Impact of the increased adoption of prenatal cfDNA screening on non-profit patient advocacy organizations in the United States

The ‘Stakeholder Perspectives on Noninvasive Prenatal Genetic Screening’ Symposium was held in conjunction with the 2015 annual meeting of the International Society for Prenatal Diagnosis. During the day-long meeting, a panel of patient advocacy group (PAG) representatives discussed concerns and challenges raised by prenatal cell-free DNA (cfDNA) screening, which has resulted in larger demands upon PAGs from concerned patients receiving prenatal cfDNA screening results. Prominent concerns included confusion about the accuracy of cfDNA screening and a lack of patient education resources about genetic conditions included in cfDNA screens. Some of the challenges faced by PAGs included funding limitations, lack of consistently implemented standards of care and oversight, diverse perspectives among PAGs and questions about neutrality, and lack of access to training and genetic counselors. PAG representatives also put forward suggestions for addressing these challenges, including improving educational and PAG funding and increasing collaboration between PAGs and the medical community. © 2016 John Wiley & Sons, Ltd.     

Modelling the responses of wildlife to human disturbance: An evaluation of alternative management scenarios for black-crowned night-herons

The impact of anthropogenic disturbance on wildlife is increasing becoming a source of concern as the popularity of outdoor recreation rises. There is now more pressure on site managers to simultaneously ensure the continued persistence of wildlife and provide recreational opportunities. Using ‘Simulation of Disturbance Activities’, a model designed to investigate the impact of recreational disturbance on wildlife, we demonstrate how a simulation modelling approach can effectively inform such management decisions. As an example, we explored the implications of various design and management options for a proposed recreational area containing a historic breeding bird colony. By manipulating the proximity, orientation and intensity of recreation, we were able to evaluate the impact of recreational activities on the behaviour of black-crowned night-heron nestlings (Nycticorax nycticorax). Using a classification and regression tree (CART) procedure to analyse simulation output, we explored the dynamics of multiple strategies in concert. Our analysis revealed that there are inherent advantages in implementing multiple strategies as opposed to any single strategy. Nestlings were not disturbed by recreation when bird-watching facility placement (proximity and orientation) and type were considered in combination. In comparison, proximity alone only led to a <10% reduction in disturbance. Thus we demonstrate how simulation models based on customised empirical data can bridge the gap between field studies and active management, enabling users to test novel management scenarios that are otherwise logistically difficult. Furthermore, such models potentially have broad application in understanding human-wildlife interactions (e.g. exploring the implications of roads on wildlife, probability of bird strikes around airports, etc.). They therefore represent a valuable decision-making tool in the ecological design of urban infrastructures.     

Rice straw ash extract, an efficient solvent for regioselective hydrothiolation of alkynes

Environmental Chemistry Letters - Herein, we describe a simple and inexpensive protocol for the hydrothiolation of alkynes. In this context, water extract of rice straw ash (WERSA) has been proven...     

Impact assessment of a large river on the sediments and fish from its continental shelf: using Solea solea as sentinel in the Ebro river mouth (NW Mediterranean,Spain)

Environmental Science and Pollution Research - Many studies have been carried out along mighty rivers with heavily industrialized watersheds to evaluate pollutants and their effects on freshwater...     

Flexible foraging movements of leatherback turtles across the North Atlantic Ocean

Some marine species have been shown to target foraging at particular hotspots of high prey abundance. However, we show here that in the year after a nesting season, female leatherback turtles (Dermochelys coriacea) in the Atlantic generally spend relatively little time in fixed hotspots, especially those with a surface signature revealed in satellite imagery, but rather tend to have a pattern of near continuous traveling. Associated with this traveling, distinct changes in dive behavior indicate that turtles constantly fine tune their foraging behavior and diel activity patterns in association with local conditions. Switches between nocturnal vs. diurnal activity are rare in the animal kingdom but may be essential for survival on a diet of gelatinous zooplankton where patches of high prey availability are rare. These results indicate that in their first year after nesting, leatherback turtles do not fit the general model of migration where responses to resources are suppressed during transit. However, their behavior may be different in their sabbatical years away from nesting beaches. Our results highlight the importance of whole-ocean fishing gear regulations to minimize turtle bycatch.     

Implementing the evidence for preventing falls among community-dwelling older people: a systematic review

Problem and objective

The translation of the evidence-base for preventing falls among community-dwelling older people into practice has been limited. This study systematically reviewed and synthesised the effectiveness of methods to implement falls prevention programmes with this population.

Methods

Articles published between 1980 and May 2010 that evaluated the effects of an implementation strategy. No design restrictions were imposed. A narrative synthesis was undertaken.

Results

15 studies were identified. Interventions that involved the active training of healthcare professionals improved implementation. The evidence around changing the way people who fall are managed within primary care practices, and, layperson, peer or community delivered models was mixed.

Impact on industry

Translating the evidence-base into practice involves changing the attitudes and behaviours of older people, healthcare professionals and organisations. However, there is a need for further evaluation on how this can be best achieved.