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.     

Ethical Considerations in Agro-biodiversity Research,Collecting, and Use

Humans have always played a crucial role in the evolutionary dynamics of agricultural biodiversity and thus there is a strong relationship between these resources and human cultures. These agricultural resources have long been treated as a global public good, and constitute the livelihoods of millions of predominantly poor people. At the same time, agricultural biodiversity is under serious threat in many parts of the world despite extensive conservation efforts. Ethical considerations regarding the collecting, research, and use of agricultural biodiversity are currently topics of great concern. For example, easy access to genetic resources for breeding purposes is important, but international agreements and legal frameworks are necessary to ensure adequate recognition of the contributions of local communities and traditional farmers in creating and nurturing these resources. Here, we assess ethical principles in the context of existing codes of conduct that are relevant for agro-biodiversity researchers. We aim to create awareness among scientists and policy makers who are concerned with agro-biodiversity research and its potential impact on local communities. We encourage a serious assessment of the ethical principles presented here and hope to facilitate an integration of these principles into the reader’s personal ethical framework. Key ethical principles considered here include the importance of obtaining prior informed consent, equity, and the inalienability of rights of local communities and farmers.     

Urban ecological systems: scientific foundations and a decade of progress

Urban ecological studies, including focus on cities, suburbs, and exurbs, while having deep roots in the early to mid 20th century, have burgeoned in the last several decades. We use the state factor approach to highlight the role of important aspects of climate, substrate, organisms, relief, and time in differentiating urban from non-urban areas, and for determining heterogeneity within spatially extensive metropolitan areas. In addition to reviewing key findings relevant to each state factor, we note the emergence of tentative "urban syndromes" concerning soils, streams, wildlife and plants, and homogenization of certain ecosystem functions, such as soil organic carbon dynamics. We note the utility of the ecosystem approach, the human ecosystem framework, and watersheds as integrative tools to tie information about multiple state factors together. The organismal component of urban complexes includes the social organization of the human population, and we review key modes by which human populations within urban areas are differentiated, and how such differentiation affects environmentally relevant actions. Emerging syntheses in land change science and ecological urban design are also summarized. The multifaceted frameworks and the growing urban knowledge base do however identify some pressing research needs.     

Quality of basic data and method to identify shape affect richness-altitude relationships in meta-analysis

We compiled 109 species richness-altitude (SRA) relationships in arthropods to test the hypothesis that identification of shape and robustness of pattern are contingent on the selection of studies included in meta-analysis. We used attributes of their sampling design to distinguish three subsets of data according to stringent, intermediate, and lax selection criteria. We tested (1) whether uncertainty over identification of shape increases as the criteria of inclusion of studies relaxes and (2) whether studies that conform to stringent selection criteria show robustness in SRA patterns to variation in method used to identify shape. We identified the shape of each SRA relationship using statistical and visual methods; data sets that suggested several shapes as equally likely were sorted out by consensus. Arthropods suggested multiple forms in the SRA relationship, with predominance of hump-shaped patterns in the stringent subset. Uncertainty over identification of shape increased after application of intermediate and lax selection criteria. The method of analysis interacted with the quality of basic data to influence the relative distribution of patterns. We concluded that the gathering of large quantities of data is insufficient and that critical evaluation of literature is crucial to infer with confidence the general shape of ecological patterns in meta-analysis.     

Trace metals and radionuclides in macroalgae from Moroccan coastal waters

Macroalgae species Codium sp, Bangia atropurpurea, Membranoptera alata, Plocamium cartilagineum, Dictyota dichotoma, Fucus spiralis and Stypocaulon scoparia were collected from seven stations along the north coast of Morocco. Samples were analysed to determine activities of naturally occurring radionuclides ((210)Pb, U isotopes and (40)K) and concentrations of metals (Zn, Fe, Co, Cu, Ni, Mn, Pb, Cd, As and Cr) using radiometric and ICP-OES techniques, respectively. Metal concentrations were within ranges reported in the scientific literature, and concentrations of bio-essential elements were in the order Mn>Fe> Zn>Cu in all samples. Brown algae had the highest concentrations of almost all metals, and concentrations decreased in the order brown>red>green algae. With respect to radionuclides, the red alga P. cartilagineum had the highest activities of (210)Pb, in most cases an order of magnitude higher than for the green alga Codium sp. (234)U and (238)U activities in all algae samples were in the range 0.96- 7.61 and 1.16-6.14 Bq/kg dry weight, respectively. Our analyses of radionuclide activities and metal concentrations in marine macroalgae showed large differences among taxa. These results provide insights into which algal species should be used for biomonitoring programmes.     

Performance of Greater Sage-Grouse Models for Conservation Assessment in the Interior Columbia Basin, U.S.A.

Abstract: Valid modeling of habitats and populations of Greater Sage-Grouse ( Centrocercus urophasianus) is a critical management need because of increasing concern about population viability. Consequently, we evaluated the performance of two models designed to assess landscape conditions for Greater Sage-Grouse across 13.6 million ha of sagebrush steppe in the interior Columbia Basin and adjacent portions of the Great Basin of the western United States (referred to as the basin). The first model, the environmental index model, predicted conditions at the scale of the subwatershed (mean size of approximately 7800 ha) based on inputs of habitat density, habitat quality, and effects of human disturbance. Predictions ranged on a continuous scale from 0 for lowest environmental index to 2 for optimal environmental index. The second model, the population outcome model, predicted the composite, range-wide conditions for sage grouse based on the contribution of environmental index values from all subwatersheds and measures of range extent and connectivity. Population outcomes were expressed as five classes (A through E) that represented a gradient from continuous, well-distributed populations (outcome A) to sparse, highly isolated populations with a high likelihood of extirpation (outcome E). To evaluate performance, we predicted environmental index values and population outcome classes in areas currently occupied by sage grouse versus areas where extirpation has occurred. Our a priori expectations were that models should predict substantially worse environmental conditions ( lower environmental index) and a substantially higher probability of extirpation ( lower population outcome class) in extirpated areas. Results for both models met these expectations. For example, a population outcome of class E was predicted for extirpated areas, as opposed to class C for occupied areas. These results suggest that our models provided reliable landscape predictions for the conditions tested. This finding is important for conservation planning in the basin, where the models were used to evaluate management of federal lands for sage grouse.     

Intercontinental tests of the effects of habitat patch type on the distribution of chitons within and among patches in intertidal boulder field landscapes

Patchy distributions within landscapes may be caused by migration in response to different types of habitat patches. Intertidal boulder fields are landscapes in which boulders are discrete habitat patches, often with chitons attached to their under-surfaces. Chiton densities and associations with patch edges differed between boulders overlying coarse- versus fine-sediment types, with greater densities occurring over fine sediments. We tested whether adult migration caused between-boulder distributions by measuring immigration and emigration following experimental replacement of coarse sediments with fine sediment under boulders. We also assessed whether the manipulations altered chiton positions relative to patch edges, and large-scale generality was tested by including data from two continents. The manipulations did not influence the association of chitons with edges or amounts of emigration, but chitons did display positive density-dependent immigration that mirrored their distributional patterns, indicating the importance of immigration. Strikingly, all results were consistent between continents despite involving different species and even genera of chitons. By using boulder fields as a small-scale, easily manipulated landscape, we show that, even in sedentary organisms, patchy distributions within landscapes can be caused by migration alone, without the need to invoke mortality or larval recruitment.