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OP41 Facilitating Dialogue Of Real-World Evidence Use In Health Technology Assessment: Taxonomy Of Question/Data Source Pairings To Support A Registry Of Studies
- Ron L Akehurst, Linda A Murphy, Jorge Mestre-Ferrandiz, Oriol Solà-Morales, Gérard de Pouvourville, David Cunningham, Sorcha Corry, Matthew Franklin, Ann-Marie Chapman
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- Journal:
- International Journal of Technology Assessment in Health Care / Volume 38 / Issue S1 / December 2022
- Published online by Cambridge University Press:
- 23 December 2022, pp. S16-S17
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Introduction
This paper reports the results of the collaboration within the European initiative of new Reimbursement and aCCess Approaches (EUreccA) which is concerned with the use of real-world evidence (RWE) in health technology assessment (HTA) decision-making. The work grew from the observation of a large, very experienced group of HTA practitioners which found that the use of RWE varied depending on the type of question asked and the particulars of the data source(s) used. We set out to examine how RWE is used in HTA decision-making and to make proposals on its facilitation.
MethodsLiterature reviews covering earlier reviews of RWE use, academic papers, and HTA agency websites were combined with case studies involving interviews with decision-makers in four countries (England, France, Italy, Sweden) to identify the circumstances of breakdown of RWE use and to build a categorization of the uses of RWE and associated difficulties. This evidence supported the creation of a taxonomy of pairings of data sources and the questions they were used to address. The face validity of the approach was tested at an advisory board of senior HTA practitioners.
ResultsIn total, 27 questions were identified and 10 types of data source, giving 270 pairings. These pairings were linked to relevant methods guidance and to examples of their use, itemizing HTA issues and decisions made. Reports are being prepared for publication, covering the detail of the methods of the literature searches; methods of the country case studies; a description of the taxonomy; and guidance on governance.
ConclusionsWhen using RWE in HTA decision-making, the detail of the particular data sources and question addressed matter. Recently, both the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) and the Real-World Transparency Initiative have argued for a registry of the uses of RWE. The work described here offers a starting classification of the material that should be held in such a registry, and which in itself could be developed by the stakeholders, both agencies and companies, that use it, furthering trust and confidence.
General Practitioners’ Roles in Disaster Health Management: Perspectives of Disaster Managers
- Penelope L. Burns, Gerard J. FitzGerald, Wendy C. Hu, Peter Aitken, Kirsty A. Douglas
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- Journal:
- Prehospital and Disaster Medicine / Volume 37 / Issue 1 / February 2022
- Published online by Cambridge University Press:
- 03 December 2021, pp. 124-131
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- February 2022
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Introduction:
General Practitioners (GPs) are inevitably involved when disaster strikes their communities. Evidence of health care needs in disasters increasingly suggests benefits from greater involvement of GPs, and recent research has clarified key roles. Despite this, GPs continue to be disconnected from disaster health management (DHM) in most countries.
Study Objective:The aim of this study was to explore the perspectives of disaster management professionals in two countries, across a range of all-hazard disasters, regarding the roles and contributions of GPs to DHM, and to identify barriers to, and benefits of, more active engagement of GPs in disaster health care systems.
Methods:A qualitative research methodology using semi-structured interviews was conducted with a purposive sample of Disaster Managers (DMs) to explore their perspectives arising from experiences and observations of GPs during disasters from 2009 through 2016 in Australia or New Zealand. These involved all-hazard disasters including natural, man-made, and pandemic disasters. Responses were analyzed using thematic analysis.
Results:These findings document support from DM participants for greater integration of GPs into DHM with New Zealand DMs reporting GPs as already a valuable integrated contributor. In contrast, Australian DMs reported barriers to inclusion that needed to be addressed before sustained integration could occur. The two most strongly expressed barriers were universally expressed by Australian DMs: (1) limited understanding of the work GPs undertake, restricting DMs’ ability to facilitate GP integration; and (2) DMs’ difficulty engaging with GPs as a single group. Other considerations included GPs’ limited DHM knowledge, limited preparedness, and their heightened vulnerability.
Strategies identified to facilitate greater integration of GPs into DHM where it is lacking, such as Australia, included enhanced communication, awareness, and understanding between GPs and DMs.
Conclusion:Experience from New Zealand shows systematic, sustained integration of GPs into DHM systems is achievable and valuable. Findings suggest key factors are collaboration between DMs and GPs at local, state, and national levels of DHM in planning and preparedness for the next disaster. A resilient health care system that maximizes capacity of all available local health resources in disasters and sustains them into the recovery should include General Practice.
Targeting the perinatal diet to modulate the gut microbiota increases dietary variety and prebiotic and probiotic food intakes: results from a randomised controlled trial
- Samantha L Dawson, Mohammadreza Mohebbi, Jeffrey M Craig, Phillip Dawson, Gerard Clarke, Mimi LK Tang, Felice N Jacka
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- Journal:
- Public Health Nutrition / Volume 24 / Issue 5 / April 2021
- Published online by Cambridge University Press:
- 12 October 2020, pp. 1129-1141
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Objective:
To evaluate the hypothesis that a perinatal educational dietary intervention focused on ‘eating for the gut microbiota’ improves diet quality of pregnant women pre- and postnatally.
Design:The Healthy Parents, Healthy Kids study is a prospectively registered randomised controlled trial designed to evaluate the efficacy of a dietary intervention in altering the maternal and infant gut microbiota and improving perinatal diet quality. Eligible pregnant women were randomised to receive dietary advice from their healthcare provider or to additionally receive a three session dietary intervention. Dietary data were collected at gestation weeks 26, 31, 36 and postnatal week 4. Outcome measures were diet quality, dietary variety, prebiotic and probiotic food intakes, energy, fibre, saturated fat and discretionary food intakes. Between-group differential changes from baseline before and after birth in these dietary measures were assessed using generalised estimating equations.
Setting:Melbourne, Australia.
Participants:Healthy pregnant women from gestation week 26.
Results:Forty-five women were randomised (twenty-two control, twenty-three intervention). Compared with the control group, the intervention group improved diet quality prior to birth (5·66 (95 % CI 1·65, 9·67), Cohen’s d: 0·82 (se 0·33)). The intervention improved dietary variety (1·05 (95 % CI 0·17, 1·94), d: 0·66 (se 0·32)) and increased intakes of prebiotic (0·8 (95 % CI 0·27, 1·33), d: 0·91 (se 0·33)) and probiotic foods (1·05 (95 % CI 0·57, 1·53), d: 1·3(se 0·35)) over the whole study period compared with the control group.
Conclusion:A dietary intervention focused on ‘eating for the gut microbiota’ can improve aspects of perinatal diet quality during and after pregnancy.
Prospective Study Demonstrates Utility of EP-QuIC in Creutzfeldt–Jakob Disease Diagnoses
- Sharon L. R. Simon, Anne Peterson, Clark Phillipson, Jonathan M. Walker, Meika Richmond, Gerard H. Jansen, J. David Knox
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- Canadian Journal of Neurological Sciences / Volume 48 / Issue 1 / January 2021
- Published online by Cambridge University Press:
- 10 July 2020, pp. 127-129
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Prospectively acquired Canadian cerebrospinal fluid samples were used to assess the performance characteristics of three ante-mortem tests commonly used to support diagnoses of Creutzfeldt–Jakob disease. The utility of the end-point quaking-induced conversion assay as a test for Creutzfeldt–Jakob disease diagnoses was compared to that of immunoassays designed to detect increased amounts of the surrogate markers 14-3-3γ and hTau. The positive predictive values of the end-point quaking-induced conversion, 14-3-3γ, and hTau tests conducted at the Prion Diseases Section of the Public Health Agency of Canada were 96%, 68%, and 66%, respectively.
Desirability and acceptability of a treatment-sequencing model in relapsing-remitting multiple sclerosis: A health technology assessment perspective
- Marjanne A. Piena, Olaf Schoeman, Gerard T. Harty, Schiffon L. Wong
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- International Journal of Technology Assessment in Health Care / Volume 36 / Issue 2 / April 2020
- Published online by Cambridge University Press:
- 19 May 2020, pp. 162-166
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Objective
Gather health technology assessment (HTA) experts' insights on the desirability and acceptability of treatment-sequencing models applied to relapsing-remitting multiple sclerosis (RRMS).
Data source/study settingPrimary data.
Study designIn-depth double-blind semi-structured telephone interviews.
Data collection/extraction methodsGeneral themes were extracted from qualitative interviews.
Principal findingsAlthough experts confirmed the importance of evaluating the clinical and cost-effectiveness of treatments as part of a sequence, the current HTA decision making framework is not conducive to this. Developing an RRMS treatment-sequencing model that meets HTA requirements is difficult, in particular due to scarcity of effectiveness data in later treatment lines.
ConclusionsAt present, a treatment-sequencing model for RRMS may be desirable yet not requested by HTA bodies for their decision making. However, there could be other areas where a treatment-sequencing model for RRMS is of use.
Yogurt consumption and colorectal polyps
- Samara B. Rifkin, Francis M. Giardiello, Xiangzhu Zhu, Linda M. Hylind, Reid M. Ness, Julia L. Drewes, Harvey J. Murff, Emma H. Spence, Walter E. Smalley, Joell J. Gills, Gerard E. Mullin, David Kafonek, Louis La Luna, Wei Zheng, Cynthia L. Sears, Martha J. Shrubsole, the Biofilm Study Consortium
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- British Journal of Nutrition / Volume 124 / Issue 1 / 14 July 2020
- Published online by Cambridge University Press:
- 20 February 2020, pp. 80-91
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- 14 July 2020
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Diet modifies the risk of colorectal cancer (CRC), and inconclusive evidence suggests that yogurt may protect against CRC. We analysed the data collected from two separate colonoscopy-based case–control studies. The Tennessee Colorectal Polyp Study (TCPS) and Johns Hopkins Biofilm Study included 5446 and 1061 participants, respectively, diagnosed with hyperplastic polyp (HP), sessile serrated polyp, adenomatous polyp (AP) or without any polyps. Multinomial logistic regression models were used to derive OR and 95 % CI to evaluate comparisons between cases and polyp-free controls and case–case comparisons between different polyp types. We evaluated the association between frequency of yogurt intake and probiotic use with the diagnosis of colorectal polyps. In the TCPS, daily yogurt intake v. no/rare intake was associated with decreased odds of HP (OR 0·54; 95 % CI 0·31, 0·95) and weekly yogurt intake was associated with decreased odds of AP among women (OR 0·73; 95 % CI 0·55, 0·98). In the Biofilm Study, both weekly yogurt intake and probiotic use were associated with a non-significant reduction in odds of overall AP (OR 0·75; 95 % CI 0·54, 1·04) and (OR 0·72; 95 % CI 0·49, 1·06) in comparison with no use, respectively. In summary, yogurt intake may be associated with decreased odds of HP and AP and probiotic use may be associated with decreased odds of AP. Further prospective studies are needed to verify these associations.
A 12-month prospective study on the time to hospitalization and clinical management of a cohort of bipolar type I and schizoaffective bipolar patients
- Andrea Murru, Norma Verdolini, Gerard Anmella, Isabella Pacchiarotti, Ludovic Samalin, Alberto Aedo, Juan Undurraga, José M. Goikolea, Benedikt L Amann, Andre F. Carvalho, Eduard Vieta
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- European Psychiatry / Volume 61 / September 2019
- Published online by Cambridge University Press:
- 01 January 2020, pp. 1-8
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Background.
Schizoaffective disorder, bipolar type (SAD) and bipolar disorder I (BD) present a large clinical overlap. In a 1-year follow-up, we aimed to evaluate days to hospitalization (DTH) and predictors of relapse in a SAD-BD cohort of patients.
Methods.A 1–year, prospective, naturalistic cohort study considering DTH as primary outcome and incidence of direct and indirect measures of psychopathological compensation as secondary outcomes. Kaplan-Meyer survival analysis with Log-rank Mantel-Cox test compared BD/SAD subgroups as to DTH. After bivariate analyses, Cox regression was performed to assess covariates possibly associated with DTH in diagnostic subgroups.
Results.Of 836 screened patients, 437 were finally included (SAD = 105; BD = 332). Relapse rates in the SAD sample was n = 26 (24.8%) vs. n = 41 (12.3%) in the BD sample (p = 0.002). Mean ± SD DTH were 312.16 ± 10.6 (SAD) vs. 337.62 ± 4.4 (BD) days (p = 0.002). Patients with relapses showed more frequent suicide acts, violent behaviors, and changes in pharmacological treatments (all p < 0.0005) in comparison to patients without relapse. Patients without relapses had significantly higher mean number of treatments at T0 (p = 0.010). Cox regression model relating the association between diagnosis and DTH revealed that BD had higher rates of suicide attempts (HR = 13.0, 95%CI = 4.0–42.0, p < 0.0005), whereas SAD had higher rates of violent behavior during psychotic episodes (HR = 12.0, 95%CI =.3.3-43.5, p > 0.0005).
Conclusions.SAD patients relapse earlier with higher hospitalization rates and violent behavior during psychotic episodes whereas bipolar patients have more suicide attempts. Psychiatric/psychological follow-up visits may delay hospitalizations by closely monitoring symptoms of self- and hetero-aggression.
Cost-effectiveness, cost-utility and the budget impact of antidepressants versus preventive cognitive therapy with or without tapering of antidepressants
- Nicola S. Klein, Ben F. M. Wijnen, Joran Lokkerbol, Erik Buskens, Hermien J. Elgersma, Gerard D. van Rijsbergen, Christien Slofstra, Johan Ormel, Jack Dekker, Peter J. de Jong, Willem A. Nolen, Aart H. Schene, Steven D. Hollon, Huibert Burger, Claudi L. H. Bockting
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- Journal:
- BJPsych Open / Volume 5 / Issue 1 / January 2019
- Published online by Cambridge University Press:
- 15 January 2019, e12
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Background
As depression has a recurrent course, relapse and recurrence prevention is essential.
AimsIn our randomised controlled trial (registered with the Nederlands trial register, identifier: NTR1907), we found that adding preventive cognitive therapy (PCT) to maintenance antidepressants (PCT+AD) yielded substantial protective effects versus antidepressants only in individuals with recurrent depression. Antidepressants were not superior to PCT while tapering antidepressants (PCT/−AD). To inform decision-makers on treatment allocation, we present the corresponding cost-effectiveness, cost-utility and budget impact.
MethodData were analysed (n = 289) using a societal perspective with 24-months of follow-up, with depression-free days and quality-adjusted life years (QALYs) as health outcomes. Incremental cost-effectiveness ratios were calculated and cost-effectiveness planes and cost-effectiveness acceptability curves were derived to provide information about cost-effectiveness. The budget impact was examined with a health economic simulation model.
ResultsMean total costs over 24 months were €6814, €10 264 and €13 282 for AD+PCT, antidepressants only and PCT/−AD, respectively. Compared with antidepressants only, PCT+AD resulted in significant improvements in depression-free days but not QALYs. Health gains did not significantly favour antidepressants only versus PCT/−AD. High probabilities were found that PCT+AD versus antidepressants only and antidepressants only versus PCT/−AD were dominant with low willingness-to-pay thresholds. The budget impact analysis showed decreased societal costs for PCT+AD versus antidepressants only and for antidepressants only versus PCT/−AD.
ConclusionsAdding PCT to antidepressants is cost-effective over 24 months and PCT with guided tapering of antidepressants in long-term users might result in extra costs. Future studies examining costs and effects of antidepressants versus psychological interventions over a longer period may identify a break-even point where PCT/−AD will become cost-effective.
Declaration of interestC.L.H.B. is co-editor of PLOS One and receives no honorarium for this role. She is also co-developer of the Dutch multidisciplinary clinical guideline for anxiety and depression, for which she receives no remuneration. She is a member of the scientific advisory board of the National Insure Institute, for which she receives an honorarium, although this role has no direct relation to this study. C.L.H.B. has presented keynote addresses at conferences, such as the European Psychiatry Association and the European Conference Association, for which she sometimes receives an honorarium. She has presented clinical training workshops, some including a fee. She receives royalties from her books and co-edited books and she developed preventive cognitive therapy on the basis of the cognitive model of A. T. Beck. W.A.N. has received grants from the Netherlands Organisation for Health Research and Development and the European Union and honoraria and speakers' fees from Lundbeck and Aristo Pharma, and has served as a consultant for Daleco Pharma.
Elucidating the crystal-chemistry of Jbel Rhassoul stevensite (Morocco) by advanced analytical techniques
- B. Rhouta, H. Kaddami, J. Elbarqy, M. Amjoud, L. Daoudi, F. Maury, F. Senocq, A. Maazouz, J.- F. Gerard
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- Clay Minerals / Volume 43 / Issue 3 / September 2008
- Published online by Cambridge University Press:
- 09 July 2018, pp. 393-403
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The composition of Rhassoul clay is controversial regarding the nature of the pure-mineral clay fraction which is claimed to be stevensite rather than saponite. In this study, the raw and mineral fractions were characterized using various techniques including Fourier transform infrared spectroscopy and magic angle spinning nuclear magnetic resonance (MAS NMR). The isolated fine clay mineral fraction contained a larger amount of Al (>1 wt.%) than that reported for other stevensite occurrences. The 27Al MAS NMR technique confirmed that the mineral is stevensite in which the Al is equally split between the tetrahedral and octahedral coordination sites. The 29Si NMR spectrum showed a single unresolved resonance indicating little or no short-range ordering of silicon. The chemical composition of the stevensite from Jbel Rhassoul was determined to be ((Na0.25K0.20)(Mg5.04Al0.37Fe0.20☐0.21)5.61(Si7.76Al0.24)8O20(OH)4). This formula differs from previous compositions described from this locality and shows it to be an Al-bearing lacustrine clay mineral.
Tracking data of the Little Bustard Tetrax tetrax in Iberia shows high anthropogenic mortality
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- JOANA MARCELINO, FRANCISCO MOREIRA, SANTI MAÑOSA, FRANCESC CUSCÓ, MANUEL B. MORALES, ELADIO L. GARCÍA DE LA MORENA, GERARD BOTA, JORGE M. PALMEIRIM, JOÃO P. SILVA
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- Bird Conservation International / Volume 28 / Issue 4 / December 2018
- Published online by Cambridge University Press:
- 12 December 2017, pp. 509-520
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The Little Bustard Tetrax tetrax (Linnaeus, 1758) is a medium-sized, ‘Near Threatened’ steppe bird, whose Iberian population has been alarmingly declining over recent decades. Although this population loss has been mainly attributed to agricultural intensification, there is no information on Little Bustard adult mortality levels and their drivers. Based on a joint effort combining all the tracking data on adult Little Bustards collected over a period of 12 years by all research teams working with the species in Iberia, we found that annual anthropogenic mortality is likely to have a critical impact on the species, with values almost as high as the mortality attributed to predation. Collision with power lines was found to be the main anthropogenic threat to the adult population (3.4–3.8%/year), followed by illegal killing (2.4–3%/year), which had a higher impact than initially foreseen. Our work shows how poorly understood and previously unknown threats are affecting the survival of the most important Little Bustard population in Europe.
Asymptomatic atresia of the anomalous pulmonary vein in a patient with scimitar syndrome presenting in childhood
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- Michael L. O’Byrne, Russell R. Cross, Gerard R. Martin
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- Cardiology in the Young / Volume 28 / Issue 2 / February 2018
- Published online by Cambridge University Press:
- 29 August 2017, pp. 329-333
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An asymptomatic 6-year-old boy with a history of right lung hypoplasia was referred for cardiology evaluation. Echocardiography demonstrated right pulmonary artery hypoplasia with flow reversal in that vessel. The right pulmonary veins were not visualised in the echocardiogram. Cardiac catheterisation confirmed the diagnosis of scimitar syndrome with a characteristic large vertical vein; however, the right pulmonary veins were found to be atretic with no connection to the heart with decompression through the azygos vein. In all, four systemic to pulmonary arterial collaterals were identified, supplying the right lung, which were occluded using embolization coils. This case demonstrates the potential for progressive stenosis and atresia of the so-called “scimitar vein” without previous surgical instrumentation, and that this can occur without haemodynamic embarrassment or development of pulmonary vascular disease.
Analysing Tuberculosis Cases Among Healthcare Workers to Inform Infection Control Policy and Practices
- Gerard de Vries, Rianne van Hunen, Fleur S. Meerstadt-Rombach, Paul D. L. P. M. van der Valk, Marinus Vermue, Sytze T. Keizer
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- Journal:
- Infection Control & Hospital Epidemiology / Volume 38 / Issue 8 / August 2017
- Published online by Cambridge University Press:
- 08 June 2017, pp. 976-982
- Print publication:
- August 2017
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OBJECTIVE
To determine the number and proportion of healthcare worker (HCW) tuberculosis (TB) cases infected while working in healthcare institutions in the Netherlands and to learn from circumstances that led to these infections.
DESIGNCohort analysis.
METHODSWe included all HCW TB patients reported to the Netherlands TB Register from 2000 to 2015. Using data from this register, including DNA fingerprints of the bacteria profile and additional information from public health clinics, HCW TB cases were classified into 4 categories: (1) infected during work in the Netherlands, (2) infected in the community, (3) infected outside the Netherlands, or (4) outside these 3 categories. An in-depth analysis of category 1 cases was performed to identify factors contributing to patient-to-HCW transmission.
RESULTSIn total, 131 HCW TB cases were identified: 32 cases (24%) in category 1; 13 cases (10%) in category 2; 42 cases (32%) in category 3; and 44 cases (34%) in category 4. The annual number of HCW TB cases (P<.05), the proportion among reported cases (P<.01), and the number of category 1 HCW TB cases (P=.12) all declined over the study period. Delayed diagnosis in a TB patient was the predominant underlying factor of nosocomial transmission in 47% of category 1 HCW TB patients, most of whom were subsequently identified in a contact investigation. Performing high-risk procedures was the main contributing factor in the other 53% of cases.
CONCLUSIONIn low-incidence countries, every HCW TB case should warrant timely and thorough investigation to help further define and fine-tune the HCW screening policy and to monitor its proper implementation.
Infect Control Hosp Epidemiol 2017;38:976–982
Feasibility of a Novel Combination of Influenza Vaccinations and Child Passenger Safety Seat Fittings in a Drive-through Clinic Setting
- Ngoc Le, Rachel L. Charney, James Gerard
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- Journal:
- Disaster Medicine and Public Health Preparedness / Volume 11 / Issue 6 / December 2017
- Published online by Cambridge University Press:
- 02 May 2017, pp. 647-651
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Objective
Public health preparedness is an ever-evolving area of medicine with the purpose of helping the masses quickly and efficiently. The drive-through clinic (DTC) model allows the distribution of supplies or services while participants remain in their cars. Influenza vaccination is the most common form of DTC and has been utilized successfully in metropolitan areas.
MethodsWe hypothesized that combining influenza vaccinations and child passenger seat fittings in a DTC format would be both feasible and desired by the community. Each driver was verbally surveyed at each DTC station. The project was a combination of patient survey and observation.
ResultsIn the inaugural 6-hour DTC session, 86 cars were served and contained 161 children, of which 28 also participated in child passenger seat fittings. The median total clinic time regardless of services rendered was 9.0 minutes (interquartile range [IQR]: 6.0, 14.0 minutes). For those who received only an influenza vaccine, the median total time was 7.5 minutes (IQR: 6.0, 10.0 minutes). For those who received both services, the median total time was 27 minutes (IQR: 22.3, 33.5 minutes) with an average of 1.75 child passenger seat fittings per automobile.
ConclusionThis was a pilot study involving 2 different services using the DTC model and the first of its kind in the literature. The DTC was successful in executing both services without sacrificing speed, convenience, or patient satisfaction. Additional studies are needed to further evaluate the efficacy of the multiple-service DTC model. (Disaster Med Public Health Preparedness. 2017;11:647–651)
Last Interglacial Climates
- George J. Kukla, Michael L. Bender, Jacques-Louis de Beaulieu, Gerard Bond, Wallace S. Broecker, Piet Cleveringa, Joyce E. Gavin, Timothy D. Herbert, John Imbrie, Jean Jouzel, Lloyd D. Keigwin, Karen-Luise Knudsen, Jerry F. McManus, Josef Merkt, Daniel R. Muhs, Helmut Müller, Richard Z. Poore, Stephen C. Porter, Guy Seret, Nicholas J. Shackleton, Charles Turner, Polychronis C. Tzedakis, Isaac J. Winograd
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- Quaternary Research / Volume 58 / Issue 1 / July 2002
- Published online by Cambridge University Press:
- 20 January 2017, pp. 2-13
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The last interglacial, commonly understood as an interval with climate as warm or warmer than today, is represented by marine isotope stage (MIS) 5e, which is a proxy record of low global ice volume and high sea level. It is arbitrarily dated to begin at approximately 130,000 yr B.P. and end at 116,000 yr B.P. with the onset of the early glacial unit MIS 5d. The age of the stage is determined by correlation to uranium–thorium dates of raised coral reefs. The most detailed proxy record of interglacial climate is found in the Vostok ice core where the temperature reached current levels 132,000 yr ago and continued rising for another two millennia. Approximately 127,000 yr ago the Eemian mixed forests were established in Europe. They developed through a characteristic succession of tree species, probably surviving well into the early glacial stage in southern parts of Europe. After ca. 115,000 yr ago, open vegetation replaced forests in northwestern Europe and the proportion of conifers increased significantly farther south. Air temperature at Vostok dropped sharply. Pulses of cold water affected the northern North Atlantic already in late MIS 5e, but the central North Atlantic remained warm throughout most of MIS 5d. Model results show that the sea surface in the eastern tropical Pacific warmed when the ice grew and sea level dropped. The essentially interglacial conditions in southwestern Europe remained unaffected by ice buildup until late MIS 5d when the forests disappeared abruptly and cold water invaded the central North Atlantic ca. 107,000 yr ago.
Thermohaline Circulation and Prolonged Interglacial Warmth in the North Atlantic
- Jerry F. McManus, Delia W. Oppo, Lloyd D. Keigwin, James L. Cullen, Gerard C. Bond
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- Quaternary Research / Volume 58 / Issue 1 / July 2002
- Published online by Cambridge University Press:
- 20 January 2017, pp. 17-21
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Deep-sea sediment cores provide spatially coherent evidence for the climatic and hydrographic conditions in the subpolar North Atlantic during the last interglaciation. Taken together with similarly high-resolution terrestrial sequences, these records indicate a regional climatic progression, beginning with the extreme and variable climate late in the penultimate glaciation, continuing through a relatively stable climatic optimum during the interglaciation, and concluding with the reestablishment of the markedly variable regime that characterized the last 100,000-yr glaciation. Relatively mild conditions in much of the subpolar region significantly outlasted the minimum in global ice volume, despite declining summer insolation and the cooling influence of incipient proximal glaciers. These effects were partially offset by enhanced thermohaline circulation that paradoxically increased heat transport into the region while simultaneously providing the likely moisture source for the growth of large northern ice sheets. The inception of the last glacial cycle thus provides an example of the influence of ocean circulation on regional climate. In contrast to the apparent orbital pace of the ongoing ice-sheet growth, the subsequent deterioration of surface conditions was abrupt and dramatic.
Assessing the Aquatic Plant Community within the Ross Barnett Reservoir, Mississippi
- Michael C. Cox, Ryan M. Wersal, John D. Madsen, Patrick D. Gerard, Mary L. Tagert
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- Invasive Plant Science and Management / Volume 7 / Issue 2 / June 2014
- Published online by Cambridge University Press:
- 20 January 2017, pp. 375-383
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Alligatorweed, waterhyacinth, and hydrilla are three nonnative aquatic species of concern in the Ross Barnett Reservoir near Jackson, MS. Point-intercept surveys were conducted on the reservoir from 2005 to 2010 to monitor native and nonnative species' distributions and assess herbicide treatment efficacy across the reservoir. Foliar applications of 2,4-D, glyphosate, imazapyr, and diquat were made during summer months for emergent and free-floating vegetation, whereas submersed applications of liquid copper and granular fluridone were applied in spring and late summer for subsurface hydrilla populations. American lotus is the native species that has been observed the most throughout the survey years, with occurrence frequencies averaging between 17 and 27%. Alligatorweed populations significantly decreased from 21% in 2005 to 4% in 2006; however, they consistently increased in the next 4 yr to 12% occurrence in 2010. Waterhyacinth occurrence has remained relatively constant over the study period, averaging below 10% occurrence. Hydrilla was discovered in the reservoir in late 2005 and has remained below 2% in frequency of occurrence since 2006. Suppression of these nonnative species has been attributed to rigorous monitoring and herbicide applications conducted on the reservoir since 2005. A logistic regression model indicated that as native species richness increased, the likelihood of a nonnative species occurring also increased.
2 - Why are freshwater fish so threatened?
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- By Gerard P. Closs, University of Otago, Paul L. Angermeier, Virginia Tech, William R. T. Darwall, Global Species Programme, IUCN (International Union for the Conservation of Nature), Stephen R. Balcombe, Griffith University
- Edited by Gerard P. Closs, University of Otago, New Zealand, Martin Krkosek, University of Toronto, Julian D. Olden, University of Washington
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- Book:
- Conservation of Freshwater Fishes
- Published online:
- 05 December 2015
- Print publication:
- 03 December 2015, pp 37-75
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Summary
INTRODUCTION
The huge diversity of freshwater fishes is concentrated into an area of habitat that covers only about 1% of the Earth's surface, and much of this limited area has already been extensively impacted and intensively managed to meet human needs (Dudgeon et al., 2006). As outlined in Chapter 1, the number and proportions of threatened species tend to rise wherever fish diversity coincides with dense human populations, intensive resource use and development pressure. Of particular concern is the substantial proportion of the global diversity of freshwater fishes concentrated within the Mekong and Amazon Basins and west-central Africa (Berra, 2001; Abell et al., 2008; Dudgeon, 2011; Chapter 1) with extensive exploitation of water resources planned to accelerate in future years (Dudgeon, 2011; Chapter 1). If current trends continue, and the social, political and economic models that have been used to develop industrialised regions of the world over the past two centuries prevail, then the future of a significant proportion of global diversity of freshwater fish species is clearly uncertain.
Understanding why so many freshwater fish species are threatened requires some understanding of their biology, diversity, distribution, biogeography and ecology, but also some appreciation of the social, economic and political forces that are causing humans to destroy the natural ecosystems upon which we all ultimately depend. To begin to understand the diversity of freshwater fishes, we first need to consider the processes that generated and continue to sustain the diversity of species we see today. Based on an understanding of how freshwater fish diversity is generated and sustained, we consider how vulnerable or resilient various freshwater fishes are to the range of anthropogenic impacts that impinge on freshwater ecosystems. Finally, we discuss how social, political and economic drivers influence human impacts on natural systems, and the changes needed to current models of development that can lead to a sustainable future for humans and the diverse range of freshwater fish species with which we share our planet. The aim of this chapter is to provide an overview of the key issues and threats driving the declines in freshwater fish diversity identified in Chapter 1; subsequent chapters provide more detail on the key issues and address our options for developing a sustainable future for freshwater fishes.
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- By Mitchell Aboulafia, Frederick Adams, Marilyn McCord Adams, Robert M. Adams, Laird Addis, James W. Allard, David Allison, William P. Alston, Karl Ameriks, C. Anthony Anderson, David Leech Anderson, Lanier Anderson, Roger Ariew, David Armstrong, Denis G. Arnold, E. J. Ashworth, Margaret Atherton, Robin Attfield, Bruce Aune, Edward Wilson Averill, Jody Azzouni, Kent Bach, Andrew Bailey, Lynne Rudder Baker, Thomas R. Baldwin, Jon Barwise, George Bealer, William Bechtel, Lawrence C. Becker, Mark A. Bedau, Ernst Behler, José A. Benardete, Ermanno Bencivenga, Jan Berg, Michael Bergmann, Robert L. Bernasconi, Sven Bernecker, Bernard Berofsky, Rod Bertolet, Charles J. Beyer, Christian Beyer, Joseph Bien, Joseph Bien, Peg Birmingham, Ivan Boh, James Bohman, Daniel Bonevac, Laurence BonJour, William J. Bouwsma, Raymond D. Bradley, Myles Brand, Richard B. Brandt, Michael E. Bratman, Stephen E. Braude, Daniel Breazeale, Angela Breitenbach, Jason Bridges, David O. Brink, Gordon G. Brittan, Justin Broackes, Dan W. Brock, Aaron Bronfman, Jeffrey E. Brower, Bartosz Brozek, Anthony Brueckner, Jeffrey Bub, Lara Buchak, Otavio Bueno, Ann E. Bumpus, Robert W. Burch, John Burgess, Arthur W. Burks, Panayot Butchvarov, Robert E. Butts, Marina Bykova, Patrick Byrne, David Carr, Noël Carroll, Edward S. Casey, Victor Caston, Victor Caston, Albert Casullo, Robert L. Causey, Alan K. L. Chan, Ruth Chang, Deen K. Chatterjee, Andrew Chignell, Roderick M. Chisholm, Kelly J. Clark, E. J. Coffman, Robin Collins, Brian P. Copenhaver, John Corcoran, John Cottingham, Roger Crisp, Frederick J. Crosson, Antonio S. Cua, Phillip D. Cummins, Martin Curd, Adam Cureton, Andrew Cutrofello, Stephen Darwall, Paul Sheldon Davies, Wayne A. Davis, Timothy Joseph Day, Claudio de Almeida, Mario De Caro, Mario De Caro, John Deigh, C. F. Delaney, Daniel C. Dennett, Michael R. DePaul, Michael Detlefsen, Daniel Trent Devereux, Philip E. Devine, John M. Dillon, Martin C. Dillon, Robert DiSalle, Mary Domski, Alan Donagan, Paul Draper, Fred Dretske, Mircea Dumitru, Wilhelm Dupré, Gerald Dworkin, John Earman, Ellery Eells, Catherine Z. Elgin, Berent Enç, Ronald P. Endicott, Edward Erwin, John Etchemendy, C. Stephen Evans, Susan L. Feagin, Solomon Feferman, Richard Feldman, Arthur Fine, Maurice A. Finocchiaro, William FitzPatrick, Richard E. Flathman, Gvozden Flego, Richard Foley, Graeme Forbes, Rainer Forst, Malcolm R. Forster, Daniel Fouke, Patrick Francken, Samuel Freeman, Elizabeth Fricker, Miranda Fricker, Michael Friedman, Michael Fuerstein, Richard A. Fumerton, Alan Gabbey, Pieranna Garavaso, Daniel Garber, Jorge L. A. Garcia, Robert K. Garcia, Don Garrett, Philip Gasper, Gerald Gaus, Berys Gaut, Bernard Gert, Roger F. Gibson, Cody Gilmore, Carl Ginet, Alan H. Goldman, Alvin I. Goldman, Alfonso Gömez-Lobo, Lenn E. Goodman, Robert M. Gordon, Stefan Gosepath, Jorge J. E. Gracia, Daniel W. Graham, George A. Graham, Peter J. Graham, Richard E. 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Hull, Patricia Huntington, Thomas Hurka, Paul Hurley, Rosalind Hursthouse, Guillermo Hurtado, Ronald E. Hustwit, Sarah Hutton, Jonathan Jenkins Ichikawa, Harry A. Ide, David Ingram, Philip J. Ivanhoe, Alfred L. Ivry, Frank Jackson, Dale Jacquette, Joseph Jedwab, Richard Jeffrey, David Alan Johnson, Edward Johnson, Mark D. Jordan, Richard Joyce, Hwa Yol Jung, Robert Hillary Kane, Tomis Kapitan, Jacquelyn Ann K. Kegley, James A. Keller, Ralph Kennedy, Sergei Khoruzhii, Jaegwon Kim, Yersu Kim, Nathan L. King, Patricia Kitcher, Peter D. Klein, E. D. Klemke, Virginia Klenk, George L. Kline, Christian Klotz, Simo Knuuttila, Joseph J. Kockelmans, Konstantin Kolenda, Sebastian Tomasz Kołodziejczyk, Isaac Kramnick, Richard Kraut, Fred Kroon, Manfred Kuehn, Steven T. Kuhn, Henry E. Kyburg, John Lachs, Jennifer Lackey, Stephen E. Lahey, Andrea Lavazza, Thomas H. Leahey, Joo Heung Lee, Keith Lehrer, Dorothy Leland, Noah M. 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