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A fundamental problem in descriptive epidemiology is how to make meaningful and robust comparisons between different populations, or within the same population over different periods. The problem has several dimensions. First, the data we have to work with (e.g. incident and prevalent cases, and deaths) is rarely usable in its raw form. We must therefore transform it in some way before undertaking the comparison itself. Second, our data usually tells us about fundamentally different attributes of the populations we are seeking to compare. If we are only ever interested in comparing any one of these attributes at a time (mortality, for example), then one of several simple and well-established transformations is all that is typically required. Increasingly, however, epidemiologists are being asked to bring these attributes together into more integrated and meaningful comparisons.
Good nursing practice is based on evidence, and undertaking a community health needs assessment is a means of providing evidence to guide community nursing practice. A community health needs assessment is a process that examines the health status and social needs of a particular population. It may be conducted at a whole-of-community level, a sub-community level or even a subsystem level. Nursing practice frequently involves gathering data and assessing individuals or families to determine appropriate nursing interventions. This concept is transferable to an identified community when the community itself is viewed as the client.
The search for the causes of disease is an obvious central step in the pursuit of better health through disease prevention. In the previous chapters we looked at how we measure health (or disease) and how we look for associations between exposure and disease. Being able to identify a relation between a potential cause of disease and the disease itself is not enough, though. If our goal is to change practice or policy in order to improve health, then we need to go one step further and decide whether the relation is causal because, if it is not, intervening will have no effect. As in previous chapters, we discuss causation mainly in the context of an exposure causing disease but, as you will see when we come to assessing causation in practice, the concepts apply equally to a consideration of whether a potential preventive measure really does improve health.
This chapter focuses on explaining the powerful logic of perilous promises and hidden information, as well as the dangers of low opportunity costs and attractive rents. We start out by explaining how in many circumstances peaceful bargaining succeeds in preventing hostilities – as the “peace dividend” creates a range of win–win bargaining solutions. Sadly, though, asymmetric information, commitment problems and political bias can lead to bargaining failure and the outbreak of war. Further, when the stakes of contest are high and opportunity costs low, the scope for peaceful bargaining shrinks. In particular, we show that being out of work and out of options makes somebody easy prey for rebel headhunters. This is exemplified by the dreadful consequences of bad harvests. Next, we examine the role of ethnic cleavages and how they tend to be exploited by divisive ethnic politics. Finally, the chapter discusses the curse of natural resources. Countries blessed with valuable soils tend to suffer from conflict, often leaving them poorer than countries lacking natural resources.
A species’ behavioral, developmental, and reproductive life history will influence how quickly it can recover after a population crash. Some species can recover very quickly, while others, such as the North Atlantic right whale, cannot recover quickly, because even under ideal conditions they develop slowly and have very low reproductive rates. Ecologists have described various life history classification schemes that identify important tradeoffs in resource allocation, and focus attention on interesting life history questions. The quantitative relationship between metabolic rate and body size can help ecologists understand some life history tradeoffs, such as the relationship between number and size of offspring. There is a fundamental tradeoff between parental investment in any one reproductive event and the number of lifetime reproductive events, which in some cases can lead to a semelparous reproductive life history. Variable environments can select for phenotypic plasticity, which can lead to organisms with similar genotypes expressing alternative behavioral, developmental or reproductive life history traits. In some cases, phenotypic plasticity may help species adjust to rapidly changing environmental conditions, including climate change.
Providing students with a solid understanding of core ecological concepts while explaining how ecologists raise and answer real-world questions, this second edition weaves together classic and cutting-edge case studies to bring the subject to life. It is fully updated throughout, including two chapters devoted to climate change ecology, along with extensive coverage of disease ecology, and has been designed specifically to equip students with the tools to analyze and interpret real data. Each chapter emphasizes the linkage between observations, ideas, questions, hypotheses, predictions, results, and conclusions. Additional summary sections describe the development and evolution of research programs in each of ecology's core areas, providing students with essential context. Integrated discussion questions, along with end-of-chapter questions, encourage active learning. These are supported by online resources including tutorials that teach students to use the R programming language for statistical analyses of data presented in the text.
The basic biology of owls is poorly understood compared to that of other bird species. The Little Owl, Athene noctua, is one of the best models for biological and conservation research. Though widespread across Europe, Asia and North Africa, populations of the Little Owl are now in decline, making studies of its behavior and ecology all the more important. This extensively revised and updated second edition features substantial new long-term data on population dynamics, behavioral observations and breeding biology of the Little Owl. The authors discuss its wide-ranging ecology, genetics, subspecies, and population status by country. In addition, they outline a research strategy and monitoring program. Exceptional illustrations of all fourteen subspecies cover embryonic and chick development, feather growth and moult, including high-quality drawings presenting concrete management suggestions. Whilst being an invaluable resource for academic researchers, its accessible and straightforward style will also appeal to amateur ornithologists and enthusiasts.
Appendix D: two-level quantum mechanical systems, or qubits. Description in terms of Bloch vector. Poincaré sphere. Expression of purity. Projection noise in an energy measurement. Description of a set of N coherently driven qubits by a collective Bloch vector.
Control of glyphosate-resistant (GR) junglerice is a challenging task in eastern Australia. There is limited information on the efficacy and reliability of alternate herbicides for GR populations of junglerice, especially when targeting large plants and when temperatures are high. A series of experiments were conducted to confirm the level of glyphosate resistance in three populations of junglerice and to evaluate the efficacy of alternate herbicides for the control of GR junglerice populations. The LD50 of glyphosate of B17/7, B17/34, and B17/35 populations was found to be 298, 2,260, and 1,715 g ae ha–1, respectively, suggesting that populations B17/34 and B17/35 were highly resistant to glyphosate. Glyphosate efficacy was reduced at high-temperature (35 C day/25 C night) compared with low-temperature conditions (25 C day/15 C night), suggesting that control of susceptible populations may also be reduced if glyphosate is sprayed under hot conditions. Preemergence herbicides dimethenamid-P (1,000 g ai ha–1) and pendimethalin (1,500 g ai ha–1) provided 100% control of GR populations (B17/34 and 17/35). Postemergence herbicides, such as clethodim (60 or 90 g ai ha–1), glufosinate (750 g ai ha–1), haloxyfop (52 or 78 g ai ha–1), and paraquat (400 or 600 g ai ha–1), applied at the four-leaf stage provided 100% control of GR populations. For larger junglerice plants (eight-leaf stage), postemergence applications of paraquat (400 or 600 g ai ha–1) provided greater weed control than clethodim, glufosinate, and haloxyfop. A mixture of either glufosinate or haloxyfop with glyphosate provided poor control of GR junglerice populations compared with application of glufosinate or haloxyfop applied alone. Efficacy of glufosinate and haloxyfop for the control of GR populations decreased when applied in the sequential spray after glyphosate application. This study identified alternative herbicide options for GR junglerice populations that can be used in herbicide rotation programs for sustainable weed management.
This chapter examines how internal self-determination applies to populations of states. It argues that populations have a right to internal self-determination amounting to democratic governance. But this is not all. What democratic governance means is a contestable topic, and the very concept of democracy encapsulates many things. Also, states can promote internal self-determination as a continuing right which legitimizes pro-democratic intervention, if necessary. In short, to understand internal self-determination as a right of a population is an important task, but such an understanding carries implications which need to be noted.
Homelessness is a growing problem, with perhaps greater than a 150 million homeless people globally. The global community has prioritized the problem, as eradicating homelessness is one of the United Nation’s sustainability goals of 2030. Homelessness is a variable entity with individual, population, cultural, and regional characteristics complicating emergency preparedness. Overall, there are many factors that make homeless individuals and populations more vulnerable to disasters. These include, but are not limited to: shelter concerns, transportation, acute and chronic financial and material resource constraints, mental and physical health concerns, violence, and substance abuse. As such, homeless population classification as a special or vulnerable population with regard to disaster planning is well-accepted. Much work has been done regarding best practices of accounting for and accommodating special populations in all aspects of disaster management. Utilizing what is understood of homeless populations and emergency management for special populations, a review of disaster planning with recommendations for communities was conducted. Much of the literature on this subject generates from urban homeless in the United States, but it is assumed that some lessons learned and guidance will be translatable to other communities and settings.
The practice of neuropsychology offers a unique yet multidimensional approach to clinical assessment, with its emphasis on the Bio-Psycho-Social Model. This chapter addresses a variety of issues that are relevant in our field, beginning with a discussion of the recommended model of training in neuropsychology and purposes of neuropsychological assessment. To give the reader a sense of the current context of neuropsychological assessment, we also describe the most typical work settings and specific issues in each, as well as populations seen and instruments used in our field. We then discuss some aspects of the assessment process that neuropsychologists consider, in addition to common challenges of our clinical and research practice, such as the assessment of practice effects, effort, individuals from diverse cultural and linguistic backgrounds, and general validity issues. We end this chapter with a brief discussion of the future of neuropsychological assessment and how technology may play a key role in shaping the activities and settings of our practice.
The prisoner population is ageing, and consideration is needed for how to best support those with age-related health conditions in the system. Existing work practices and organizational structures often fail to meet the needs of prisoners with dementia, and prison staff experience high levels of burden because of the increased needs of these prisoners. Little is known about the best method of responding to the needs of this growing subpopulation of prisoners.
Method:
A scoping review was conducted to answer the question: what are the perceived best care options for prisoners with dementia? To be included, publications had to be publicly available, reported on research findings, or viewed opinions and commentaries on care practices relevant to older prisoners with dementia. Searches were conducted in 11 databases to identify relevant publications. Data from the included publications were extracted and summarized into themes.
Results:
Eight themes were identified that could support better care practices for prisoners with dementia: (1) early and ongoing screening for older prisoners; (2) specialized services; (3) specialized units; (4) programs or activities; (5) adaptations to current contexts; (6) early release or parole for older prisoners with dementia deemed at low risk of reoffending; and (7) training younger prisoners (8) as well as staff to assist older prisoners with dementia. Besides practical strategies improving care practice, costs, prison-specific resources, and staff skills were highlighted as care barriers across all themes. A lack of empirical evidence supported these findings.
Conclusion:
One of the implications of the international ageing prison population is the higher number of people living with dementia being incarcerated. Suggestions for best care approaches for prisoners with dementia now need to move from opinion to empirical approaches to guide practice.
Seeds offer a unique perspective from which to view biology. An individual seed is an autonomous biological entity that must rely on its own resources (and resourcefulness) to persist after dispersal and to time its transition to germination and seedling growth to coincide with environmental opportunities for survival. At the same time, seed biology in agriculture and ecology is determined largely by the behaviours of populations of individual seeds. The percentage of seeds in a population that is in a particular state (e.g. dormant, germinated, dead) at a given time is a fundamental metric of seed biology. This duality of individual diversity underlying consistent population-wide behaviour patterns can be described quantitatively using population-based threshold (PBT) models. While conceptually simple, these models are highly flexible and can describe the wide diversity of responses of seed populations to temperature, water potential, hormones, oxygen, light, ageing and combinations of these factors. This seed behaviour is linked to respiratory rates of individual seeds, indicating that basic metabolic processes within seeds vary among individuals in accordance with PBT principles. Looking more broadly across microbial, plant and animal biology, examples of cellular diversity in hormonal sensitivity, gene expression, developmental responses and signalling abound. This variation often is termed ‘noise’, and analysis efforts are focused on extracting mean signals from this variation to understand regulatory pathways. However, extension of the PBT approach to the cellular and molecular levels suggests that population sensitivity distributions and recruitment phenomena may underlie many fundamental biological processes. Thus, concepts and quantitative approaches developed for the analysis of seed populations can be applied across biological scales from molecules to ecosystems to interpret inherent biological variation and provide mechanistic insights into the nature of biological regulatory systems.
The first step in appearance of herbicide-resistant weed populations is the appearance of resistant plants or mutants. While efforts are underway to study and predict the spread of resistant plants within weed populations, knowledge of the conditions prevailing at the time of appearance of the first resistant plants is misunderstood. We try to shed some light on this phenomenon using the example of atrazine-resistant common lambsquarters. The population structure and variability, the presence of unusual genotypes that have a high mutation rate, the occurrence of a low-dose resistant phenotype that is the precursor of a high-dose resistant phenotype, and the potential for multiplication and spread are shown to be of major importance in the behavior of herbicide resistance.
Triazine-resistant (TR) common waterhemp was reported and confirmed in Fillmore County, NE in 1990. A survey of 81 fields was conducted to characterize the occurrence of common waterhemp and grower practices. Sampled fields fell into three categories: suspected by growers to contain resistant plants (26 fields), randomly selected (28 fields), and adjacent to fields containing TR common waterhemp (27 fields). Resistant plants were found in 64% of all fields. Resistance was confirmed in 92% of the fields suspected by growers to contain resistant plants. Adjacent fields were no more likely to contain resistant plants than randomly chosen fields. Crop rotation did not significantly affect occurrence of resistance. Resistance was associated with the grower, indicating movement of resistant seed between fields via equipment. Atrazine, bromoxynil plus atrazine, and bentazon plus atrazine provided less than 75% postemergence control of TR common waterhemp, while primisulfuron, dicamba plus atrazine, primisulfuron plus dicamba, dicamba, 2,4-D ester, and metribuzin plus bentazon gave over 85% control.
For the past two decades, prehospital trauma care has been addressed almost generically in terms of the related approaches to epidemiology, research, and management. However, evolving directions in research have helped emergency medical services (EMS) practitioners to delineate more focused treatment strategies according to the mechanism of injury, anatomic involvement, and the patient's clinical condition. Recent studies in the areas of trauma-associated circulatory arrest, severe blunt head injury, and post-traumatic hemorrhage following penetrating truncal injury suggest that current standard approaches to patient care should be reconsidered. In turn, this need for re-examination of trauma management strategies calls for the development of appropriate evaluation tools within EMS systems. Proper research design is dependent upon several key issues including: 1) the type of study (system study versus examination of a specific intervention); 2), the population under study; 3) physiological and anatomical scoring method; 4) prospective definitions of interventions and meaningful outcome variables (both morbidity and mortality; 5) relative outcome compared to known standards; and 6) prospective determination of statistical requirements.
Prehospital care experienced a “honeymoon” from the early 1970s until recently. Treatments usually were extrapolated directly from the hospital setting, even though the prehospital environment is markedly different. That honeymoon is over and emergency medical services (EMS) providers must prove what is beneficial. Additionally, academic prehospital care physicians interested in professional advancement, must show the same ability as do the more traditional medical academicians to expand the knowledge base of their chosen field.
This manuscript will highlight the basic features and identify the potential benefits and pitfalls of prehospital research. This chapter is not a cookbook for EMS research, nor will it obviate the need for accessing other sources on research design. Other manuscripts within this series will focus on more specific topics; yet, it will be obvious that many of the points made here will be re-emphasized in the following papers. That simply is a reflection of the importance of these commonly overlooked perils and pitfalls.
Determining the variables that influence survival in the treatment of cardiac arrest is important as both a research and a quality assurance tool. Out-of-hospital cardiac arrest remains the only medical condition in which it has been determined rigorously that prehospital care affects survival. Thus, it uniquely is suited to outcome-based research and quality assurance studies. After approximately 20 years of study, the determinants of survival after cardiac arrest are well-known; however, a plethora of fascinating research questions remain to be addressed.
The prevalence of out-of-hospital cardiac arrest seems to be decreasing. In the Seattle area, there are 30% fewer cases than there were ten years ago. This parallels the overall decline in mortality from ischemic heart disease in the United States in the last thirty years. There also has been a change in the profile of cardiac arrest victims, with today's arrestee several years older than the victim of fifteen years ago. Thus, when one performs comparative clinical trials, the control group of today is very different from the historical control of ten or fifteen years ago.