PERCEIVED QUALITY OF CARE: THE INFLUENCE OF THE WAITING ROOM ENVIRONMENT

The current study investigated the effect of the physical environment of the waiting room on perceptions of the quality of care of the physician. One hundred forty-seven college students and 58 senior citizens viewed 35 slides of physicians' waiting rooms. Using a visual analog scale, participants rated the perceived quality of care and the environment of each waiting room. The primary hypothesis was that perceived quality of care would be greater for waiting rooms that were nicely furnished, well-lighted, contained artwork, and were warm in appearance versus waiting rooms that had outdated furnishings, were dark, contained no artwork or poor quality reproductions, and were cold in appearance. Factor analyses of the care and environment ratings produced factors consistent with the hypothesis. Additionally, waiting rooms judged to be those of female physicians were rated higher on both perceived quality of care and comfort in the environment.     

Vulnerability and Resilience of Tropical Forest Species to Land‐Use Change

Abstract: We provide a cross‐taxon and historical analysis of what makes tropical forest species vulnerable to extinction. Several traits have been important for species survival in the recent and distant geological past, including seed dormancy and vegetative growth in plants, small body size in mammals, and vagility in insects. For major past catastrophes, such as the five mass extinction events, large range size and vagility or dispersal were key to species survival. Traits that make some species more vulnerable to extinction are consistent across time scales. Terrestrial organisms, particularly animals, are more extinction prone than marine organisms. Plants that persist through dramatic changes often reproduce vegetatively and possess mechanisms of die back. Synergistic interactions between current anthropogenic threats, such as logging, fire, hunting, pests and diseases, and climate change are frequent. Rising temperatures threaten all organisms, perhaps particularly tropical organisms adapted to small temperature ranges and isolated by distance from suitable future climates. Mutualist species and trophic specialists may also be more threatened because of such range‐shift gaps. Phylogenetically specialized groups may be collectively more prone to extinction than generalists. Characterization of tropical forest species’ vulnerability to anthropogenic change is constrained by complex interactions among threats and by both taxonomic and ecological impediments, including gross undersampling of biotas and poor understanding of the spatial patterns of taxa at all scales.     

Accounting for geophysical information in geostatistical characterization of unexploded ordnance (UXO) sites

Efficient and reliable unexploded ordnance (UXO) site characterization is needed for decisions regarding future land use. There are several types of data available at UXO sites and geophysical signal maps are one of the most valuable sources of information. Incorporation of such information into site characterization requires a flexible and reliable methodology. Geostatistics allows one to account for exhaustive secondary information (i.e.,, known at every location within the field) in many different ways. Kriging and logistic regression were combined to map the probability of occurrence of at least one geophysical anomaly of interest, such as UXO, from a limited number of indicator data. Logistic regression is used to derive the trend from a geophysical signal map, and kriged residuals are added to the trend to estimate the probabilities of the presence of UXO at unsampled locations (simple kriging with varying local means or SKlm). Each location is identified for further remedial action if the estimated probability is greater than a given threshold. The technique is illustrated using a hypothetical UXO site generated by a UXO simulator, and a corresponding geophysical signal map. Indicator data are collected along two transects located within the site. Classification performances are then assessed by computing proportions of correct classification, false positive, false negative, and Kappa statistics. Two common approaches, one of which does not take any secondary information into account (ordinary indicator kriging) and a variant of common cokriging (collocated cokriging), were used for comparison purposes. Results indicate that accounting for exhaustive secondary information improves the overall characterization of UXO sites if an appropriate methodology, SKlm in this case, is used.     

Breaking the Vicious Circle of Illegal Logging in Indonesia

The government of Indonesia, which presides over 10% of the world's tropical forests, has set ambitious targets to cut its high deforestation rates through an REDD+ scheme (Reducing Emissions from Deforestation and forest Degradation). This will require strong law enforcement to succeed. Yet, strategies that have accomplished this are rare and, along with past failures, tend not to be documented. We evaluated a multistakeholder approach that seeks to tackle illegal logging in the carbon‐rich province of Aceh, Sumatra. From 2008 to 2009, Fauna & Flora International established and supported a community‐based informant network for the 738,000 ha Ulu Masen ecosystem. The network reported 190 forest offenses to local law enforcement agencies, which responded with 86 field operations that confiscated illicit vehicles, equipment, and timber, and arrested 138 illegal logging suspects. From 45 cases subsequently monitored, 64.4% proceeded to court, from which 90.0% of defendants received a prison sentence or a verbal warning for a first offense. Spatial analyses of illegal logging and timber storage incidents predicted that illegal activities would be more effectively deterred by law enforcement operations that targeted the storage sites. Although numerous clusters of incidents were identified, they were still widespread reflecting the ubiquity of illegal activities. The multistakeholder results were promising, but illegal logging still persisted at apparently similar levels at the project's end, indicating that efforts need to be further strengthened. Nevertheless, several actions contributed to the law enforcement achievements: strong political will; strong stakeholder support; and funding that could be promptly accessed. These factors are highlighted as prerequisites for achieving Indonesia's ambitious REDD+ goals. Rompiendo el Círculo Vicioso de la Tala Ilegal en Indonesia     

Effects of Weighting Schemes on the Identification of Wildlife Corridors Generated with Least‐Cost Methods

The importance of movement corridors for maintaining connectivity within metapopulations of wild animals is a cornerstone of conservation. One common approach for determining corridor locations is least‐cost corridor (LCC) modeling, which uses algorithms within a geographic information system to search for routes with the lowest cumulative resistance between target locations on a landscape. However, the presentation of multiple LCCs that connect multiple locations generally assumes all corridors contribute equally to connectivity, regardless of the likelihood that animals will use them. Thus, LCCs may overemphasize seldom‐used longer routes and underemphasize more frequently used shorter routes. We hypothesize that, depending on conservation objectives and available biological information, weighting individual corridors on the basis of species‐specific movement, dispersal, or gene flow data may better identify effective corridors. We tested whether locations of key connectivity areas, defined as the highest 75th and 90th percentile cumulative weighted value of approximately 155,000 corridors, shift under different weighting scenarios. In addition, we quantified the amount and location of private land that intersect key connectivity areas under each weighting scheme. Some areas that appeared well connected when analyzed with unweighted corridors exhibited much less connectivity compared with weighting schemes that discount corridors with large effective distances. Furthermore, the amount and location of key connectivity areas that intersected private land varied among weighting schemes. We believe biological assumptions and conservation objectives should be explicitly incorporated to weight corridors when assessing landscape connectivity. These results are highly relevant to conservation planning because on the basis of recent interest by government agencies and nongovernmental organizations in maintaining and enhancing wildlife corridors, connectivity will likely be an important criterion for prioritization of land purchases and swaps. Efectos de los Esquemas de Ponderación sobre la Identificación de Corredores para Vida Silvestre Generados con Métodos Menos Costosos