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Immediate Assessment (immediate + assessment)
Selected AbstractsPerformance of Sub-Saharan Vertebrates as Indicator Groups for Identifying Priority Areas for ConservationCONSERVATION BIOLOGY, Issue 1 2003Joslin L. Moore Often, these sets of important areas, referred to as priority sets, have been identified through use of data on a single taxon (e.g., birds), which is assumed to act as an indicator for all biodiversity. Using a database of the distributions of 3882 vertebrate species in sub-Saharan Africa, we conducted one of very few large-scale tests of this assumption. We used six potential indicator groups,birds, mammals, amphibians, snakes, threatened birds, and threatened mammals,to find priority sets of 200 areas that best represent the species in that group. Priority sets of grid cells designed to maximize representation of a single indicator group captured 83,93% of species in the other groups. This high degree of representation is consistent with observed high levels of overlap in the patterns of distribution of species in different groups. Those species of highest conservation interest were more poorly represented, however, with only 75,88% of other groups' threatened species and 63,76% of other groups' narrow-range species represented in the priority sets. We conclude that existing priority sets based on indicator groups provide a pragmatic basis for the immediate assessment of priorities for conservation at a continental scale. However, complete and efficient representation,especially of narrow-range species,will not be achieved through indicator groups alone. Therefore, priority-setting procedures must remain flexible so that new areas important for other taxa can be incorporated as data become available. Resumen: La meta de la identificación de prioridades globales y continentales de conservación es la identificación de áreas particularmente valiosas para la conservación en las cuales enfocar esfuerzos más detallados. A menudo, estos conjuntos de áreas importantes (referidas como conjuntos prioritarios) han sido identificados utilizando datos de un solo taxón (e. g. aves), el cual se supone que actúa como indicador de toda la biodiversidad. Utilizando una base de datos de la distribución de 3882 especies de vertebrados en África sub-Sahara, realizamos una de las pocas pruebas a gran escala de este supuesto. Utilizamos seis grupos de indicadores potenciales (aves, mamíferos, anfibios, serpientes, aves amenazadas y mamíferos amenazados ) para encontrar conjuntos prioritarios de 200 áreas que mejor representan las especies de ese grupo. Conjuntos prioritarios de celdas matriciales diseñadas para maximizar la representatividad de un grupo indicador capturaron 83,93% de las especies de los otros grupos. Este alto grado de representatividad es consistente con los altos niveles de superposición observados en los patrones de distribución de especies en los diferentes grupos. Sin embargo, las especies de mayor interés para la conservación estaban poco representadas, con solo 75,88% de las especies amenazadas de otros grupos y 63,76% de las especies de distribución restringida de otros grupos representados en los conjuntos prioritarios. Concluimos que los conjuntos prioritarios existentes, basados en grupos indicadores, proporcionan una base pragmática para la evaluación inmediata de las prioridades de conservación a escala continental. Sin embargo, no se logrará la representación completa y eficiente,especialmente de especies de distribución restringida,solo con grupos indicadores. Por lo tanto, los procedimientos de definición de prioridades deben permanecer flexibles para que se puedan incorporar nuevas áreas importantes para otros taxones a medida que se obtienen los datos. [source] Utility of cell blocks in the diagnosis of thyroid aspiratesDIAGNOSTIC CYTOPATHOLOGY, Issue 2 2006Niria Sanchez M.D. Abstract Cell blocks (CBs) are often prepared with fine-needle aspirates (FNAs) from multiple organs as an adjunct to smears in the diagnosis of aspirated lesions. However, the literature contains few reports on their utility with regard to specific organ sites. At our institution, CBs are made routinely on FNAs when there is sufficient material remaining after smear preparation, with thyroid representing the largest volume. The aim of this study was to determine the utility of CBs in the diagnosis of thyroid lesions. From January 2002 to April 2004, 546 thyroid FNAs were performed. Eighty-two (15%) cases, from 60 females and 20 males (age range, 17,88 yr; mean, 50 yr), had CBs and formed the basis of this study. Seventy-four (90%) of the cases were performed by the radiologist or the clinician and 8 (10%) by the pathologist, all of which had an immediate assessment for adequacy. One to 7 passes were performed with an average of 3/case. The needles were immediately rinsed in Hanks' Balanced Salt Solution after smear preparation. CBs were made on bloody specimens/those with tissue fragments. Cell-block slides were reviewed for the presence of cellular elements and classified into three categories: (1) contributory, (2) noncontributory, or (3) provides additional information. Of the 82 cases, 23 (28%) were neoplastic, 51 (62%) were nonneoplastic, and 8 (10%) were nondiagnostic. Fifteen of the neoplastic cases had confirmatory biopsies, 9 of which were papillary carcinoma. The overall cellularity of the CBs was low, varying from 0 to 2 follicular groups in the noncontributory CBs and 3 to 6 follicular groups or papillary formations in the contributory CBs. CBs were contributory in 25 (31%) cases: 5 neoplastic (1 follicular neoplasm, 3 papillary carcinoma, and 1 suspicious for papillary carcinoma), 18 nonneoplastic, and 2 nondiagnostic. CBs were noncontributory in 56 (68%) cases: 18 neoplastic (4 papillary carcinomas, 1 suspicious for papillary carcinoma, 4 Hürthle cell neoplasms, and 9 follicular neoplasms), 33 nonneoplastic, and 5 nondiagnostic. One case was categorized as provided additional information because the CB showed material that was not present on the slides; however, it was still nondiagnostic. In summary, CBs did not help in the majority of cases. They were contributory in only 25 (31%) of the 82 cases, and of the 23 neoplastic cases, only 5 (22%) CBs were contributory. The contribution of the CBs in the diagnosis of thyroid lesions was minimal because of the low cellularity. On-site assessment of specimen adequacy often results in fewer passes, thus contributing to the low cellularity present in cell-block preparations. Ancillary studies may require additional passes. Diagn. Cytopathol. 2006; 34:89,92. © 2006 Wiley-Liss, Inc. [source] Reactivity to alcohol assessment measures: an experimental testADDICTION, Issue 8 2009Scott T. Walters ABSTRACT Aims Previous research has suggested that alcohol screening and assessment may affect drinking. Design This study was a randomized test of reactivity to alcohol assessment questionnaires among a group of heavy drinking college students. Setting and participants A total of 147 university students completed a screening questionnaire and were randomized to either immediate assessment or delayed assessment. The immediate assessment group completed a set of drinking questionnaires at baseline, 3, 6 and 12 months, while the delayed assessment group completed questionnaires only at 12 months. Measurements Primary outcomes included overall volume of drinking, risky drinking and use of risk reduction behaviors. Findings We found a significant effect of assessment on measures of risky drinking and risk reduction behaviors, but not on overall volume of drinking. Specifically, at 12 months, participants who had previously completed drinking assessments had a lower peak blood alcohol concentration (BAC) (d = ,0.373), were more likely to report a low score on the Alcohol Use Disorders Identification Test (AUDIT; odds ratio = 2.55) and tended to use more strategies to moderate their alcohol consumption (d = 0.352). Risk reduction behaviors that were affected tended to be those that limited alcohol consumption, rather than those that minimized consequences. Conclusions These results may have implications for the development of brief interventions. [source] Chemical Agent Simulant Release from Clothing Following Vapor ExposureACADEMIC EMERGENCY MEDICINE, Issue 2 2010Robert J. Feldman MD ACADEMIC EMERGENCY MEDICINE 2010; 17:1,4 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives:, Most ambulatory victims of a terrorist chemical attack will have exposure to vapor only. The study objective was to measure the duration of chemical vapor release from various types of clothing. Methods:, A chemical agent was simulated using methyl salicylate (MeS), which has similar physical properties to sulfur mustard and was the agent used in the U.S. Army's Man-In-Simulant Test (MIST). Vapor concentration was measured with a Smiths Detection Advanced Portable Detector (APD)-2000 unit. The clothing items were exposed to vapor for 1 hour in a sealed cabinet; vapor concentration was measured at the start and end of each exposure. Clothing was then removed and assessed every 5 minutes with the APD-2000, using a uniform sweep pattern, until readings remained 0. Results:, Concentration and duration of vapor release from clothing varied with clothing composition and construction. Lightweight cotton shirts and jeans had the least trapped vapor; down outerwear, the most. Vapor concentration near the clothing often increased for several minutes after the clothing was removed from the contaminated environment. Compression of thick outerwear released additional vapor. Mean times to reach 0 ranged from 7 minutes for jeans to 42 minutes for down jackets. Conclusions:, This simulation model of chemical vapor release demonstrates persistent presence of simulant vapor over time. This implies that chemical vapor may be released from the victims' clothing after they are evacuated from the site of exposure, resulting in additional exposure of victims and emergency responders. Insulated outerwear can release additional vapor when handled. If a patient has just moved to a vapor screening point, immediate assessment before additional vapor can be released from the clothing can lead to a false-negative assessment of contamination. [source] | ||||||||||