Return Rates of Chum Salmon are Affected by Different Timings of Juvenile Release

There is growing evidence for human use of geophytes long before the advent of agriculture. Rich in carbohydrates, geophytes were important in many coastal areas where protein-rich marine foods are abundant. On California's Channel Islands, scholars have long questioned how maritime peoples sustained themselves for millennia with limited plant resources. Recent research demonstrates that geophytes were heavily used on the islands for 10,000 years, and here we describe geophyte and other archaeobotanical remains from an approximately 11,500-year-old site on Santa Rosa Island. Currently the earliest evidence for geophyte consumption in North America, our data extend geophyte use on the Channel Islands by roughly 1,500 years and document a diverse and balanced economy for early Paleocoastal peoples. Experimental return rates for a key island geophyte support archaeological evidence that the corms of blue dicks (Dipterostemon capitatus) were a high-ranked staple resource throughout the Holocene.

Download Full-text

688 Rapid Implementation of Virtual Fracture Clinic During COVID 19 Reduces Both Face-To-Face Appointments and Facilitates Rapid Feedback and Education to Be Delivered to The Emergency Department

British Journal of Surgery ◽

10.1093/bjs/znab135.027 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

T Havenhand ◽

L Hoggett ◽

A Bhutta

Keyword(s):

Emergency Department ◽

Patient Flow ◽

Prospective Data ◽

Fracture Clinic ◽

Face To Face ◽

Return Rates ◽

Acute Hospitals ◽

Virtual Fracture Clinic ◽

Improve Patient

Abstract Introduction COVID-19 has dictated a shift towards virtual clinics. Pennine Acute Hospitals NHS Trust serves over a million patients with a significant number of face-to-face fracture clinics. Introduction of a Virtual Fracture Clinic (VFC) reduces hospital return rates and improves patient experience. The referral data can be used to give immediate monthly feedback to the referring department to further improving patient flow. Method Prospective data was collected for all referrals to VFC during March 2020. Data included referral diagnosis, actual diagnosis, referrers grade, and final outcome. Results 630 referrals were made to VFC. 347 (55%) of those referrals were directly discharged without the need for physical consultation. Of these 114 (32%) were injuries which can be discharged by the Emergency Department with an advice leaflet using existing pathways. Of the remaining discharges 102 (29%) were query fractures or sprains; and 135 (39%) were minor fractures; which needed only advice via a letter and no face to face follow up. Conclusions Implementation of VFC leads to a decrease in physical appointments by 55% saving 347 face to face appointments. The new system has also facilitated effective audit of referrals in order to further improve patient flow from the Emergency Department via feedback mechanisms and education.

Download Full-text

Implementing a small media intervention to increase colorectal cancer screening in primary care clinics

Translational Behavioral Medicine ◽

10.1093/tbm/iby063 ◽

2018 ◽

Vol 9 (4) ◽

pp. 605-616 ◽

Cited By ~ 1

Author(s):

Cathy L Melvin ◽

Anissa I Vines ◽

Allison M Deal ◽

Holly O Pierce ◽

William R Carpenter ◽

...

Keyword(s):

Colorectal Cancer ◽

Task Force ◽

Controlled Trial ◽

Preventive Services ◽

Patient Characteristics ◽

The United States ◽

Chi Square ◽

Return Rates ◽

The Usa ◽

Participant Characteristics

Abstract Colorectal cancer (CRC) is one of the most common cancers in the USA. In 2017, an estimated 135,420 people were diagnosed with CRC and 50,260 people died from CRC. Several screening modalities are recommended by the United States Preventive Services Task Force (USPSTF), including annual stool tests that are usually completed at home and under-used compared with colonoscopy despite stated patient preferences for an alternative to colonoscopy. The Community Preventive Services Task Force recommends use of small media interventions (SMIs) to increase CRC screening and calls for a greater understanding of its independent impact on screening participation. This study tested whether a SMI increased the likelihood of participant return of a USPSTF recommended Fecal Immunochemical Test (FIT). In total, 804 individuals participated in a two-group, prospective randomized controlled trial. Descriptive statistics with chi-square tests compared differences in participant characteristics and return rates. Multivariable log-binomial modeling estimated combined effects of patient characteristics with FIT return rates. No differences in return rates were observed overall or by participant characteristics other than the year of enrollment. A multivariable model controlling for all covariates, found gender, insurance type, and regular place for healthcare to be significantly associated with return rates. Receipt of the SMI did not independently increase overall return rates but it may have improved the ease of completing the FIT by some participants, particularly women, those with insurance, and those with a regular place for healthcare.

Download Full-text