their vulnerability. Based on the projection models for the area, average temperature in Jordan is projected to increase between 1.2 and 1.6°C by 2050. These upward temperature trends are projected to continue beyond 2050. Projections for precipitation trends are projected to decrease by 16% by the year 2050. Evaporation is likely to increase due to higher temperatures. This is likely to increase the incidence of drought potential since precipitation is projected to decrease. It is concluded that the Overall vulnerability of agriculture to climate change in Jordan is high, where impacts such as drought and increased temperatures and decreased precipitation will be more pronounced. Major implications on rain fed agriculture are possible shorter growing season, increasing moisture and heat stress to field and horticultural crops and eventually low income and food insecurity. There were different impacts among studied communities, which is related to the: economic capability, local knowledge, physical infrastructure, institutional capacity, modern technology used, age group of farmers and diversification of their income.

Assessing the accuracy and reproducibility of modality independent elastography in a murine model of breast cancer

PubMed Central

Weis, Jared A.; Flint, Katelyn M.; Sanchez, Violeta; Yankeelov, Thomas E.; Miga, Michael I.

2015-01-01

Abstract. Cancer progression has been linked to mechanics. Therefore, there has been recent interest in developing noninvasive imaging tools for cancer assessment that are sensitive to changes in tissue mechanical properties. We have developed one such method, modality independent elastography (MIE), that estimates the relative elastic properties of tissue by fitting anatomical image volumes acquired before and after the application of compression to biomechanical models. The aim of this study was to assess the accuracy and reproducibility of the method using phantoms and a murine breast cancer model. Magnetic resonance imaging data were acquired, and the MIE method was used to estimate relative volumetric stiffness. Accuracy was assessed using phantom data by comparing to gold-standard mechanical testing of elasticity ratios. Validation error was <12%. Reproducibility analysis was performed on animal data, and within-subject coefficients of variation ranged from 2 to 13% at the bulk level and 32% at the voxel level. To our knowledge, this is the first study to assess the reproducibility of an elasticity imaging metric in a preclinical cancer model. Our results suggest that the MIE method can reproducibly generate accurate estimates of the relative mechanical stiffness and provide guidance on the degree of change needed in order to declare biological changes rather than experimental error in future therapeutic studies. PMID:26158120

Time changes in the body dimensions of male Australian Army personnel between 1977 and 2012.

PubMed

Tomkinson, Grant R; Daniell, Nathan; Fulton, Ashley; Furnell, Alistair

2017-01-01

The aim of this study was to quantify time changes in the body dimensions of male Australian Army personnel. Following a systematic review, two studies were identified and matched for occupation and age (n = 669) with time changes in 12 absolute and 11 proportional body dimensions assessed between 1977 and 2010-12. Changes in means were expressed as absolute, percent and standardised changes, with changes in variability assessed visually and as the ratio of coefficients of variation (CVs). Time changes in absolute dimensions were typically positive (increases) and moderate in magnitude (median standardised change ± 95%CI: 0.53 ± 0.23), and while changes in proportional dimensions were typically negligible (median standardised change ± 95%CI: 0.16 ± 0.33), substantial changes (standardised changes ≥0.2 or ≤-0.2) were observed in several dimensions. Variability in body dimensions has also typically increased (median ratio of CVs ± 95%CI: 1.10 ± 0.07) and become more right-skewed. These findings have important implications for the design and acquisition of new military vehicles, body equipment and clothing. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

Assessment of Projected Temperature Impacts from Climate Change on the U.S. Electric Power Sector Using the Integrated Planning Model

EPA Science Inventory

The energy sector is considered to be one of the most vulnerable to climate change. This study is a first-order analysis of the potential climate change impacts on the U.S. electric power sector, measuring the energy, environmental, and economic impacts of power system changes du...

Changes in vegetation cover and composition in the Swedish mountain region.

PubMed

Hedenås, Henrik; Christensen, Pernilla; Svensson, Johan

2016-08-01

Climate change, higher levels of natural resource demands, and changing land use will likely lead to changes in vegetation configuration in the mountain regions. The aim of this study was to determine if the vegetation cover and composition have changed in the Swedish region of the Scandinavian Mountain Range, based on data from the long-term landscape biodiversity monitoring program NILS (National Inventory of Landscapes in Sweden). Habitat type and vegetation cover were assessed in 1740 systematically distributed permanent field plots grouped into 145 sample units across the mountain range. Horvitz-Thompson estimations were used to estimate the present areal extension of the alpine and the mountain birch forest areas of the mountain range, the cover of trees, shrubs, and plants, and the composition of the bottom layer vegetation. We employed the data from two subsequent 5-year monitoring periods, 2003-2007 and 2008-2012, to determine if there have been any changes in these characteristics. We found that the extension of the alpine and the mountain birch forest areas has not changed between the inventory phases. However, the total tree canopy cover increased in the alpine area, the cover of graminoids and dwarf shrubs and the total cover of field vegetation increased in both the alpine area and the mountain birch forest, the bryophytes decreased in the alpine area, and the foliose lichens decreased in the mountain birch forest. The observed changes in vegetation cover and composition, as assessed by systematic data in a national and regional monitoring scheme, can validate the results of local studies, experimental studies, and models. Through benchmark assessments, monitoring data also contributes to governmental policies and land-management strategies as well as to directed cause and effect analyses.

Plant defence as a complex and changing phenotype throughout ontogeny

PubMed Central

Ochoa-López, Sofía; Villamil, Nora; Zedillo-Avelleyra, Paulina; Boege, Karina

2015-01-01

Background and Aims Ontogenetic changes in anti-herbivore defences are common and result from variation in resource availability and herbivore damage throughout plant development. However, little is known about the simultaneous changes of multiple defences across the entire development of plants, and how such changes affect plant damage in the field. The aim of this study was to assess if changes in the major types of plant resistance and tolerance can explain natural herbivore damage throughout plant ontogeny. Methods An assessment was made of how six defensive traits, including physical, chemical and biotic resistance, simultaneously change across the major transitions of plant development, from seedlings to reproductive stages of Turnera velutina growing in the greenhouse. In addition, an experiment was performed to assess how plant tolerance to artificial damage to leaves changed throughout ontogeny. Finally, leaf damage by herbivores was evaluated in a natural population. Key Results The observed ontogenetic trajectories of all defences were significantly different, sometimes showing opposite directions of change. Whereas trichome density, leaf toughness, extrafloral nectary abundance and nectar production increased, hydrogen cyanide and compensatory responses decreased throughout plant development, from seedlings to reproductive plants. Only water content was higher at the intermediate juvenile ontogenetic stages. Surveys in a natural population over 3 years showed that herbivores consumed more tissue from juvenile plants than from younger seedlings or older reproductive plants. This is consistent with the fact that juvenile plants were the least defended stage. Conclusions The results suggest that defensive trajectories are a mixed result of predictions by the Optimal Defence Theory and the Growth–Differentiation Balance Hypothesis. The study emphasizes the importance of incorporating multiple defences and plant ontogeny into further studies for a more comprehensive understanding of plant defence evolution. PMID:26220657

Change detection using Landsat images and an analysis of the linkages between the change and property tax values in the Istanbul Province of Turkey.

PubMed

Canaz, Sibel; Aliefendioğlu, Yeşim; Tanrıvermiş, Harun

2017-09-15

In this study, the Istanbul Province was monitored using Landsat 5 TM, MSS, Landsat 7 ETM+, and Landsat 8 OLI imagery from the years 1986, 2000, 2009, 2011, 2013, and 2015 in order to assess land cover changes in the province. The aim of the study was to classify manmade structures, land, green, and water areas, and to observe the changes in the province using satellite images. After classification, the images were compared in selected years to observe land cover. Moreover, these changes were correlated with the property tax values of Istanbul by years. The findings of the study showed that manmade structure areas increased while vegetation areas decreased due to rapid population growth, urbanization, and industrial and commercial development in Istanbul. These changes also explain the transformation of land from rural and natural areas to residential use, and serve as a tool with which to assess land value increments. Land value capturing is critical for the analysis of the linkages between the changes in land cover, and for assessing land transformation and urban growth. Due to inadequate market data, real estate tax values were used to analyze the linkages between detection changes, land cover, and taxation. In fact, the declared tax values of land owners are generally lower than the actual market values and therefore it is not possible to transfer the value increasing of land in urban areas by using property taxation from the owner to local and central governments. The research results also show that the integration of remote sensing results with real estate market data give us to determine the tax base values of real estate more realistically. Copyright © 2017 Elsevier Ltd. All rights reserved.

Evaluating the effects of climate change on US agricultural systems: sensitivity to regional impact and trade expansion scenarios

NASA Astrophysics Data System (ADS)

Baker, Justin S.; Havlík, Petr; Beach, Robert; Leclère, David; Schmid, Erwin; Valin, Hugo; Cole, Jefferson; Creason, Jared; Ohrel, Sara; McFarland, James

2018-06-01

Agriculture is one of the sectors that is expected to be most significantly impacted by climate change. There has been considerable interest in assessing these impacts and many recent studies investigating agricultural impacts for individual countries and regions using an array of models. However, the great majority of existing studies explore impacts on a country or region of interest without explicitly accounting for impacts on the rest of the world. This approach can bias the results of impact assessments for agriculture given the importance of global trade in this sector. Due to potential impacts on relative competitiveness, international trade, global supply, and prices, the net impacts of climate change on the agricultural sector in each region depend not only on productivity impacts within that region, but on how climate change impacts agricultural productivity throughout the world. In this study, we apply a global model of agriculture and forestry to evaluate climate change impacts on US agriculture with and without accounting for climate change impacts in the rest of the world. In addition, we examine scenarios where trade is expanded to explore the implications for regional allocation of production, trade volumes, and prices. To our knowledge, this is one of the only attempts to explicitly quantify the relative importance of accounting for global climate change when conducting regional assessments of climate change impacts. The results of our analyses reveal substantial differences in estimated impacts on the US agricultural sector when accounting for global impacts vs. US-only impacts, particularly for commodities where the United States has a smaller share of global production. In addition, we find that freer trade can play an important role in helping to buffer regional productivity shocks.

Changes in caregiver burden among informal caregivers of stroke patients in Mongolia.

PubMed

Chuluunbaatar, Enkhzaya; Pu, Christy; Chou, Yiing-Jenq

2017-05-01

Modern therapeutics and health care improvements prolong stroke patients' survival; however, the degree of disability remains high. Stroke survivors often require caregivers, particularly in the first year after the onset of the stroke. Longitudinal assessment of and factors associated with caregiver burden (CGB) among caregivers of stroke patients has been scarcely discussed. This study aimed to define the changes in CGB in the first year of caregiving among the caregivers of stroke patients and to identify associated factors. A prospective, multi-centered observational study was conducted in nine public hospitals in Mongolia. We used the Montgomery CGB Scale for assessing CGB, and repeated the assessment after 1 year. Stroke patient characteristics were included in the analyses. Multinomial logistic regressions were conducted to analyze changes in CGB. A paired t-test analysis revealed that demand burden increased (from 12.61 to 11.50, p = 0.034), whereas stress burden decreased (from 10.69 to 11.60, p = 0.016). Although objective burden decreased, the difference was not significant. Factors associated with these changes in CGB were the caregiver's marital status, the caregiver's relationship with the patient, financial difficulties, and the patient's sex and dependency. The information on factors predicting changes in CGB in the first year of caregiving provided in this study suggests that social or financial support can assist in reducing CGB among the caregivers of post-stroke patients.

Long-term correlated change between personality traits and perceived social support in middle adulthood.

PubMed

Allemand, Mathias; Schaffhuser, Kathrin; Martin, Mike

2015-03-01

This study investigated long-term correlated change between personality traits and perceived social support in middle adulthood. Two measurement occasions with an 8-year time interval from the Interdisciplinary Longitudinal Study on Adult Development (ILSE) were used. The sample consisted of 346 middle-aged adults (46-50 years at T1). Four different types of perceived social support were assessed. Personality traits were assessed with the NEO-Five-Factor Inventory (NEO-FFI). Longitudinal measurement invariance (MI) was established for both measures. The mean rank-order stabilities were .79 and .62 for personality traits and for perceived social support, respectively. The results demonstrated a mean-level increase for neuroticism and a decrease for extraversion and significant change variances for all constructs. The results of latent change models showed significant initial level correlations and correlated changes between personality traits and social support, implying that changes in these constructs show commonality. The results can expand our current thinking about correlated change in personality. © 2015 by the Society for Personality and Social Psychology, Inc.

Old data, new problems

USGS Publications Warehouse

Middleton, Beth

2010-01-01

Old data are a gold standard in climate change research, and much more use should be made of these data sets to document changes in wetlands in recent decades. Key data sets for the study of climate or land use change effects on wetlands may include historical field studies. Old data sets such as those from Iowa State University in the 1980s have immense value for assessing long term vegetation change over time. These data sets include classic studies of biomass production, decomposition, vegetation composition, water level tolerances, and seed bank structure.

Validation of the dyspnea index in adolescents with exercise-induced paradoxical vocal fold motion.

PubMed

De Guzman, Vanessa; Ballif, Catherine L; Maurer, Rie; Hartnick, Christopher J; Raol, Nikhila

2014-09-01

Paradoxical vocal fold motion (PVFM) affects almost 1 million adolescents in the United States. However, to date, no disease-specific objective measure exists to assess symptom severity and response to treatment in adolescents with exercise-induced PVFM. To validate the Dyspnea Index (DI) quality-of-life instrument (previously validated for adults with breathing disorders) in children aged 12 to 18 years with exercise-induced PVFM and to determine the minimum significant DI change corresponding to patient-reported or caregiver-reported improvement or worsening of symptoms. A longitudinal study of 56 patients (age range, 12-18 years) diagnosed as having exercise-induced PVFM and their caregivers from February 1, 2013, to September 30, 2013, in an outpatient pediatric otolaryngology office practice. The DI was administered to patients and caregivers, with items modified to reflect the perspective of caregivers. Appropriate DI change was measured to reflect improvement or worsening of symptoms. Test-retest reliability was accomplished by having a subset of patients and caregivers complete the instrument twice within 2 weeks before therapy. Internal consistency was assessed by calculation of Cronbach α. Discriminant validity and convergent validity were determined by comparing DIs with assessment of global change in symptoms. The patient and caregiver mean (SD) DI changes were -12.9 (9.6) and -14.7 (9.3), respectively (P < .001 for both). Reliability was established by test-retest analysis with an intraclass correlation coefficient of 0.8 and by calculation of Cronbach α = 0.80, demonstrating internal consistency. Discriminant validity was determined by assessing for a significant DI change when patients globally perceived that a change existed after treatment (P < .001). A DI change of 8 or higher (P < .001) correlated with patient-reported significant change. Convergent validity was demonstrated by evaluating for significant DI change when no change was reported following treatment (P < .001). The DI appears to be a valid and reliable instrument to assess quality of life in exercise-induced pediatric PVFM. A DI change of 8 or higher seems significant. This instrument can serve as an objective tool to assess change in exercise-induced pediatric PVFM following speech therapy.

The development of an online decision support tool for organizational readiness for change.

PubMed

Khan, Sobia; Timmings, Caitlyn; Moore, Julia E; Marquez, Christine; Pyka, Kasha; Gheihman, Galina; Straus, Sharon E

2014-05-10

Much importance has been placed on assessing readiness for change as one of the earliest steps of implementation, but measuring it can be a complex and daunting task. Organizations and individuals struggle with how to reliably and accurately measure readiness for change. Several measures have been developed to help organizations assess readiness, but these are often underused due to the difficulty of selecting the right measure. In response to this challenge, we will develop and test a prototype of a decision support tool that is designed to guide individuals interested in implementation in the selection of an appropriate readiness assessment measure for their setting. A multi-phase approach will be used to develop the decision support tool. First, we will identify key measures for assessing organizational readiness for change from a recently completed systematic review. Included measures will be those developed for healthcare settings (e.g., acute care, public health, mental health) and that have been deemed valid and reliable. Second, study investigators and field experts will engage in a mapping exercise to categorize individual items of included measures according to key readiness constructs from an existing framework. Third, a stakeholder panel will be recruited and consulted to determine the feasibility and relevance of the selected measures using a modified Delphi process. Fourth, findings from the mapping exercise and stakeholder consultation will inform the development of a decision support tool that will guide users in appropriately selecting change readiness measures. Fifth, the tool will undergo usability testing. Our proposed decision support tool will address current challenges in the field of organizational change readiness by aiding individuals in selecting a valid and reliable assessment measure that is relevant to user needs and practice settings. We anticipate that implementers and researchers who use our tool will be more likely to conduct readiness for change assessments in their settings when planning for implementation. This, in turn, may contribute to more successful implementation outcomes. We will test this tool in a future study to determine its efficacy and impact on implementation processes.

Development and psychometric validation of the 'Parent Perspective University of Rhode Island Change Assessment-Short' (PURICA-S) Questionnaire for the application in parents of children with overweight and obesity.

PubMed

Junne, Florian; Ziser, Katrin; Mander, Johannes; Martus, Peter; Denzer, Christian; Reinehr, Thomas; Wabitsch, Martin; Wiegand, Susanna; Renner, Tobias; Giel, Katrin E; Teufel, Martin; Zipfel, Stephan; Ehehalt, Stefan

2016-11-17

High prevalence rates of childhood obesity urgently call for improved effectiveness of intervention programmes for affected children and their families. One promising attempt can be seen in tailoring interventions according to the motivational stages of parents as 'agents of change' for their children. Evidence from other behavioural contexts (eg, addiction) clearly shows the superiority of motivational-stage dependent tailored (behavioural) interventions. For the time-efficient assessment of motivational stages of change, this study aims to develop and psychometrically validate a 'Parent Perspective Version' of the existing University of Rhode Island Change Assessment-Short, an instrument assessing the motivational stages based on the theoretical fundamentals of the Transtheoretical Model of Psychotherapy. In a multistep Delphi procedure, involving experts from the study context, the original items of the University of Rhode Island Change Assessment-Short Questionnaire will be transformed from the 'self-perspective' ('I am having a problem') to the parent perspective ('my child is having a problem'). Following item adaptation, the new version of the questionnaire will be psychometrically validated in a cohort of N=300 parents with overweight or obese children. Parents will be recruited within a multicentre and multisite approach involving private paediatric practices, specialised outpatient clinics as well as inpatient and rehabilitation sites. Analyses will include confirmatory factor analyses, internal consistencies (reliability) as well as convergent and criterion validity. Convergent validity will be analysed using subscales of the HAKEMP-90 Questionnaire, an instrument which has been shown to differentiate between 'state' and 'action' orientation of individuals. This study has been granted ethics committee approval by the University of Tuebingen (number 644/2014BO2). The results of this study will be released to the participating study centres and will be submitted to peer-reviewed journals and presented at international conferences. VfD_PURICA-S_15_003607. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Readiness to change as a moderator of outcome in transdiagnostic treatment

PubMed Central

BOSWELL, JAMES F.; SAUER, SHANNON E.; GALLAGHER, MATTHEW W.; DELGADO, NICOLE; BARLOW, DAVID H.

2012-01-01

Initial symptom severity is a client characteristic associated with psychotherapy outcome, although this relationship is not well-understood. Readiness to change is a factor that may influence this relationship. This study tested readiness as a moderator of the relationship between initial severity and symptom change. Data were derived from an RCT examining the efficacy of a transdiagnostic CBT treatment. Readiness was assessed with the URICA, and symptom and functioning outcomes were assessed. Multiple regression models indicated that severity was associated with less overall change, yet readiness moderated this relationship. At higher levels of readiness, the effect of initial severity on outcome was essentially reversed; for clients with higher initial readiness, higher levels of severity were associated with greater change. PMID:22607634

Comparison of coronary heart disease genetic assessment with conventional cardiovascular risk assessment in primary care: reflections on a feasibility study.

PubMed

Qureshi, Nadeem; Kai, Joe; Middlemass, Jo; Dhiman, Paula; Cross-Bardell, Laura; Acharya, Jayshree; Li, Ka Wan; Humphries, Steve E; Standen, Penelope J

2015-11-01

This study assesses the feasibility of collecting genetic samples and self-reported outcome measures after cardiovascular risk assessment, and presenting the genetic test results to participants. Coronary heart disease (CHD) genetic tests are increasingly available through direct-to-consumer marketing, but their potential clinical impact on cardiovascular risk assessment is unclear. Observational study in 10 British general practices in Central England. A total of 320 individuals, who had completed conventional cardiovascular risk assessment, were offered CHD genetic test, with follow-up outcome questionnaire at eight months for lifestyle change and State-Trait Anxiety. A total of 119 (37%) participants returned genetic test specimens, with over a third reporting family history of CHD in a specified relative; 79 (66.4%) were categorized above-average risk on conventional cardiovascular risk assessment, 65 of whom (82.3%) were only average risk on genetic assessment. The dietary fat questionnaire was poorly completed while study participation was not associated with increased anxiety (mean increase in anxiety score=2.1; 95% CI -0.1-4.3; P=0.06). As a feasibility study, over a third of individuals offered genetic testing in primary care, as part of CVD risk assessment, took up the offer. Although intervention did not appear to increase anxiety, this needs further evaluation. To improve generalizability and effect size, future studies should actively engage individuals from wider socio-economic backgrounds who may not have already contemplated lifestyle change. The current research suggests general practitioners will face the clinical challenge of patients presenting with direct-to-consumer genetic results that are inconsistent with conventional cardiovascular risk assessment.

Motivational versus confrontational interviewing: a comparison of substance abuse assessment practices at employee assistance programs.

PubMed

Schneider, R J; Casey, J; Kohn, R

2000-02-01

The aim of this study was to conduct a quasi-experimental comparison of two employee assistance program (EAP) assessment approaches with substance abusers: confrontational interviewing (CI) and motivational interviewing (MI). A total of 176 EAP clients from 14 study sites met the study criteria, and 89 (51%) agreed to participate in the study. At three and nine months postassessment, both the MI and CI groups showed similar changes in readiness for change, completion of initial treatment plans, and subsequent treatment. Most important, both the MI and CI participants showed significant and comparable improvement on all of the substance abuse baseline measures as well as measures of family-social well-being and effects of drinking/drugging on work performance. The results open the door for EAP counselors to use an empirically supported assessment style that is at least as effective as the traditional confrontational approach.

The changing assessments of John Snow's and William Farr's cholera studies.

PubMed

Eyler, J M

2001-01-01

This article describes the epidemiological studies of cholera by two major British investigators of the mid-nineteenth century, John Snow and William Farr, and it asks why the assessments of their results by contemporaries was the reverse of our assessment today. In the 1840s and 1850s Farr's work was considered definitive, while Snow's was regarded as ingenious but flawed. Although Snow's conclusions ran contrary to the exceptations of his contemporaries, the major reservations about his cholera studies concerned his bold use of analogy, his thoroughgoing reductionism, and his willingness to ignore what seemed to be contrary evidence. Farr's electric use of current theories, his reliance multiple causation, and his discovery of a mathematical law to describe the outbreak in London in 1849 was much more convincing to his contemporaries. A major change in thinking about disease causation was needed before Snow's work could be widely accepted. William Farr's later studies contributed to that acceptance.

Some Sex-Role Sterotypes and Personal Preferences, 1950 and 1970

ERIC Educational Resources Information Center

Neufeld, Edward; And Others

1974-01-01

Two studies conducted around 1950 provided data on college students' attribution of characteristics to men or women (sex-role sterotypes). Replications of these studies were conducted during the 1970 school year to assess changes in sex-role sterotypes. Results indicated either no change or more polarized sterotypes. (Author/BB)

Nurturing Compassion Development among College Students: A Longitudinal Study

ERIC Educational Resources Information Center

Plante, Thomas; Halman, Katherine

2016-01-01

Little research exists on the development of compassion among college undergraduates. This study tracks changes in compassion and identifies factors associated with these changes over the course of undergraduate students' college careers, from the time of admittance to the time of graduation. Compassion levels assessed at the point of college…

Representative Agricultural Pathways and Climate Impact Assessment for Pacific Northwest Agricultural Systems

NASA Astrophysics Data System (ADS)

MU, J.; Antle, J. M.; Zhang, H.; Capalbo, S. M.; Eigenbrode, S.; Kruger, C.; Stockle, C.; Wolfhorst, J. D.

2013-12-01

Representative Agricultural Pathways (RAPs) are projections of plausible future biophysical and socio-economic conditions used to carry out climate impact assessments for agriculture. The development of RAPs iss motivated by the fact that the various global and regional models used for agricultural climate change impact assessment have been implemented with individualized scenarios using various data and model structures, often without transparent documentation or public availability. These practices have hampered attempts at model inter-comparison, improvement, and synthesis of model results across studies. This paper aims to (1) present RAPs developed for the principal wheat-producing region of the Pacific Northwest, and to (2) combine these RAPs with downscaled climate data, crop model simulations and economic model simulations to assess climate change impacts on winter wheat production and farm income. This research was carried out as part of a project funded by the USDA known as the Regional Approaches to Climate Change in the Pacific Northwest (REACCH). The REACCH study region encompasses the major winter wheat production area in Pacific Northwest and preliminary research shows that farmers producing winter wheat could benefit from future climate change. However, the future world is uncertain in many dimensions, including commodity and input prices, production technology, and policies, as well as increased probability of disturbances (pests and diseases) associated with a changing climate. Many of these factors cannot be modeled, so they are represented in the regional RAPS. The regional RAPS are linked to global agricultural and shared social-economic pathways, and used along with climate change projections to simulate future outcomes for the wheat-based farms in the REACCH region.

Avian community response to lowland tropical rainforest isolation: 40 years of change at La Selva Biological Station, Costa Rica.

PubMed

Sigel, Bryan J; Sherry, Thomas W; Young, Bruce E

2006-02-01

Since 1960, most of the forest surrounding the La Selva Biological Station, an intensively studied tropical research facility in Costa Rica, has been converted to agricultural uses. We used quantitative censuses and analysis of previously published categorical abundances to assess changes in the bird community, and we evaluated potential causes of species-specific changes by assessing their association with habitat, diet, participation in mixed-species flocks, and nest type. Approximately the same percentage of species increased as decreased in abundance from 1960 to 1999 (10-20% of all species, depending on method of assessment). Diet was the single most important trait associated with declining species. At least 50% of the species that declined have insectivorous diets. Use of forest habitat and participation in mixed-species flocks were also significant factors associated with declines, but nest type was unrelated to change in abundance. The species that increased in abundance tended to occur in open habitats and have omnivorous diets. These results reinforce the importance of several population risk factors associated with tropical understory insectivory and mixed-species flocking: patchy spatial distribution, low population density, large home range, and dietary specialization. La Selva's protected area (1611 ha), despite a forested connection on one boundary with a higher elevation national park, is apparently too small to maintain at least one major guild (understory insectivores). This first quantitative assessment of bird community change at La Selva highlights the need to intensify study of the mechanisms and consequences of biological diversity change in tropical forest fragments.

Pediatric Oncology Branch - Neurobehavioral Assessments | Center for Cancer Research

Cancer.gov

Neurobehavioral Research Assessments As part of the clinical trials investigating new treatments or natural history studies exploring the effects of diseases, such as cancer and neurofibromatosis type 1, we conduct comprehensive assessments of children, adolescents, and adults to identify strengths and weaknesses in neuropsychological functioning and to monitor changes in

IPCC Special Report on Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation

NASA Astrophysics Data System (ADS)

Field, C. B.; Stocker, T. F.; Barros, V. R.; Qin, D.; Ebi, K. L.; Midgley, P. M.

2011-12-01

The Summary for Policy Makers of the IPCC Special Report on Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation will be approved by the world governments in November 2011. The focus of the Special Report is on climate change and its role in altering the frequency, severity, and impact of extreme events or disasters, and on the costs of both impacts and the actions taken to prepare for, respond to, and recover from extreme events and disasters. The emphasis is on understanding the factors that make people and infrastructure vulnerable to extreme events, on recent and future changes in the relationship between climate change and extremes, and on managing the risks of disasters over a wide range of spatial and temporal scales. The assessment considers a broad suite of adaptations and explores the limits to adaptation. The assessment was designed to build durable links and foundations for partnerships between the stakeholder communities focused on climate change and those focused on disaster risk reduction. The Special Report begins with material that frames the issues, followed by an assessment of the reasons that communities are vulnerable. Two chapters assess the role of past and future climate change in altering extremes and the impact of these on the physical environment and human systems. Three chapters assess available knowledge on impacts and adaptation, with separate chapters considering the literature, stakeholder relationships, and potential policy tools relevant to the local, national, and international scales. Longer-term components of adaptation to weather and climate extremes and disasters are assessed in the context of moving toward sustainability. The final chapter provides case studies that integrate themes across several chapters or are so unique that they need to be considered separately.

Organizational change : an assessment of trust and cynicism : final report.

DOT National Transportation Integrated Search

2000-05-01

In the organizational science literature, organizational cynicism is generally considered to be conceptually distinct from organizational trust. This proposition, however, has not been adequately assessed. The present study attempts to distinguish th...

Assessment of Brain Derived Neurotrophic Factor in hair to study stress responses: A pilot investigation.

PubMed

Harb, H; González-de-la-Vara, M; Thalheimer, L; Klein, U; Renz, H; Rose, M; Kruse, J; Potaczek, D P; Peters, E M J

2017-12-01

To study pathogenic stress-effects in health and disease, it is paramount to define easy access parameters for non-invasive analysis of biological change in response to stress. Hair samples successfully provide this access for the study of hypothalamus-pituitary-adrenal axis (HPA) changes. In this study, we assess the hair expression and corresponding epigenetic changes of a neurotrophin essential for autonomic nervous system function and mental health: brain derived neurotrophic factor (BDNF). In three independent studies in healthy academic volunteers (study I: German students, N=36; study II, German academic population sample, N=28; study III: Mexican students, N=115), BDNF protein expression or BDNF gene (BDNF) histone acetylation was determined. Simultaneously, mental distress and distress-associated somatic complaints were assessed by self-report. In study I, we found a negative correlation between hair-BDNF protein level and hair-cortisol as well as between hair-BDNF and somatic complaints, while hair-cortisol correlated positively with mental distress. In study II, we found a negative correlation between H4 histone acetylation at the BDNF gene P4-promoter and somatic complaints. Regression analysis confirmed confounder stability of associations in both studies. In study III, we confirmed study I and found lower hair-BDNF protein level in volunteers with high somatic complaints, who also reported higher mental distress during the end of term exams. The results indicate that BDNF protein levels can be detected in clipped hair and are associated with somatic complaints and stress in life. In addition, we concluded that plucked hair can provide material for the study of epigenetic changes in stress-affected tissues. These tools can prove valuable for future studies on distress, both under experimental and field conditions. Copyright © 2017. Published by Elsevier Ltd.

Chesapeake Bay Low Freshwater Inflow Study. Phase II. MAP FOLIO. Biota Assessment.

DTIC Science & Technology

1982-05-01

conditions. These were: 1) Base Average -- average freshwater inflow conditions. by increased water consumption projected for the year 2020. 3) Base Drought...RESOLUTION TEST CHART NATIONAL BUREAU OF STANDARDS. 1963- A TAI m - ii J May 1982 Chesapeake Bay Low Freshwater Inflow Study Phase II Biota Assessment Map...A PERIOD ZOVERED change was found to CIESAPEAKE BAY LOW FRESHWATER INFLOW STUDY FINAL BIOTA ASSESSMENT PHASE II: FINAL REPORT MAP FOLIO s PERFORMING

Stochastic sensitivity analysis of nitrogen pollution to climate change in a river basin with complex pollution sources.

PubMed

Yang, Xiaoying; Tan, Lit; He, Ruimin; Fu, Guangtao; Ye, Jinyin; Liu, Qun; Wang, Guoqing

2017-12-01

It is increasingly recognized that climate change could impose both direct and indirect impacts on the quality of the water environment. Previous studies have mostly concentrated on evaluating the impacts of climate change on non-point source pollution in agricultural watersheds. Few studies have assessed the impacts of climate change on the water quality of river basins with complex point and non-point pollution sources. In view of the gap, this paper aims to establish a framework for stochastic assessment of the sensitivity of water quality to future climate change in a river basin with complex pollution sources. A sub-daily soil and water assessment tool (SWAT) model was developed to simulate the discharge, transport, and transformation of nitrogen from multiple point and non-point pollution sources in the upper Huai River basin of China. A weather generator was used to produce 50 years of synthetic daily weather data series for all 25 combinations of precipitation (changes by - 10, 0, 10, 20, and 30%) and temperature change (increases by 0, 1, 2, 3, and 4 °C) scenarios. The generated daily rainfall series was disaggregated into the hourly scale and then used to drive the sub-daily SWAT model to simulate the nitrogen cycle under different climate change scenarios. Our results in the study region have indicated that (1) both total nitrogen (TN) loads and concentrations are insensitive to temperature change; (2) TN loads are highly sensitive to precipitation change, while TN concentrations are moderately sensitive; (3) the impacts of climate change on TN concentrations are more spatiotemporally variable than its impacts on TN loads; and (4) wide distributions of TN loads and TN concentrations under individual climate change scenario illustrate the important role of climatic variability in affecting water quality conditions. In summary, the large variability in SWAT simulation results within and between each climate change scenario highlights the uncertainty of the impacts of climate change and the need to incorporate extreme conditions in managing water environment and developing climate change adaptation and mitigation strategies.

Modeling technical change in climate analysis: evidence from agricultural crop damages.

PubMed

Ahmed, Adeel; Devadason, Evelyn S; Al-Amin, Abul Quasem

2017-05-01

This study accounts for the Hicks neutral technical change in a calibrated model of climate analysis, to identify the optimum level of technical change for addressing climate changes. It demonstrates the reduction to crop damages, the costs to technical change, and the net gains for the adoption of technical change for a climate-sensitive Pakistan economy. The calibrated model assesses the net gains of technical change for the overall economy and at the agriculture-specific level. The study finds that the gains of technical change are overwhelmingly higher than the costs across the agriculture subsectors. The gains and costs following technical change differ substantially for different crops. More importantly, the study finds a cost-effective optimal level of technical change that potentially reduces crop damages to a minimum possible level. The study therefore contends that the climate policy for Pakistan should consider the role of technical change in addressing climate impacts on the agriculture sector.

Operative contractility: a functional concept of the inotropic state.

PubMed

Curiel, Roberto; Perez-Gonzalez, Juan; Torres, Edwar; Landaeta, Ruben; Cerrolaza, Miguel

2005-10-01

1. Initial unsuccessful attempts to evaluate ventricular function in terms of the 'heart as a pump' led to focusing on the 'heart as a muscle' and to the concept of myocardial contractility. However, no clinically ideal index exists to assess the contractile state. The aim of the present study was to develop a mathematical model to assess cardiac contractility. 2. A tri-axial system was conceived for preload (PL), afterload (AL) and contractility, where stroke volume (SV) was represented as the volume of the tetrahedron. Based on this model, 'operative' contractility ('OperCon') was calculated from the readily measured values of PL, AL and SV. The model was tested retrospectively under a variety of different experimental and clinical conditions, in 71 studies in humans and 29 studies in dogs. A prospective echocardiographic study was performed in 143 consecutive subjects to evaluate the ability of the model to assess contractility when SV and PL were measured volumetrically (mL) or dimensionally (cm). 3. With inotropic interventions, OperCon changes were comparable to those of ejection fraction (EF), velocity of shortening (Vcf) and dP/dt-max. Only with positive inotropic interventions did elastance (Ees) show significantly larger changes. With load manipulations, OperCon showed significantly smaller changes than EF and Ees and comparable changes to Vcf and dP/dt-max. Values of OperCon were similar when AL was represented by systolic blood pressure or wall stress and when volumetric or dimensional values were used. 4. Operative contractility is a reliable, simple and versatile method to assess cardiac contractility.

Change Agent Strategies: A Study of the Michigan-Ohio Regional Educational Laboratory.

ERIC Educational Resources Information Center

Miller, Peggy Lynne

This dissertation reports on a study of the planning and development activities of the Michigan-Ohio Regional Educational Laboratory (MOREL). The study attempted to assess (1) whether MOREL has accepted a change agent role, and (2) whether it has taken action that indicates recognition of what is known through the literature and research about…

Factors Influencing Smallholder Farmers' Climate Change Perceptions: A Study from Farmers in Ethiopia

NASA Astrophysics Data System (ADS)

Habtemariam, Lemlem Teklegiorgis; Gandorfer, Markus; Kassa, Getachew Abate; Heissenhuber, Alois

2016-08-01

Factors influencing climate change perceptions have vital roles in designing strategies to enrich climate change understanding. Despite this, factors that influence smallholder farmers' climate change perceptions have not yet been adequately studied. As many of the smallholder farmers live in regions where climate change is predicted to have the most negative impact, their climate change perception is of particular interest. In this study, based on data collected from Ethiopian smallholder farmers, we assessed farmers' perceptions and anticipations of past and future climate change. Furthermore, the factors influencing farmers' climate change perceptions and the relation between farmers' perceptions and available public climate information were assessed. Our findings revealed that a majority of respondents perceive warming temperatures and decreasing rainfall trends that correspond with the local meteorological record. Farmers' perceptions about the past climate did not always reflect their anticipations about the future. A substantial number of farmers' anticipations of future climate were less consistent with climate model projections. The recursive bivariate probit models employed to explore factors affecting different categories of climate change perceptions illustrate statistical significance for explanatory variables including location, gender, age, education, soil fertility status, climate change information, and access to credit services. The findings contribute to the literature by providing evidence not just on farmers' past climate perceptions but also on future climate anticipations. The identified factors help policy makers to provide targeted extension and advisory services to enrich climate change understanding and support appropriate farm-level climate change adaptations.

Factors Influencing Smallholder Farmers' Climate Change Perceptions: A Study from Farmers in Ethiopia.

PubMed

Habtemariam, Lemlem Teklegiorgis; Gandorfer, Markus; Kassa, Getachew Abate; Heissenhuber, Alois

2016-08-01

Factors influencing climate change perceptions have vital roles in designing strategies to enrich climate change understanding. Despite this, factors that influence smallholder farmers' climate change perceptions have not yet been adequately studied. As many of the smallholder farmers live in regions where climate change is predicted to have the most negative impact, their climate change perception is of particular interest. In this study, based on data collected from Ethiopian smallholder farmers, we assessed farmers' perceptions and anticipations of past and future climate change. Furthermore, the factors influencing farmers' climate change perceptions and the relation between farmers' perceptions and available public climate information were assessed. Our findings revealed that a majority of respondents perceive warming temperatures and decreasing rainfall trends that correspond with the local meteorological record. Farmers' perceptions about the past climate did not always reflect their anticipations about the future. A substantial number of farmers' anticipations of future climate were less consistent with climate model projections. The recursive bivariate probit models employed to explore factors affecting different categories of climate change perceptions illustrate statistical significance for explanatory variables including location, gender, age, education, soil fertility status, climate change information, and access to credit services. The findings contribute to the literature by providing evidence not just on farmers' past climate perceptions but also on future climate anticipations. The identified factors help policy makers to provide targeted extension and advisory services to enrich climate change understanding and support appropriate farm-level climate change adaptations.

Predictors of changes in adolescents' consumption of fruits, vegetables and energy-dense snacks.

PubMed

Pearson, Natalie; Ball, Kylie; Crawford, David

2011-03-01

Understanding the predictors of developmental changes in adolescent eating behaviours is important for the design of nutrition interventions. The present study examined associations between individual, social and physical environmental factors and changes in adolescent eating behaviours over 2 years. Consumption of fruits, vegetables and energy-dense snacks was assessed using a Web-based survey completed by 1850 adolescents from years 7 and 9 of secondary schools in Victoria, Australia, at baseline and 2 years later. Perceived value of healthy eating, self-efficacy for healthy eating, social modelling and support, and home availability and accessibility of foods were assessed at baseline. Self-efficacy for increasing fruit consumption was positively associated with the change in fruit and vegetable consumption, while self-efficacy for decreasing junk food consumption was inversely associated with the change in energy-dense snack consumption. Home availability of energy-dense foods was inversely associated with the change in fruit consumption and positively associated with the change in energy-dense snack consumption, while home availability of fruits and vegetables was positively associated with the change in vegetable consumption. Perceived value of healthy eating and modelling of healthy eating by mothers were positively associated with the change in fruit consumption. Support of best friends for healthy eating was positively associated with the change in vegetable consumption. Self-efficacy and home availability of foods appear to be consistent predictors of change in fruit, vegetable and energy-dense snack consumption. Future study should assess the effectiveness of methods to increase self-efficacy for healthy eating and to improve home availability of healthy food options in programmes promoting healthy eating among adolescents.

A longitudinal, mixed methods study of sexual position identity, behavior, and fantasies among young sexual minority men.

PubMed

Pachankis, John E; Buttenwieser, Indiana G; Bernstein, Laura B; Bayles, Damon O

2013-10-01

Recent evidence suggests that young sexual minority men's sexual position identities (e.g., "top," "bottom," "versatile") may be governed by dynamic influences. Yet, no study has prospectively examined whether, how, and why this aspect of sexual minority men's sexuality changes over time. Consequently, the present study investigated the extent to which young sexual minority men use sexual position identities consistently over time, typical patterns of position identity change, explanations given for this change, and the correspondence of changing sexual position identities with changing sexual behavior and fantasies. A total of 93 young sexual minority men indicated their sexual position identity, behavior, and fantasies at two assessment points separated by 2 years. Following the second assessment, a subset (n = 28) of participants who represented the various sexual position identity change patterns provided explanations for their change. More than half (n = 48) of participants changed their sexual position identity. Participants showed a significant move away from not using sexual position identities toward using them and a significant move toward using "mostly top." Changes in position identity were reflected, although imperfectly, in changes in sexual behavior and largely not reflected in fantasy changes. Participants offered 11 classes of explanations for their identity changes referencing personal development, practical reasons, changing relationships, and sociocultural influences. Previous investigations of sexual minority men's sexual position identities have not adequately attended to the possibility of the changing use of the sexual position categories "top," "bottom," and "versatile" across young adulthood. Results of the present study suggest the possibility of a more fluid, context-dependent use of these terms than previously documented.

What are the effects of Agro-Ecological Zones and land use region boundaries on land resource projection using the Global Change Assessment Model?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Di Vittorio, Alan V.; Kyle, Page; Collins, William D.

Understanding the potential impacts of climate change is complicated by mismatched spatial representations between gridded Earth System Models (ESMs) and Integrated Assessment Models (IAMs), whose regions are typically larger and defined by geopolitical and biophysical criteria. In this study we address uncertainty stemming from the construction of land use regions in an IAM, the Global Change Assessment Model (GCAM), whose regions are currently based on historical climatic conditions (1961-1990). We re-define GCAM’s regions according to projected climatic conditions (2070-2099), and investigate how this changes model outcomes for land use, agriculture, and forestry. By 2100, we find potentially large differences inmore » projected global and regional area of biomass energy crops, fodder crops, harvested forest, and intensive pasture. These land area differences correspond with changes in agricultural commodity prices and production. These results have broader implications for understanding policy scenarios and potential impacts, and for evaluating and comparing IAM and ESM simulations.« less

Simulation of Climate Change Impacts on Wheat-Fallow Cropping Systems

USDA-ARS?s Scientific Manuscript database

Agricultural system simulation models are predictive tools for assessing climate change impacts on crop production. In this study, RZWQM2 that contains the DSSAT 4.0-CERES model was evaluated for simulating climate change impacts on wheat growth. The model was calibrated and validated using data fro...

Curriculum Development Needs for Vocational Education: New and Changing Occupations.

ERIC Educational Resources Information Center

Orth, Mollie N.; Russell, Jill Frymier

A study, described in this report, was conducted to provide information to national vocational education policy makers regarding curriculum development needs for selected new and changing occupations. The report also outlines a methodology for identifying new and changing occupations and assessing the need for curriculum development. Information…

Assessing and quantifying changes in precipitation patterns using event-driven analysis

USDA-ARS?s Scientific Manuscript database

Studies have claimed that climate change may adversely affect precipitation patterns by increasing the occurrence of extreme events. The effects of climate change on precipitation is expected to take place over a long period of time and will require long-term data to demonstrate. Frequency analysis ...

Assessing Climate Change Education on a Midwestern College Campus

ERIC Educational Resources Information Center

Wodika, Alicia; Schoof, Justin

2017-01-01

Multiple disciplines address climate change; however, despite statements of consensus from professional societies, it is unclear whether the correct information is being conveyed to students. The purpose of this study was to survey student's (n = 264) knowledge, attitudes, and behaviors behind climate science and climate change related principles.…

Distributed Leadership and Organizational Change: Implementation of a Teaching Performance Measure

ERIC Educational Resources Information Center

Sloan, Tine

2013-01-01

This article explores leadership practice and change as evidenced in multiple data sources gathered during a self-study implementation of a teaching performance assessment. It offers promising models of distributed leadership and organizational change that can inform future program implementers and the field in general. Our experiences suggest…

Estimating Slope and Level Change in N = 1 Designs

ERIC Educational Resources Information Center

Solanas, Antonio; Manolov, Rumen; Onghena, Patrick

2010-01-01

The current study proposes a new procedure for separately estimating slope change and level change between two adjacent phases in single-case designs. The procedure eliminates baseline trend from the whole data series before assessing treatment effectiveness. The steps necessary to obtain the estimates are presented in detail, explained, and…

Quantitative assessment of organizational culture within hospitals and its relevance to infection prevention and control strategies.

PubMed

Borg, M A; Waisfisz, B; Frank, U

2015-05-01

It has been suggested that organizational culture (OC) is an important driver of infection prevention and control (IPC) behaviour among healthcare workers. This study examined OC in seven European hospitals using a validated assessment tool based on Hofstede's model, and identified significant variations in OC scores. Hospitals with low prevalence of meticillin-resistant Staphylococcus aureus (MRSA) exhibited high scores for change facilitation and change readiness, whereas hospitals with high prevalence of MRSA exhibited low scores for these determinants. It is possible to use tools, available outside health care, to study OC within hospitals and gain better insight into IPC behaviour change strategies. Copyright © 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

PUBLIC HEALTH RISK ASSESSMENT LINKED TO CLIMATIC AND ECOLOGICAL CHANGE. (R824995)

EPA Science Inventory

Abstract

Disturbances of climatic and ecological systems can present risks to human health, which are becoming more evident from health studies linked to climate variability, landuse change and global climate change. Waterborne disease agents, such as Giardia cy...

Predicting Change in Postpartum Depression: An Individual Growth Curve Approach.

ERIC Educational Resources Information Center

Buchanan, Trey

Recently, methodologists interested in examining problems associated with measuring change have suggested that developmental researchers should focus upon assessing change at both intra-individual and inter-individual levels. This study used an application of individual growth curve analysis to the problem of maternal postpartum depression.…

Future integrated aquifer vulnerability assessment considering land use / land cover and climate change using DRASTIC and SWAT

NASA Astrophysics Data System (ADS)

Jang, W.; Engel, B.; Chaubey, I.

2015-12-01

Climate change causes significant changes to temperature regimes and precipitation patterns across the world. Such alterations in climate pose serious risks for not only inland freshwater ecosystems but also groundwater systems, and may adversely affect numerous critical services they provide to humans. All groundwater results from precipitation, and precipitation is affected by climate change. Climate change is also influenced by land use / land cover (LULC) change and vice versa. According to Intergovernmental Panel on Climate Change (IPCC) reports, climate change is caused by global warming which is generated by the increase of greenhouse gas (GHG) emissions in the atmosphere. LULC change is a major driving factor causing an increase in GHG emissions. LULC change data (years 2006-2100) will be produced by the Land Transformation Model (LTM) which simulates spatial patterns of LULC change over time. MIROC5 (years 2006-2100) will be obtained considering GCMs and ensemble characteristics such as resolution and trend of temperature and precipitation which is a consistency check with observed data from local weather stations and historical data from GCMs output data. Thus, MIROC5 will be used to account for future climate change scenarios and relationship between future climate change and alteration of groundwater quality in this study. For efficient groundwater resources management, integrated aquifer vulnerability assessments (= intrinsic vulnerability + hazard potential assessment) are required. DRASTIC will be used to evaluate intrinsic vulnerability, and aquifer hazard potential will be evaluated by Soil and Water Assessment Tool (SWAT) which can simulate pollution potential from surface and transport properties of contaminants. Thus, for effective integrated aquifer vulnerability assessment for LULC and climate change in the Midwestern United States, future projected LULC and climate data from the LTM and GCMs will be incorporated with DRASTIC and SWAT. It is hypothesized that: 1) long-term future hydrology and water quality in surface and subsurface drainage areas will be influenced by LULC and climate change, and 2) this approach will be useful to identify specific areas contributing the most pollutants to aquifers due to LULC and climate change.

Associating Changes in the Immune System with Clinical Diseases for Interpretation in Risk Assessment

PubMed Central

Germolec, Dori R.; Luebke, Robert W.; Johnson, Victor J.

2016-01-01

This overview is an update of the unit originally published in 2004. While the basic tenants of immunotoxicity have not changed in the past 10 years, several publications have explored the application of immunotoxicological data to the risk assessment process. Therefore, the goal of this unit is still to highlight relationships between xenobiotic-induced immunosuppression and risk of clinical diseases progression. In immunotoxicology, this may require development of models to equate moderate changes in markers of immune functions to potential changes in incidence or severity of infectious diseases. For most xenobiotics, exposure levels and disease incidence data are rarely available and safe exposure levels must be estimated based on observations from experimental models or human biomarker studies. Thus, it is important to establish a scientifically sound framework that allows accurate and quantitative interpretation of experimental or biomarker data in the risk assessment process. PMID:26828330

Associating Changes in the Immune System with Clinical Diseases for Interpretation in Risk Assessment.

PubMed

DeWitt, Jamie C; Germolec, Dori R; Luebke, Robert W; Johnson, Victor J

2016-02-01

This overview is an update of the unit originally published in 2004. While the basic tenets of immunotoxicity have not changed in the past 10 years, several publications have explored the application of immunotoxicological data to the risk assessment process. Therefore, the goal of this unit is still to highlight relationships between xenobiotic-induced immunosuppression and risk of clinical diseases progression. In immunotoxicology, this may require development of models to equate moderate changes in markers of immune functions to potential changes in incidence or severity of infectious diseases. For most xenobiotics, exposure levels and disease incidence data are rarely available, and safe exposure levels must be estimated based on observations from experimental models or human biomarker studies. Thus, it is important to establish a scientifically sound framework that allows accurate and quantitative interpretation of experimental or biomarker data in the risk assessment process. Copyright © 2016 John Wiley & Sons, Inc.

Assessment of Climate Change Vulnerability at the Local Level: A Case Study on the Dniester River Basin (Moldova)

PubMed Central

Sîrodoev, Igor; Koeppel, Sonja; Denisov, Nickolai; Sîrodoev, Ghennadi

2013-01-01

Vulnerability to climate change of the Moldavian part of the Dniester river was assessed as the function of exposure, sensitivity, and adaptive capacity of its basin's natural and socioeconomic systems. As a spatial “scale” of the assessment, Moldova's administrative-territorial units (ATUs) were selected. The exposure assessment was based on the climatic analysis of baseline (1971–2000) temperature and precipitation and projections of their changes in 2021–2050, separately for cold and warm periods. The sensitivity assessment included physiographical and socioeconomic characteristics, described by a set of specific indicators. The adaptive capacity was expressed by general economic and agricultural indicators, taking into consideration the medical provision and housing conditions. Through a ranking approach, the relative vulnerability of each ATU was calculated by summing its sensitivity and adaptive capacity ranks; the latter were obtained as combinations of their primary indicator ranks, arranged in an increasing and decreasing order, respectively. Due to lack of sound knowledge on these components' importance in overall assessment of vulnerability, their weights were taken as conventionally equal. Mapping of vulnerability revealed that ATUs neighboring to municipalities are the most vulnerable and need special attention in climate change adaptation. The basin's “hotspots” were discussed with public participation. PMID:23766677

Impacts of changes in climate and land use/land cover under IPCC RCP scenarios on streamflow in the Hoeya River Basin, Korea.

PubMed

Kim, Jinsoo; Choi, Jisun; Choi, Chuluong; Park, Soyoung

2013-05-01

This study examined the separate and combined impacts of future changes in climate and land use/land cover (LULC) on streamflow in the Hoeya River Basin, South Korea, using the representative concentration pathway (RCP) 4.5 and 8.5 scenarios of the Fifth Assessment Report (AR5) of the Intergovernmental Panel on Climate Change (IPCC). First, a LULC change model was developed using RCP 4.5 and RCP 8.5 storylines and logistic regression. Three scenarios (climate change only, LULC change only, and climate and LULC change combined) were established, and the streamflow in future periods under these scenarios was simulated by the Soil and Water Assessment Tool (SWAT) model. Each scenario showed distinct seasonal variations in streamflow. Under climate change only, streamflow increased in spring and winter but decreased in summer and autumn, whereas LULC change increased high flow during wet periods but decreased low flow in dry periods. Although the LULC change had less effect than climate change on the changes in streamflow, the effect of LULC change on streamflow was significant. The result for the combined scenario was similar to that of the climate change only scenario, but with larger seasonal changes in streamflow. Although the effects of LULC change were smaller than those caused by climate change, LULC changes may heighten the problems of increased seasonal variability in streamflow caused by climate change. The results obtained in this study provide further insight into the availability of future streamflow and can aid in water resource management planning in the study area. Copyright © 2013 Elsevier B.V. All rights reserved.

Uncertainties in Integrated Climate Change Impact Assessments by Sub-setting GCMs Based on Annual as well as Crop Growing Period under Rice Based Farming System of Indo-Gangetic Plains of India

NASA Astrophysics Data System (ADS)

Pillai, S. N.; Singh, H.; Panwar, A. S.; Meena, M. S.; Singh, S. V.; Singh, B.; Paudel, G. P.; Baigorria, G. A.; Ruane, A. C.; McDermid, S.; Boote, K. J.; Porter, C.; Valdivia, R. O.

2016-12-01

Integrated assessment of climate change impact on agricultural productivity is a challenge to the scientific community due to uncertainties of input data, particularly the climate, soil, crop calibration and socio-economic dataset. However, the uncertainty due to selection of GCMs is the major source due to complex underlying processes involved in initial as well as the boundary conditions dealt in solving the air-sea interactions. Under Agricultural Modeling Intercomparison and Improvement Project (AgMIP), the Indo-Gangetic Plains Regional Research Team investigated the uncertainties caused due to selection of GCMs through sub-setting based on annual as well as crop-growth period of rice-wheat systems in AgMIP Integrated Assessment methodology. The AgMIP Phase II protocols were used to study the linking of climate-crop-economic models for two study sites Meerut and Karnal to analyse the sensitivity of current production systems to climate change. Climate Change Projections were made using 29 CMIP5 GCMs under RCP4.5 and RCP 8.5 during mid-century period (2040-2069). Two crop models (APSIM & DSSAT) were used. TOA-MD economic model was used for integrated assessment. Based on RAPs (Representative Agricultural Pathways), some of the parameters, which are not possible to get through modeling, derived from literature and interactions with stakeholders incorporated into the TOA-MD model for integrated assessment.

A survey of the reformulation of Australian child-oriented food products.

PubMed

Savio, Stephanie; Mehta, Kaye; Udell, Tuesday; Coveney, John

2013-09-11

Childhood obesity is one of the most pressing public health challenges of the 21st century. Reformulating commonly eaten food products is a key emerging strategy to improve the food supply and help address rising rates of obesity and chronic disease. This study aimed to monitor reformulation of Australian child-oriented food products (products marketed specifically to children) from 2009-2011. In 2009, all child-oriented food products in a large supermarket in metropolitan Adelaide were identified. These baseline products were followed up in 2011 to identify products still available for sale. Nutrient content data were collected from Nutrient Information Panels in 2009 and 2011. Absolute and percentage change in nutrient content were calculated for energy, total fat, saturated fat, sugars, sodium and fibre. Data were descriptively analysed to examine reformulation in individual products, in key nutrients, within product categories and across all products. Two methods were used to assess the extent of reformulation; the first involved assessing percentage change in single nutrients over time, while the second involved a set of nutrient criteria to assess changes in overall healthiness of products over time. Of 120 products, 40 remained unchanged in nutrient composition from 2009-2011 and 80 underwent change. The proportions of positively and negatively reformulated products were similar for most nutrients surveyed, with the exception of sodium. Eighteen products (15%) were simultaneously positively and negatively reformulated for different nutrients. Using percentage change in nutrient content to assess extent of reformulation, nearly half (n = 53) of all products were at least moderately reformulated and just over one third (n = 42) were substantially reformulated. The nutrient criteria method revealed 5 products (6%) that were positively reformulated and none that had undergone negative reformulation. Positive and negative reformulation was observed to a similar extent within the sample indicating little overall improvement in healthiness of the child-oriented food supply from 2009-2011. In the absence of agreed reformulation standards, the extent of reformulation was assessed against criteria developed specifically for this project. While arbitrary in nature, these criteria were based on reasonable assessment of the meaningfulness of reformulation and change in nutrient composition. As well as highlighting nutrient composition changes in a number of food products directed to children, this study emphasises the need to develop comprehensive, targeted and standardised reformulation benchmarks to assess the extent of reformulation occurring in the food supply.

Climatic Changes and Consequences on the French West Indies (C3AF), Hurricane and Tsunami Hazards Assessment

NASA Astrophysics Data System (ADS)

Arnaud, G.; Krien, Y.; Zahibo, N.; Dudon, B.

2017-12-01

Coastal hazards are among the most worrying threats of our time. In a context of climate change coupled to a large population increase, tropical areas could be the most exposed zones of the globe. In such circumstances, understanding the underlying processes can help to better predict storm surges and the associated global risks.Here we present the partial preliminary results integrated in a multidisciplinary project focused on climatic change effects over the coastal threat in the French West Indies and funded by the European Regional Development Fund. The study aims to provide a coastal hazard assessment based on hurricane surge and tsunami modeling including several aspects of climate changes that can affect hazards such as sea level rise, crustal subsidence/uplift, coastline changes etc. Several tsunamis scenarios have been simulated including tele-tsunamis to ensure a large range of tsunami hazards. Surge level of hurricane have been calculated using a large number of synthetic hurricanes to cover the actual and forecasted climate over the tropical area of Atlantic ocean. This hazard assessment will be later coupled with stakes assessed over the territory to provide risk maps.

Climate Change Impacts and Vulnerability Assessment in Industrial Complexes

NASA Astrophysics Data System (ADS)

Lee, H. J.; Lee, D. K.

2016-12-01

Climate change has recently caused frequent natural disasters, such as floods, droughts, and heat waves. Such disasters have also increased industrial damages. We must establish climate change adaptation policies to reduce the industrial damages. It is important to make accurate vulnerability assessment to establish climate change adaptation policies. Thus, this study aims at establishing a new index to assess vulnerability level in industrial complexes. Most vulnerability indices have been developed with subjective approaches, such as the Delphi survey and the Analytic Hierarchy Process(AHP). The subjective approaches rely on the knowledge of a few experts, which provokes the lack of the reliability of the indices. To alleviate the problem, we have designed a vulnerability index incorporating objective approaches. We have investigated 42 industrial complex sites in Republic of Korea (ROK). To calculate weights of variables, we used entropy method as an objective method integrating the Delphi survey as a subjective method. Finally, we found our method integrating both subjective method and objective method could generate result. The integration of the entropy method enables us to assess the vulnerability objectively. Our method will be useful to establish climate change adaptation policies by reducing the uncertainties of the methods based on the subjective approaches.

Accounting for adaptive capacity and uncertainty in assessments of species’ climate-change vulnerability

USGS Publications Warehouse

Wade, Alisa A.; Hand, Brian K.; Kovach, Ryan; Luikart, Gordon; Whited, Diane; Muhlfeld, Clint C.

2016-01-01

Climate change vulnerability assessments (CCVAs) are valuable tools for assessing species’ vulnerability to climatic changes, yet failure to include measures of adaptive capacity and to account for sources of uncertainty may limit their effectiveness. Here, we provide a more comprehensive CCVA approach that incorporates all three elements used for assessing species’ climate change vulnerability: exposure, sensitivity, and adaptive capacity. We illustrate our approach using case studies of two threatened salmonids with different life histories – anadromous steelhead trout (Oncorhynchus mykiss) and non-anadromous bull trout (Salvelinus confluentus) – within the Columbia River Basin, USA. We identified general patterns of high vulnerability in low-elevation and southernmost habitats for both species. However, vulnerability rankings varied widely depending on the factors (climate, habitat, demographic, and genetic) included in the CCVA and often differed for the two species at locations where they were sympatric. Our findings illustrate that CCVA results are highly sensitive to data inputs and that spatial differences can complicate multi-species conservation. Our results highlight how CCVAs should be considered within a broader conceptual and computational framework for refining hypotheses, guiding research, and comparing plausible scenarios of species’ vulnerability for ongoing and projected climate change.

Do dam constructions in a Vietnamese river basin result in change points in hydrologic regime and how reliable are different methods?

NASA Astrophysics Data System (ADS)

Vu, Tinh Thi; Kiesel, Jens; Guse, Bjoern; Fohrer, Nicola

2017-04-01

The damming of rivers causes one of the most considerable impacts of our society on the riverine environment. More than 50% of the world's streams and rivers are currently impounded by dams before reaching the oceans. The construction of dams is of high importance in developing and emerging countries, i.e. for power generation and water storage. In the Vietnamese Vu Gia - Thu Bon Catchment (10,350 km2), about 23 dams were built during the last decades and store approximately 2,156 billion m3 of water. The water impoundment in 10 dams in upstream regions amounts to 17 % of the annual discharge volume. It is expected that impacts from these dams have altered the natural flow regime. However, up to now it is unclear how the flow regime was altered. For this, it needs to be investigated at what point in time these changes became significant and detectable. Many approaches exist to detect changes in stationary or consistency of hydrological records using statistical analysis of time series for the pre- and post-dam period. The objective of this study is to reliably detect and assess hydrologic shifts occurring in the discharge regime of an anthropogenically influenced river basin, mainly affected by the construction of dams. To achieve this, we applied nine available change-point tests to detect change in mean, variance and median on the daily and annual discharge records at two main gauges of the basin. The tests yield conflicting results: The majority of tests found abrupt changes that coincide with the damming-period, while others did not. To interpret how significant the changes in discharge regime are, and to which different properties of the time series each test responded, we calculated Indicators of Hydrologic Alteration (IHAs) for the time period before and after the detected change points. From the results, we can deduce, that the change point tests are influenced in different levels by different indicator groups (magnitude, duration, frequency, etc) and that within the indicator groups, some indicators are more sensitive than others. For instance, extreme low-flow, especially 7- and, 30-day minima and mean minimum low flow, as well as the variability of monthly flow are highly-sensitive to most detected change points. Our study clearly shows that, the detected change points depend on which test is chosen. For an objective assessment of change points, it is therefore necessary to explain the change points by calculating differences in IHAs. This analysis can be used to assess which change point method reacts to which type of hydrological change and, more importantly, it can be used to rank the change points according to their overall impact on the discharge regime. This leads to an improved evaluation of hydrologic change-points caused by anthropogenic impacts. Our study clearly shows that, the detected change points depend on which test is chosen. For an objective assessment of change points, it is therefore necessary to explain the change points by calculating differences in IHAs. This analysis can be used to assess which change point method reacts to which type of hydrological change and, more importantly, it can be used to rank the change points according to their overall impact on the discharge regime. This leads to an improved evaluation of hydrologic change-points caused by anthropogenic impacts.

Tolerance of a standard intact protein formula versus a partially hydrolyzed formula in healthy, term infants

PubMed Central

Berseth, Carol Lynn; Mitmesser, Susan Hazels; Ziegler, Ekhard E; Marunycz, John D; Vanderhoof, Jon

2009-01-01

Background Parents who perceive common infant behaviors as formula intolerance-related often switch formulas without consulting a health professional. Up to one-half of formula-fed infants experience a formula change during the first six months of life. Methods The objective of this study was to assess discontinuance due to study physician-assessed formula intolerance in healthy, term infants. Infants (335) were randomized to receive either a standard intact cow milk protein formula (INTACT) or a partially hydrolyzed cow milk protein formula (PH) in a 60 day non-inferiority trial. Discontinuance due to study physician-assessed formula intolerance was the primary outcome. Secondary outcomes included number of infants who discontinued for any reason, including parent-assessed. Results Formula intolerance between groups (INTACT, 12.3% vs. PH, 13.7%) was similar for infants who completed the study or discontinued due to study physician-assessed formula intolerance. Overall study discontinuance based on parent- vs. study physician-assessed intolerance for all infants (14.4 vs.11.1%) was significantly different (P = 0.001). Conclusion This study demonstrated no difference in infant tolerance of intact vs. partially hydrolyzed cow milk protein formulas for healthy, term infants over a 60-day feeding trial, suggesting nonstandard partially hydrolyzed formulas are not necessary as a first-choice for healthy infants. Parents frequently perceived infant behavior as formula intolerance, paralleling previous reports of unnecessary formula changes. Trial Registration clinicaltrials.gov: NCT00666120 PMID:19545360

Potentially inappropriate medications in elderly Japanese patients: effects of pharmacists' assessment and intervention based on Screening Tool of Older Persons' Potentially Inappropriate Prescriptions criteria ver.2.

PubMed

Kimura, T; Ogura, F; Yamamoto, K; Uda, A; Nishioka, T; Kume, M; Makimoto, H; Yano, I; Hirai, M

2017-04-01

The Screening Tool of Older Persons' Potentially Inappropriate Prescriptions (stopp) criteria were updated in 2014 (stopp criteria ver.2), but few studies have evaluated the usefulness of stopp criteria in elderly patients. This prospective observational study evaluated the prevalence of potentially inappropriate medications (PIMs), and the efficacy of hospital pharmacists' assessment and intervention based on stopp criteria ver.2. The study was conducted at three medical units of Kobe University Hospital between April 2015 and March 2016. Pharmacists assessed and detected PIMs based on stopp criteria ver.2 and considered the patient's intention to change the prescription at the time of admission of each patient. If the pharmacists judged that benefits outweighed risks of prescription change and the patients consented to change the medications, they recommended the doctor to change the prescription. If there was a risk of exacerbation of disease by the change of medications and the pharmacists judged it to be difficult to adjust medications during hospitalization or the patients did not consent to change the medications, they did not recommend to change it. The pharmacists and the doctors discussed and finally decided whether to change the PIMs or not. The number of patients prescribed PIMs, the number and contents of PIMs, and the number of medications changed after pharmacists' intervention were calculated. Totally, 822 new inpatients aged ≥65 years prescribed ≥1 daily medicine were included. Their median (interquartile range) age was 75·0 (71·0-80·0) years, and 54·9% were male. According to the criteria, 346 patients (42·1%) were prescribed ≥1 PIMs. Patients prescribed PIMs took significantly more medications than others: 10·0 (7·0-13·0) vs. 6·0 (4·0-9·0), P < 0·001. The total number of PIMs was 651%, 47·6% of which (n = 310) were recommended the doctors to change, and 292 of 651 PIMs (44·9%) were finally discontinued/changed after pharmacists' assessment and intervention. PIMs related to benzodiazepines, including Z-drugs, were most frequent, with a detailed classifications as follows (changed/total): (i) benzodiazepines for 4 or more weeks (75/205), (ii) drugs that predictably increase the risk of falls in older people (benzodiazepines) (30/67) and (iii) drugs that predictably increase the risk of falls in older people (hypnotic Z-drugs) (15/31). Over 40% elderly patients were prescribed PIMs, and pharmacists' assessments and interventions based on stopp criteria ver.2 were useful in detecting and correcting prescription of PIMs. © 2016 John Wiley & Sons Ltd.

Role for imaging in spondyloarthritis.

PubMed

Ran, Jun; Morelli, John N; Xie, Ruyi; Zhang, Xiaoli; Liang, Xiaoqing; Liu, Xuanlin; Li, Xiaoming

2017-09-01

Despite major progress in the imaging diagnosis of spondyloarthritis (SpA), the relative advantages of various available imaging techniques remain unclear. The aim of this study is to assess the current use of imaging in the diagnosis of SpA and to provide suitable recommendations for the use of imaging as an outcome measure as defined in the Assessment in SpondyloArthritis international Society (ASAS) criteria. A systematic literature search regarding imaging in SpA was performed. Articles were assessed by two reviewers to identify and summarized key information pertaining to imaging in SpA. The search identified 180 relevant articles. Conventional radiography (CR) (17 articles), ultrasound (US) (26 articles), conventional computed tomography (CT) (13 articles), spectral computed tomography (spectral CT) (2 articles), bone scintigraphy (24 articles), and magnetic resonance imaging (MRI) were assessed (98 articles). Sacroiliitis and enthesitis were the major imaging findings in SpA. Multiple studies assessed the feasibility, validity, or differences among imaging modalities for the diagnosis of SpA; however, comprehensive assessments were not available due to a paucity of prospective imaging studies. CR is a widely available, inexpensive initial approach to evaluate patients with suspected SpA. CT enables assessment of structural changes from chronic sacroiliitis including bony erosions, subchondral sclerosis, joint space narrowing, and ankyloses; however, both CR and CT modalities are insensitive for demonstrating early enthesitis and sacroiliitis in SpA. US mainly identifies appendicular enthesitis but is more limited with respect to the sacroiliac joints. Bone scintigraphy can identify sacroiliac joint lesions and semi-quantitatively assess active sacroiliitis. MRI optimally evaluates not only early enthesitis and sacroiliitis of SpA but also chronic structural changes to the sacroiliac joints. More than one modality may be required for diagnostic and assessment of SpA depending upon disease characteristics and evolution. CR is a suitable initial examination while MRI is able to detect both early and late changes of SpA. A combination of CR and MRI is recommended for the diagnosis and assessment of SpA.

Assessing motivation to change in bulimia nervosa: the Bulimia Nervosa Stages of Change Questionnaire.

PubMed

Martinez, Esteve; Castro, Josefina; Bigorra, Aitana; Morer, Astrid; Calvo, Rosa; Vila, Montserrat; Toro, Josep; Rieger, Elisabeth

2007-01-01

To assess motivation to change in adolescent patients with bulimia nervosa through the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ), an instrument adapted from the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) already validated in anorexic patients. Subjects were 30 bulimia nervosa patients (mean age = 16.3 years) who were receiving treatment at an eating disorders unit. The evaluation instruments were: the BNSOCQ, the Eating Disorders Inventory (EDI-2) and the Beck Depression Inventory (BDI). The BNSOCQ was re-administered 1 week later to evaluate test-retest reliability. The BNSOCQ demonstrated good internal consistency (Cronbach's alpha = 0.94) and one week test-retest reliability (Pearson's r = 0.93). Negative significant correlations were found between the BNSOCQ and several EDI-2 scales (Pearson's r between -0.51 and -0.84) and the BDI (r = -0.74). The study provides initial support for the reliability and validity of the BNSOCQ as a self-report instrument for assessing motivation to change in adolescents with bulimia nervosa. 2006 John Wiley & Sons, Ltd and Eating Disorders Association

System-level change in mental health services in North Wales: An observational study using systems thinking.

PubMed

Evans, S; Huxley, P J; Maxwell, N; Huxley, K L S

2014-06-01

To describe changes to mental health services using systems thinking. Structured standardized quality of life assessment (Manchester Short Quality of Life Assessment: MANSA) was used to establish service user priorities for changes to service provision (part of a process known as check in systems thinking). Current service performance in these priority areas was identified, and changes to service arrangements were planned, implemented and monitored by task and finish (T&F) groups (making use of a process known as flow in systems thinking). 81 MANSA assessments were completed at the check stage (by NM). Work finances and leisure activities emerged as service user priority areas for change, and T&F groups were established with representation of all sectors and service users. Ways to make improvements were observed, planned and implemented by T&F groups (the flow stage). The systems approach reveals how services and quality of life have been changed for patients in Wrexham. Further generalizable research is needed into the potential benefits of using systems thinking in mental health service evaluation. © The Author(s) 2013.

Reliable change of the sensory organization test.

PubMed

Broglio, Steven P; Ferrara, Michael S; Sopiarz, Kay; Kelly, Michael S

2008-03-01

To establish the sensitivity and specificity of the NeuroCom Sensory Organization Test (SOT) and provide practitioners with cut-scores for clinical decision making using estimates of reliable change. Retrospective cohort study. Research laboratory. Healthy (n = 66) and concussed (n = 63) young adult participants. Postural control assessments on the NeuroCom SOT were completed twice (baseline and follow-up) for both groups. Postconcussion assessments were administered within 24 hours of injury diagnosis. The reliable change technique was used to calculated cut-scores for each SOT variable (composite balance; somatosensory, visual, and vestibular ratios) at the 95%, 90%, 85%, 80%, 75%, and 70% confidence interval levels. When cut-scores were applied to the post-concussion evaluations, sensitivity and specificity varied with SOT variable and confidence interval. An evaluation for change on one or more SOT variable resulted in the highest combined sensitivity (57%) and specificity (80%) at the 75% confidence interval. Use of reliable change scores to detect significant changes in performance on the SOT resulted in decreased sensitivity and improved specificity compared to a previous report. These findings indicate that some concussed athletes may not show large changes in postconcussion postural control and this postural control evaluation should not be used in exclusion of other assessment techniques. The postural control assessment should be combined with other evaluative measures to gain the highest sensitivity to concussive injuries.

Assessing the productivity change of water companies in England and Wales: A dynamic metafrontier approach.

PubMed

Molinos-Senante, María; Maziotis, Alexandros; Sala-Garrido, Ramon

2017-07-15

The assessment of productivity change and its drivers across water companies and over time is a powerful tool for both regulators and companies when setting water tariffs. Water and sewerage companies (WaSCs) and water only companies (WoCs) provide different services. Hence, their productivity change cannot directly be evaluated jointly. In this paper and for the first time, we provide a pioneering approach to assess and compare the dynamics of productivity change of WaSCs and WoCs. To achieve this, both the traditional Malmquist productivity index and the metafrontier Malmquist productivity index and its components are computed to assess the productivity change for a sample of English and Welsh water companies over the period 2001-2014. The findings from both indices indicate that productivity for both WaSCs and WoCs did not improve during this period, mainly due to the negative shift in the production frontier which offset the positive effect of efficiency change. It is also reported that the performance of the WoCs over time was slightly better than that of the WaSCs. Finally, our study provides some insights into the relationship between productivity change and the regulatory cycle. This information is essential to improve the regulation of water and sewerage services, contributing to the long-term sustainability of the urban water cycle. Copyright © 2017 Elsevier Ltd. All rights reserved.

Effects of assessing the productivity of faculty in academic medical centres: a systematic review.

PubMed

Akl, Elie A; Meerpohl, Joerg J; Raad, Dany; Piaggio, Giulia; Mattioni, Manlio; Paggi, Marco G; Gurtner, Aymone; Mattarocci, Stefano; Tahir, Rizwan; Muti, Paola; Schünemann, Holger J

2012-08-07

Many academic medical centres have introduced strategies to assess the productivity of faculty as part of compensation schemes. We conducted a systematic review of the effects of such strategies on faculty productivity. We searched the MEDLINE, Healthstar, Embase and PsycInfo databases from their date of inception up to October 2011. We included studies that assessed academic productivity in clinical, research, teaching and administrative activities, as well as compensation, promotion processes and satisfaction. Of 531 full-text articles assessed for eligibility, we included 9 articles reporting on eight studies. The introduction of strategies for assessing academic productivity as part of compensation schemes resulted in increases in clinical productivity (in six of six studies) in terms of clinical revenue, the work component of relative-value units (these units are nonmonetary standard units of measure used to indicate the value of services provided), patient satisfaction and other departmentally used standards. Increases in research productivity were noted (in five of six studies) in terms of funding and publications. There was no change in teaching productivity (in two of five studies) in terms of educational output. Such strategies also resulted in increases in compensation at both individual and group levels (in three studies), with two studies reporting a change in distribution of compensation in favour of junior faculty. None of the studies assessed effects on administrative productivity or promotion processes. The overall quality of evidence was low. Strategies introduced to assess productivity as part of a compensation scheme appeared to improve productivity in research activities and possibly improved clinical productivity, but they had no effect in the area of teaching. Compensation increased at both group and individual levels, particularly among junior faculty. Higher quality evidence about the benefits and harms of such assessment strategies is needed.

An Inquiry into the Efficiency of WhatsApp for Self- and Peer-Assessments of Oral Language Proficiency

ERIC Educational Resources Information Center

Samaie, Mahmoud; Mansouri Nejad, Ali; Qaracholloo, Mahmoud

2018-01-01

Social networking applications such as WhatsApp have been extensively used for language research; however, they have rarely been applied for language assessment purposes. To explore the efficiency of WhatsApp for assessment purposes, 30 Iranian English learners doing self- and peer-assessments on WhatsApp are studied. The changes and the reasons…

Predictors of Staff Turnover and Turnover Intentions within Addiction Treatment Settings: Change Over Time Matters.

PubMed

Garner, Bryan R; Hunter, Brooke D

2014-01-01

This study examined the extent to which changes over time in clinicians' responses to measures of work attitude (eg, job satisfaction) and psychological climate (eg, supervisor support) could predict actual turnover and turnover intentions above and beyond absolute levels of these respective measures. Longitudinal data for this study were collected from a sample of clinicians (N = 96) being trained to implement an evidence-based treatment for adolescent substance use disorders. Supporting findings from a recent staff turnover study, we found job satisfaction change was able to predict actual turnover above and beyond average levels of job satisfaction. Representing new contributions to the staff turnover literature, we also found that change over time in several other key measures (eg, job satisfaction, role manageability, role clarity) explained a significant amount of variance in turnover intentions above and beyond the absolute level of each respective measure. A key implication of the current study is that organizations seeking to improve their ability to assess risk for staff turnover may want to consider assessing staff at multiple points in time in order to identify systematic changes in key employee attitudes like turnover intentions and job satisfaction.

Predictors of Staff Turnover and Turnover Intentions within Addiction Treatment Settings: Change Over Time Matters

PubMed Central

Garner, Bryan R; Hunter, Brooke D

2014-01-01

This study examined the extent to which changes over time in clinicians’ responses to measures of work attitude (eg, job satisfaction) and psychological climate (eg, supervisor support) could predict actual turnover and turnover intentions above and beyond absolute levels of these respective measures. Longitudinal data for this study were collected from a sample of clinicians (N = 96) being trained to implement an evidence-based treatment for adolescent substance use disorders. Supporting findings from a recent staff turnover study, we found job satisfaction change was able to predict actual turnover above and beyond average levels of job satisfaction. Representing new contributions to the staff turnover literature, we also found that change over time in several other key measures (eg, job satisfaction, role manageability, role clarity) explained a significant amount of variance in turnover intentions above and beyond the absolute level of each respective measure. A key implication of the current study is that organizations seeking to improve their ability to assess risk for staff turnover may want to consider assessing staff at multiple points in time in order to identify systematic changes in key employee attitudes like turnover intentions and job satisfaction. PMID:25336960

Change in Classification Level and the Effects on Research Productivity and Merit Scores for Faculty in a School of Education

ERIC Educational Resources Information Center

Leech, Nancy L.; Haug, Carolyn A.; Iceman-Sands, Deanna; Moriarty, Jennifer

2015-01-01

In this article we present results of an empirical study of the relationship between research productivity and research-related merit ratings over a 10-year period for tenured and tenure-track faculty in a school of education. The purpose of the study was to assess change in faculty productivity as a result of the institution's change in the…

Assessing double counting of carbon emissions between forest land cover change and forest wildfires: a case study in the United States, 1992-2006

Treesearch

Daolan Zheng; Linda S. Heath; Mark J. Ducey; Brad Quayle

2013-01-01

The relative contributions of double counting of carbon emissions between forest-to-nonforest cover change (FNCC) and forest wildfires are an unknown in estimating net forest carbon exchanges at large scales. This study employed land-cover change maps and forest fire data in the four representative states (Arkansas, California, Minnesota, and Washington) of the US for...

Carotid atherosclerosis progression in familial hypercholesterolemia patients: a pooled analysis of the ASAP, ENHANCE, RADIANCE 1, and CAPTIVATE studies.

PubMed

Vergeer, Menno; Zhou, Rong; Bots, Michiel L; Duivenvoorden, Raphaël; Koglin, Joerg; Akdim, Fatima; Mitchel, Yale B; Huijgen, Roeland; Sapre, Aditi; de Groot, Eric; Sijbrands, Eric J G; Pasternak, Richard C; Gagné, Claude; Marais, A David; Ballantyne, Christie M; Isaacsohn, Jonathan L; Stalenhoef, Anton F; Kastelein, John J P

2010-07-01

Until recently, patients with heterozygous familial hypercholesterolemia (HeFH) were considered the best subjects for the assessment of changes in carotid intima-media thickness (cIMT) in randomized intervention trials. Our aims were to investigate whether contemporary statin-treated HeFH patients still show accelerated cIMT increase and to assess the impact of statin treatment, before and after random assignment, on atherosclerosis progression. We retrospectively evaluated cIMT change, and prior statin treatment and postbaseline LDL-C change as predictors of cIMT change, in 1513 HeFH patients who were randomly assigned to the statin arms of the early ASAP and more recent RADIANCE 1, CAPTIVATE, and ENHANCE studies. In the 3 recent studies combined, mean cIMT increased at only 33%of the rate of the simvastatin-treated patients in the ASAP study (0.014 mm/2 years [95% confidence interval, -0.0003-0.028] versus 0.041 mm/2 years [95% confidence interval, 0.020-0.061]; P<0.05). Patients whose statin therapy could be intensified, as evidenced by an LDL-C decrease after the initiation of on-trial statin therapy, showed cIMT decrease in the first 6 to 12 months and a much lower cIMT increase measured over the full 2 years. In line with this, previously statin-naive HeFH patients showed a lower overall cIMT increase. Over the years, intensification of statin therapy in HeFH patients has resulted in an impressive decrease in carotid atherosclerosis progression. In studies that assess other antiatherosclerotic modalities, statin therapy may still induce rapid changes in cIMT. For future cIMT studies, our analyses suggest that patient populations other than intensively pretreated HeFH patients should be selected and that the statin regimen should not be changed on study initiation.

The Physiological and Biochemical Outcomes Associated with a Reflexology Treatment: A Systematic Review

PubMed Central

McCullough, J. E. M.; Liddle, S. D.; Sinclair, M.; Close, C.; Hughes, C. M.

2014-01-01

Background. Reflexology is one of the top forms of complementary and alternative medicine in the UK and is used for healthcare by a diverse range of people. However, it is offered by few healthcare providers as little scientific evidence is available explaining how it works or any health benefits it may confer. The aim of this review was to assess the current evidence available from reflexology randomised controlled trials (RCTs) that have investigated changes in physiological or biochemical outcomes. Methods. Guidelines from the Cochrane Handbook of Systematic Reviews of Interventions were followed: the following databases were searched from inception to December 2013: AMED, CAM Quest, CINAHL Plus, Cochrane Central Register of Controlled Trials, Embase, Medline Ovid, Proquest, and Pubmed. Risk of bias was assessed independently by two members of the review team and overall strength of the evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation guidelines. Results. Seventeen eligible RCTs met all inclusion criteria. A total of 34 objective outcome measures were analysed. Although twelve studies showed significant changes within the reflexology group, only three studies investigating blood pressure, cardiac index, and salivary amylase resulted in significant between group changes in favour of reflexology. The overall quality of the studies was low. PMID:24883067

The Second Assessment of the Effects of Climate Change on Federal Hydropower

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kao, Shih-Chieh; Ashfaq, Moetasim; Naz, Bibi S.

Hydropower is a key contributor to the US renewable energy portfolio due to its established development history and the diverse benefits it provides to the electric power system. Ensuring the sustainable operation of existing hydropower facilities is of great importance to the US renewable energy portfolio and the reliability of electricity grid. As directed by Congress in Section 9505 of the SECURE Water Act (SWA) of 2009 (Public Law 111-11), the US Department of Energy (DOE), in consultation with the federal Power Marketing Administrations (PMAs) and other federal agencies, has prepared a second quinquennial report on examining the potential effectsmore » of climate change on water available for hydropower at federal facilities and on the marketing of power from these federal facilities. This Oak Ridge National Laboratory (ORNL) Technical Memorandum, referred to as the 9505 assessment, describes the technical basis for the report to Congress that was called for in the SWA. To evaluate the potential climate change effects on 132 federal hydropower plants across the entire US, a spatially consistent assessment approach is designed to enable an interregional comparison. This assessment uses a series of models and methods with different spatial resolutions to gradually downscale the global climate change signals into watershed-scale hydrologic projections to support hydropower impact assessment. A variety of historic meteorological and hydrologic observations, hydropower facility characteristics, and geospatial datasets is collected to support model development, calibration, and verification. Among most of the federal hydropower plants throughout the US, the most important climate change effect on hydrology is likely to be the trend toward earlier snowmelt and change of runoff seasonality. Under the projections of increasing winter/spring runoff and decreasing summer/fall runoff, water resource managers may need to consider different water use allocations. With the relatively large storage capacity in the most of the US federal hydropower reservoirs, the system is likely to be able to absorb part of the runoff variability and hence may continue to provide stable annual hydropower generation in the projected near-term and midterm future periods. Nevertheless, the findings are based on the assumption that there is no significant change in the future installed capacity and operation. The issues of aging infrastructures, competing water demand, and environmental requirements may reduce the system s ability to mitigate runoff variability and increase the difficulty of future operation. These issues are not quantitatively analyzed in this study. This study presents a regional assessment at each of the eighteen PMA study areas. This generalized approach allows for spatial consistency throughout all study areas, enabling policymakers to evaluate potential climate change impacts across the entire federal hydropower fleet. This effort is expected to promote better understanding of the sensitivity of federal power plants to water availability and provides a basis for planning future actions that will enable adaptation to climate variability and change.« less

Executive Summary, Hydraulic Fracturing Study - Draft Assessment 2015

EPA Pesticide Factsheets

In this Executive Summary of the HF Draft report, EPA highlights the reviews of scientific literature to assess the potential for hydraulic fracturing for oil and gas to change the quality or quantity of drinking water resources.

Ambulatory Assessment.

PubMed

Carpenter, Ryan W; Wycoff, Andrea M; Trull, Timothy J

2016-08-01

In recent years, significant technological advances have changed our understanding of dynamic processes in clinical psychology. A particularly important agent of change has been ambulatory assessment (AA). AA is the assessment of individuals in their daily lives, combining the twin benefits of increased ecological validity and minimized retrospective biases. These benefits make AA particularly well-suited to the assessment of dynamic processes, and recent advancements in technology are providing exciting new opportunities to understand these processes in new ways. In the current article, we briefly detail the capabilities currently offered by smartphones and mobile physiological devices, as well as some of the practical and ethical challenges of incorporating these new technologies into AA research. We then provide several examples of recent innovative applications of AA methodology in clinical research, assessment, and intervention and provide a case example of AA data generated from a study utilizing multiple mobile devices. In this way, we aim to provide a sense of direction for researchers planning AA studies of their own.

The Effect of New Shower Facilities on Physical Activity Behaviors of Employees: A Quasi-experiment.

PubMed

Nehme, Eileen K; Pérez, Adriana; Ranjit, Nalini; Amick, Benjamin C; Kohl, Harold W

2017-02-01

This quasi-experimental study assessed the effects of new workplace showers on physical activity behaviors in a sample of downtown employees in Austin, TX. The study design was quasi-experimental with 2 comparison groups. Data were collected via internet-based surveys before and 4 months after shower installation at 1 worksite. Differences across study groups in the ranks of change in past-week minutes of physical activity from baseline to follow-up were assessed. Adjusted odds ratios and 95% confidence intervals for reporting an increase of ≥10 min past-week physical activity and workday physical activity among those with new showers and existing showers relative to those with no showers were also assessed. No significant differences in changes in physical activity from baseline to follow-up across study groups were found. One-quarter of participants with new workplace showers and 46.9% of those with existing workplace showers at baseline reported ever using the showers. This prospective study did not find significant changes in employee physical activity 4 months after installation of worksite showers. Worksite shower users were highly active at baseline, suggesting a possible early adopter effect, with potential for diffusion. Future studies may benefit from longer exposure times and larger samples.

Modulation of Limbic and Prefrontal Connectivity by Electroconvulsive Therapy in Treatment-resistant Depression: A Preliminary Study.

PubMed

Cano, Marta; Cardoner, Narcís; Urretavizcaya, Mikel; Martínez-Zalacaín, Ignacio; Goldberg, Ximena; Via, Esther; Contreras-Rodríguez, Oren; Camprodon, Joan; de Arriba-Arnau, Aida; Hernández-Ribas, Rosa; Pujol, Jesús; Soriano-Mas, Carles; Menchón, José M

2016-01-01

Although current models of depression suggest that a sequential modulation of limbic and prefrontal connectivity is needed for illness recovery, neuroimaging studies of electroconvulsive therapy (ECT) have focused on assessing functional connectivity (FC) before and after an ECT course, without characterizing functional changes occurring at early treatment phases. To assess sequential changes in limbic and prefrontal FC during the course of ECT and their impact on clinical response. Longitudinal intralimbic and limbic-prefrontal networks connectivity study. We assessed 15 patients with treatment-resistant depression at four different time-points throughout the entire course of an ECT protocol and 10 healthy participants at two functional neuroimaging examinations. Furthermore, a path analysis to test direct and indirect predictive effects of limbic and prefrontal FC changes on clinical response measured with the Hamilton Rating Scale for Depression was also performed. An early significant intralimbic FC decrease significantly predicted a later increase in limbic-prefrontal FC, which in turn significantly predicted clinical improvement at the end of an ECT course. Our data support that treatment response involves sequential changes in FC within regions of the intralimbic and limbic-prefrontal networks. This approach may help in identifying potential early biomarkers of treatment response. Copyright © 2015 Elsevier Inc. All rights reserved.

Misleading prioritizations from modelling range shifts under climate change

USGS Publications Warehouse

Sofaer, Helen R.; Jarnevich, Catherine S.; Flather, Curtis H.

2018-01-01

AimConservation planning requires the prioritization of a subset of taxa and geographical locations to focus monitoring and management efforts. Integration of the threats and opportunities posed by climate change often relies on predictions from species distribution models, particularly for assessments of vulnerability or invasion risk for multiple taxa. We evaluated whether species distribution models could reliably rank changes in species range size under climate and land use change.LocationConterminous U.S.A.Time period1977–2014.Major taxa studiedPasserine birds.MethodsWe estimated ensembles of species distribution models based on historical North American Breeding Bird Survey occurrences for 190 songbirds, and generated predictions to recent years given c. 35 years of observed land use and climate change. We evaluated model predictions using standard metrics of discrimination performance and a more detailed assessment of the ability of models to rank species vulnerability to climate change based on predicted range loss, range gain, and overall change in range size.ResultsSpecies distribution models yielded unreliable and misleading assessments of relative vulnerability to climate and land use change. Models could not accurately predict range expansion or contraction, and therefore failed to anticipate patterns of range change among species. These failures occurred despite excellent overall discrimination ability and transferability to the validation time period, which reflected strong performance at the majority of locations that were either always or never occupied by each species.Main conclusionsModels failed for the questions and at the locations of greatest interest to conservation and management. This highlights potential pitfalls of multi-taxa impact assessments under global change; in our case, models provided misleading rankings of the most impacted species, and spatial information about range changes was not credible. As modelling methods and frameworks continue to be refined, performance assessments and validation efforts should focus on the measures of risk and vulnerability useful for decision-making.

The ‘Hothaps’ programme for assessing climate change impacts on occupational health and productivity: an invitation to carry out field studies

PubMed Central

Kjellstrom, Tord; Gabrysch, Sabine; Lemke, Bruno; Dear, Keith

2009-01-01

The ‘high occupational temperature health and productivity suppression’ programme (Hothaps) is a multi-centre health research and prevention programme aimed at quantifying the extent to which working people are affected by, or adapt to, heat exposure while working, and how global heating during climate change may increase such effects. The programme will produce essential new evidence for local, national and global assessment of negative impacts of climate change that have largely been overlooked. It will also identify and evaluate preventive interventions in different social and economic settings. Hothaps includes studies in any part of the world where hourly heat exposure exceeds physiological stress limits that may affect workers. This usually happens at temperatures above 25°C, depending on humidity, wind movement and heat radiation. Working people in low and middle-income tropical countries are particularly vulnerable, because many of them are involved in heavy physical work, either outdoors in strong sunlight or indoors without effective cooling. If high work intensity is maintained in workplaces with high heat exposure, serious health effects can occur, including heat stroke and death. Depending on the type of occupation, the required work intensity, and the level of heat stress, working people have to slow down their work in order to reduce internal body heat production and the risk of heat stroke. Thus, unless preventive interventions are used to reduce the heat stress on workers, their individual health and productivity will be affected and economic output per work hour will be reduced. Heat also influences other daily physical activities, unrelated to work, in all age groups. Poorer people without access to household or workplace cooling devices are most likely to be affected. The Hothaps programme includes a pilot study, heat monitoring of selected workplaces, qualitative studies of perceived heat impacts and preventative interventions, quantitative studies of impacts on health and productivity, and assessments of local impacts of climate change taking into account different applications of preventative interventions. Fundraising for the global programme is in progress and has enabled local field studies to start in 2009. Local funding support is also of great value and is being sought by several interested scientific partners. The Hothaps team welcomes independent use of the study protocols, but would be grateful for information about any planned, ongoing or completed studies of this type. Coordinated implementation of the protocols in multi-centre studies is also welcome. Eventually, the results of the Hothaps field studies will be used in global assessments of climate change-induced heat exposure increase in workplaces and its impacts on occupational health and productivity. These results will also be of value for the next assessment by the Intergovernmental Panel on Climate Change (IPCC) in 2013. PMID:20052425

The 'Hothaps' programme for assessing climate change impacts on occupational health and productivity: an invitation to carry out field studies.

PubMed

Kjellstrom, Tord; Gabrysch, Sabine; Lemke, Bruno; Dear, Keith

2009-11-11

The 'high occupational temperature health and productivity suppression' programme (Hothaps) is a multi-centre health research and prevention programme aimed at quantifying the extent to which working people are affected by, or adapt to, heat exposure while working, and how global heating during climate change may increase such effects. The programme will produce essential new evidence for local, national and global assessment of negative impacts of climate change that have largely been overlooked. It will also identify and evaluate preventive interventions in different social and economic settings.Hothaps includes studies in any part of the world where hourly heat exposure exceeds physiological stress limits that may affect workers. This usually happens at temperatures above 25 degrees C, depending on humidity, wind movement and heat radiation. Working people in low and middle-income tropical countries are particularly vulnerable, because many of them are involved in heavy physical work, either outdoors in strong sunlight or indoors without effective cooling. If high work intensity is maintained in workplaces with high heat exposure, serious health effects can occur, including heat stroke and death.Depending on the type of occupation, the required work intensity, and the level of heat stress, working people have to slow down their work in order to reduce internal body heat production and the risk of heat stroke. Thus, unless preventive interventions are used to reduce the heat stress on workers, their individual health and productivity will be affected and economic output per work hour will be reduced. Heat also influences other daily physical activities, unrelated to work, in all age groups. Poorer people without access to household or workplace cooling devices are most likely to be affected.The Hothaps programme includes a pilot study, heat monitoring of selected workplaces, qualitative studies of perceived heat impacts and preventative interventions, quantitative studies of impacts on health and productivity, and assessments of local impacts of climate change taking into account different applications of preventative interventions.Fundraising for the global programme is in progress and has enabled local field studies to start in 2009. Local funding support is also of great value and is being sought by several interested scientific partners. The Hothaps team welcomes independent use of the study protocols, but would be grateful for information about any planned, ongoing or completed studies of this type. Coordinated implementation of the protocols in multi-centre studies is also welcome. Eventually, the results of the Hothaps field studies will be used in global assessments of climate change-induced heat exposure increase in workplaces and its impacts on occupational health and productivity. These results will also be of value for the next assessment by the Intergovernmental Panel on Climate Change (IPCC) in 2013.

Chaperones CCS, ATOX and COXIV responses to copper supplementation in healthy adults.

PubMed

Araya, Magdalena; Andrews, Monica; Pizarro, Fernando; Arredondo, Miguel

2012-04-01

Assessment of proteins in blood and other tissues has failed to identify markers of early copper effects on health. Studies in animal models show that chaperone of SOD (CCS) respond to changes of copper status. Evidence about other copper chaperones (COXIV, ATOX) is not clear. The aim of this study was to assess by means of an in vitro challenge the mRNA relative abundance of ccs, sod1, coxIV, mtIIa and atox in peripheral mononuclear cells (PMNCs) obtained from healthy individuals, acutely and chronically supplemented with small-to-moderate amounts of copper. Healthy participants received 8 mg Cu/d (supplemented group, SG) or placebo, (placebo group, PG) for 2 months. Biochemical indicators were assessed at basal (T0) and after 2 (T2) and 60 days (T60). At these times PMNCs were obtained, challenged with 1, 5 or 20 μM Cu-histidine for 20 h and the mRNA relative abundance of the selected genes assessed by real time PCR. The results showed that at T0, intracellular copper was not different between experimental and control groups. This increased at T2 and T60 when the copper in the media increased (two-way ANOVA, P < 0.001). In PG, CCS mRNA transcripts showed no significant changes (two-way ANOVA) at T2 and T60. In SG, CCS changed by treatment, time and interaction (two-way ANOVA, all P < 0.001). SOD, ATOX and COXIV expressions changed in both PG and SG showing various patterns of response, requiring further study. MTII responded as expected. We conclude that using healthy individuals as a human model, CCS but not SOD, ATOX or COXIV responded consistently to controlled changes of copper availability in an in vitro copper challenge.

Assessment of Variable Planting Date as an Agricultural Adaptation to Climate Variability in Sri Lanka

NASA Astrophysics Data System (ADS)

Rivera, A.; Gunda, T.; Hornberger, G. M.

2016-12-01

Agriculture accounts for approximately 70% of global freshwater withdrawals. Changes in precipitation patterns due to climate change as well as increasing demands for water necessitate an increased understanding of the water-­food intersection, notably at a local scale to inform farmer adaptations to improve water productivity, i.e., to get more food with less water. Local assessments of water-food security are particularly important for nations with self-sufficiency policies, which prioritize in-country production of certain resources. An ideal case study is the small island nation of Sri Lanka, which has a self-sufficiency policy for its staple food of rice. Because rice is a water-intensive crop, assessment of irrigation water requirements (IWRs) and the associated changes over time is especially important. Previous studies on IWRs of rice in Sri Lanka have failed to consider the Yala (dry) season, when water is scarcest.The goal of this study is to characterize the role that a human decision, setting the planting date, can play in buffering declines in rice yield against changes in precipitation patterns. Using four meteorological stations in the main rice-growing zones in Sri Lanka, we explore (1) general changes in IWRs over time during the Yala season and (2) the impact of the rice planting date. We use both historical data from meteorological stations as well as future projections from regional climate models. Our results indicate that gains can be achieved using a variable planting date relative to a fixed date, in accordance with a similar conclusion for the Maha (wet) season. This local scale assessment of Sri Lanka IWRs will contribute to the growing global literature on the impacts of water scarcity on agriculture and the role that one adaptation measure can play in mitigating deleterious impacts.

Evaluating the effect of Focus Farms on Ontario dairy producers' knowledge, attitudes, and behavior toward control of Johne's disease.

PubMed

Roche, S M; Jones-Bitton, A; Meehan, M; Von Massow, M; Kelton, D F

2015-08-01

This study evaluated a participatory-based, experiential learning program, Ontario Focus Farms (FF), which aimed to change dairy producer behavior to control Johne's disease (JD) in Ontario, Canada. The goals were to (1) assess the effect of FF on participating dairy producers' knowledge, attitudes, and behavior with regard to JD control; (2) compare changes in these factors among FF participants to changes among a group of nonparticipating dairy producers; and (3) describe the characteristics of producers who made at least one on-farm management change. Pre- and post-FF intervention questionnaires collected data on respondents' knowledge, attitudes, behavior, herd production, and demographic information; before and after JD-risk assessments were used to assess respondents' on-farm risk of JD transmission. Overall, 176 dairy producers participated in the FF process; 39.8% (70/176) of FF and 14.6% (52/357) of control participants responded to both the pre- and postintervention questionnaires. Upon comparison, FF respondents were more likely to be younger, have larger herds, and have higher management scores. The proportion of FF participants who reported making at least one on-farm change (81%) was significantly higher than that of control respondents (38%). Overall, FF respondents significantly changed their risk score in 4 out of 5 risk areas and had an average reduction of 13 points in their overall risk score between before and after risk assessments. Control respondents' risk assessment scores did not significantly change during the study period. In a JD knowledge assessment, FF and control respondents exhibited a moderate knowledge score before the intervention period, with median scores of 75.9% (22/29) in each group. The FF respondents significantly increased their score at the postintervention assessment, with a median of 82.8% (24/29); control-respondent scores did not significantly change. Both FF and control respondents held strong positive attitudes toward JD control and felt a moderate amount of social pressure from veterinarians and industry organizations to make on-farm changes. However, they questioned their ability to effectively control JD on the farm. Last, participating in FF, having a moderate herd management score, having a positive perception about the practicality of on-farm recommendations, and having a singular learning preference were associated with increased odds of making an on-farm change. Overall, the FF process appears to be effective at influencing producer behavior toward implementing on-farm management practices for JD control. Future JD control programs should consider implementing peer-learning extension processes, such as FF, in combination with other extension approaches, to influence producer behavior. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Ocular haemodynamic changes after single treatment with photodynamic therapy assessed with non-invasive techniques.

PubMed

Maar, Noemi; Pemp, Berthold; Kircher, Karl; Luksch, Alexandra; Weigert, Günther; Polska, Elzbieta; Tittl, Michael; Stur, Michael; Schmetterer, Leopold

2009-09-01

To investigate in patients with neovascular age-related macular degeneration (ARMD) the changes in ocular perfusion caused by single treatment with photodynamic therapy (PDT) by different non-invasive methods; to evaluate correlations between relative changes of ocular haemodynamic parameters after PDT among each other and compared to morphological parameters; and to assess this in relation to early changes of visual acuity. 17 consecutive patients with subfoveal choroidal neovascularization (CNV) caused by ARMD scheduled for PDT without previous PDT treatment (four patients with predominantly classic CNV and 13 patients with occult CNV). best-corrected visual acuity (before PDT, 6 and 8 weeks after PDT), fundus photography, fluorescein angiography, haemodynamic measurements with laser Doppler flowmetry (LDF), laser interferometry and ocular blood flow (OBF) tonometry (baseline and 1, 2, 6 and 8 weeks after treatment). choroidal blood flow (CHBF), fundus pulsation amplitude (FPA), pulsatile ocular blood flow (POBF), visual acuity. Changes smaller than 20% were considered clinically irrelevant. Ocular haemodynamic parameters did not change significantly in the follow-up period. Changes of haemodynamic parameters showed no correlation to treatment spot, morphological changes or visual acuity. Changes of visual acuity were comparable to results of earlier studies. Single treatment with PDT did not modify ocular blood flow parameters above 20% as assessed with different non-invasive methods.

Does major depression result in lasting personality change?

PubMed

Shea, M T; Leon, A C; Mueller, T I; Solomon, D A; Warshaw, M G; Keller, M B

1996-11-01

Individuals with a history of depression are characterized by high levels of certain personality traits, particularly neuroticism, introversion, and interpersonal dependency. The authors examined the "scar hypothesis," i.e., the possibility that episodes of major depression result in lasting personality changes that persist beyond recovery from the depression. A large sample of first-degree relatives, spouses, and comparison subjects ascertained in connection with the proband sample from the National Institute of Mental Health Collaborative Program on the Psychobiology of Depression were assessed at two points in time separated by an interval of 6 years. Subjects with a prospectively observed first episode of major depression during the interval were compared with subjects remaining well in terms of change from time 1 to time 2 in self-reported personality traits. All subjects studied were well (had no mental disorders) at the time of both assessments. There was no evidence of negative change from premorbid to postmorbid assessment in any of the personality traits for subjects with a prospectively observed first episode of major depression during the interval. The results suggested a possible association of number and length of episodes with increased levels of emotional reliance and introversion, respectively. The findings suggest that self-reported personality traits do not change after a typical episode of major depression. Future studies are needed to determine whether such change occurs following more severe, chronic, or recurrent episodes of depression.

Hematoporphyrin derivative induced photodamage to brain tumor cells: Alterations in subcellular membranes

NASA Astrophysics Data System (ADS)

Sreenivasan, Rajesh; Joshi, Preeti G.; Joshi, Nanda B.

1997-01-01

Photoinduced structural and functional changes were studied in the subcellular membranes isolated from HpD treated cells. Changes in the limiting anisotropy of lipid specific probes 1,6,Diphenyl-1,3,5,hexatriene (DPH) and 1-(4-Trimethyl ammonium 1,6 diphenyl)-1,3,5,hexatriene toulene sulphonate (TMA-DPH) incorporated into the membrane were used to assess the structural alterations while changes in the activity of the marker enzymes were used to assess the functional alterations. Our results suggest that damage to the endoplasmic reticulum may play an important role in the photosensitization of brain tumor cells.

Climate Change in the US: Potential Consequences for Human Health

NASA Technical Reports Server (NTRS)

Maynard, Nancy G.

2001-01-01

The U.S. National Assessment identified five major areas of consequences of climate change in the United States: temperature-related illnesses and deaths, health effects related to extreme weather events, air pollution-related health effects, water- and food-borne diseases, and insect-, tick-, and rodent-borne diseases. The U.S. National Assessment final conclusions about these potential health effects will be described. In addition, a summary of some of the new tools for studying human health aspects of climate change as well as environment-health linkages through remotely sensed data and observations will be provided.

What No Child Left Behind Leaves Behind: The Roles of IQ and Self-Control in Predicting Standardized Achievement Test Scores and Report Card Grades

PubMed Central

Duckworth, Angela L.; Quinn, Patrick D.; Tsukayama, Eli

2013-01-01

The increasing prominence of standardized testing to assess student learning motivated the current investigation. We propose that standardized achievement test scores assess competencies determined more by intelligence than by self-control, whereas report card grades assess competencies determined more by self-control than by intelligence. In particular, we suggest that intelligence helps students learn and solve problems independent of formal instruction, whereas self-control helps students study, complete homework, and behave positively in the classroom. Two longitudinal, prospective studies of middle school students support predictions from this model. In both samples, IQ predicted changes in standardized achievement test scores over time better than did self-control, whereas self-control predicted changes in report card grades over time better than did IQ. As expected, the effect of self-control on changes in report card grades was mediated in Study 2 by teacher ratings of homework completion and classroom conduct. In a third study, ratings of middle school teachers about the content and purpose of standardized achievement tests and report card grades were consistent with the proposed model. Implications for pedagogy and public policy are discussed. PMID:24072936