Reducing Firearm Injuries and Deaths in the United States: A Position Paper From the American College of Physicians.

For more than 20 years, the American College of Physicians (ACP) has advocated for the need to address firearm-related injuries and deaths in the United States. Yet, firearm violence continues to be a public health crisis that requires the nation's immediate attention. The policy recommendations in this paper build on, strengthen, and expand current ACP policies approved by the Board of Regents in April 2014, based on analysis of approaches that the evidence suggests will be effective in reducing deaths and injuries from firearm-related violence.

Analyzing large-scale conservation interventions with Bayesian hierarchical models: a case study of supplementing threatened Pacific salmon.

Myriad human activities increasingly threaten the existence of many species. A variety of conservation interventions such as habitat restoration, protected areas, and captive breeding have been used to prevent extinctions. Evaluating the effectiveness of these interventions requires appropriate statistical methods, given the quantity and quality of available data. Historically, analysis of variance has been used with some form of predetermined before-after control-impact design to estimate the effects of large-scale experiments or conservation interventions. However, ad hoc retrospective study designs or the presence of random effects at multiple scales may preclude the use of these tools. We evaluated the effects of a large-scale supplementation program on the density of adult Chinook salmon Oncorhynchus tshawytscha from the Snake River basin in the northwestern United States currently listed under the U.S. Endangered Species Act. We analyzed 43 years of data from 22 populations, accounting for random effects across time and space using a form of Bayesian hierarchical time-series model common in analyses of financial markets. We found that varying degrees of supplementation over a period of 25 years increased the density of natural-origin adults, on average, by 0-8% relative to nonsupplementation years. Thirty-nine of the 43 year effects were at least two times larger in magnitude than the mean supplementation effect, suggesting common environmental variables play a more important role in driving interannual variability in adult density. Additional residual variation in density varied considerably across the region, but there was no systematic difference between supplemented and reference populations. Our results demonstrate the power of hierarchical Bayesian models to detect the diffuse effects of management interventions and to quantitatively describe the variability of intervention success. Nevertheless, our study could not address whether ecological factors (e.g., competition) were more important than genetic considerations (e.g., inbreeding depression) in determining the response to supplementation.

Response of birds to climatic variability; evidence from the western fringe of Europe.

Ireland's geographic location on the western fringe of the European continent, together with its island status and impoverished avifauna, provides a unique opportunity to observe changes in bird migration and distribution patterns in response to changing climatic conditions. Spring temperatures have increased in western Europe over the past 30 years in line with reported global warming. These have been shown, at least in part, to be responsible for changes in the timing of life cycle events (phenology) of plants and animals. In order to investigate the response of bird species in Ireland to changes in temperature, we examined ornithological records of trans-Saharan migrants over the 31-year period 1969-1999. Analysis of the data revealed that two discrete climatic phenomena produced different responses in summer migrant bird species. Firstly, a number of long-distance migrants showed a significant trend towards earlier arrival. This trend was evident in some species and was found to be a response to increasing spring air temperature particularly in the month of March. Secondly, (1) a step change in the pattern of occurrences of non-breeding migrant bird species, and (2) an increase in the ringing data of migrant species were found to correlate with a step change in temperature in 1987-1988. These results indicate that, for migrant bird species, the impact of a sudden change in temperature can be as important as any long-term monotonic trend, and we suggest that the impact of step change events merits further investigation on a wider range of species and across a greater geographical range.