Connecting Practice to Data: Implementation Strategies to Increase Collection of Core Outcome Measures in an Inpatient Rehabilitation Facility.

OBJECTIVE: To describe a quality improvement project aimed at increasing collection of a "Core Set" of functional outcome measures in an inpatient rehabilitation facility (IRF), characterize implementation strategies used across 4 study phases, and evaluate program adoption and maintenance. SETTING: A 30-bed brain injury unit of a 132-bed IRF. PARTICIPANTS: Participants included physical therapists (5 full-time, 2 part-time, and 30 hourly as needed) and 764 individuals with traumatic brain injury (TBI) who received care during the project period. DESIGN: In this descriptive observational study, we operationalize implementation strategies selected for 4 project phases: Exploration, Preparation, Implementation, and Sustainment. We define each implementation strategy using the Expert Recommendations for Implementing Change and report on program adoption and maintenance. MAIN MEASURES: Adoption (proportion of TBI-related admissions with completed outcome measures) and maintenance (adoption over 4 years). RESULTS: Preparation phase strategies focused on local adaptations, education, environmental preparation, and collaboration with informatics. Implementation phase strategies included reminders, feedback, champions, and iterative adjustments. Sustainment strategies focused on integration into standard practice. Adoption increased postinitiation for all measures except one. Despite improvements, a notable portion of measures remained incomplete. Increases in outcome measure collection were maintained for 2 to 4 years, but a significant decline in paired admission and discharge scores suggests a reduced ability to monitor change over time. CONCLUSIONS: This study provides an example of a clinically driven quality improvement project and selected implementation strategies used to increase the collection of standard outcome measures in IRF. By leveraging the Expert Recommendations for Implementing Change framework, we aim to enhance comparability with similar efforts elsewhere. The results demonstrate the program's successes and challenges, highlighting the need for interdisciplinary clinical and research collaboration to support the translation of knowledge between research and clinical practice and inform meaningful improvements in care across TBI rehabilitation.

Structural basis of P[II] rotavirus evolution and host ranges under selection of histo-blood group antigens.

Group A rotaviruses cause severe gastroenteritis in infants and young children worldwide, with P[II] genogroup rotaviruses (RVs) responsible for >90% of global cases. RVs have diverse host ranges in different human and animal populations determined by host histo-blood group antigen (HBGA) receptor polymorphism, but details governing diversity, host ranges, and species barriers remain elusive. In this study, crystal structures of complexes of the major P[II] genogroup P[4] and P[8] genotype RV VP8* receptor-binding domains together with Lewis epitope-containing LNDFH I glycans in combination with VP8* receptor-glycan ligand affinity measurements based on NMR titration experiments revealed the structural basis for RV genotype-specific switching between ßß and ßα HBGA receptor-binding sites that determine RV host ranges. The data support the hypothesis that P[II] RV evolution progressed from animals to humans under the selection of type 1 HBGAs guided by stepwise host synthesis of type 1 ABH and Lewis HBGAs. The results help explain disease burden, species barriers, epidemiology, and limited efficacy of current RV vaccines in developing countries. The structural data has the potential to impact the design of future vaccine strategies against RV gastroenteritis.

The human-primate interface in the New Normal: Challenges and opportunities for primatologists in the COVID-19 era and beyond.

The emergence of SARS-CoV-2 in late 2019 and human responses to the resulting COVID-19 pandemic in early 2020 have rapidly changed many aspects of human behavior, including our interactions with wildlife. In this commentary, we identify challenges and opportunities at human-primate interfaces in light of COVID-19, focusing on examples from Asia, and make recommendations for researchers working with wild primates to reduce zoonosis risk and leverage research opportunities. First, we briefly review the evidence for zoonotic origins of SARS-CoV-2 and discuss risks of zoonosis at the human-primate interface. We then identify challenges that the pandemic has caused for primates, including reduced nutrition, increased intraspecific competition, and increased poaching risk, as well as challenges facing primatologists, including lost research opportunities. Subsequently, we highlight opportunities arising from pandemic-related lockdowns and public health messaging, including opportunities to reduce the intensity of problematic human-primate interfaces, opportunities to reduce the risk of zoonosis between humans and primates, opportunities to reduce legal and illegal trade in primates, new opportunities for research on human-primate interfaces, and opportunities for community education. Finally, we recommend specific actions that primatologists should take to reduce contact and aggression between humans and primates, to reduce demand for primates as pets, to reduce risks of zoonosis in the context of field research, and to improve understanding of human-primate interfaces. Reducing the risk of zoonosis and promoting the well-being of humans and primates at our interfaces will require substantial changes from "business as usual." We encourage primatologists to help lead the way.

Love My Body: Pilot Study to Understand Reproductive Health Vulnerabilities in Adolescent Girls.

BACKGROUND: Sexually transmitted infections (STIs) are on the rise in the United States, and adolescent girls (15-19 years old) are more susceptible to acquiring STIs than their male peers. The co-occurrence of alcohol use and sexual risk taking contribute significantly to STI acquisition. Mobile health (mHealth) interventions are ideally suited for our target population and have demonstrated increases in STI testing in young people, as well as reductions in alcohol use. OBJECTIVE: This pilot study used both qualitative and quantitative methods to explore the views of adolescent girls (age range 15-19 years old; 74.6%, 279/374 white) on the desired qualities and content of an mHealth app for sexual health. METHODS: We conducted nine 60-min in-depth interviews (IDIs) to gather information and identify themes of sexual health and alcohol use, and we tested the feasibility of using a two-week social media campaign to collect survey information regarding sexual health risk in adolescent girls. RESULTS: We iteratively coded IDIs and identified major themes around pressure of alcohol use, lack of STI knowledge, male pressure to not use condoms, and pregnancy as a worse outcome than STIs. Results from the web-based survey on risky health behaviors, which was completed by 367 participants, support the use of a sexual health app designed for girls. CONCLUSIONS: Future work will integrate these themes to inform the development of a culturally sensitive mHealth app to prevent STIs among adolescent girls.

Ambient Air Quality Measurements from a Continuously Moving Mobile Platform: Estimation of Area-Wide, Fuel-Based, Mobile Source Emission Factors Using Absolute Principal Component Scores.

We have applied the absolute principal component scores (APCS) receptor model to on-road, background-adjusted measurements of NOx, CO, CO2, black carbon (BC), and particle number (PN) obtained from a continuously moving platform deployed over nine afternoon sampling periods in Seattle, WA. Two Varimax-rotated principal component features described 75% of the overall variance of the observations. A heavy-duty vehicle feature was correlated with black carbon and particle number, whereas a light-duty feature was correlated with CO and CO2. NOx had moderate correlation with both features. The bootstrapped APCS model predictions were used to estimate area-wide, average fuel-based emission factors and their respective 95% confidence limits. The average emission factors for NOx, CO, BC and PN (14.8, 18.9, 0.40 g/kg, and 4.3×1015 particles/kg for heavy duty vehicles, and 3.2, 22.4, 0.016 g/kg, and 0.19×1015 particles/kg for light-duty vehicles, respectively) are consistent with previous estimates based on remote sensing, vehicle chase studies, and recent dynamometer tests. Information on the spatial distribution of the concentrations contributed by these two vehicle categories relative to background during the sampling period was also obtained.

1,25-Dihydroxyvitamin D3 Controls a Cohort of Vitamin D Receptor Target Genes in the Proximal Intestine That Is Enriched for Calcium-regulating Components.

1,25-Dihydroxyvitamin D3 (1,25(OH)2D3) plays an integral role in calcium homeostasis in higher organisms through its actions in the intestine, kidney, and skeleton. Interestingly, although several intestinal genes are known to play a contributory role in calcium homeostasis, the entire caste of key components remains to be identified. To examine this issue, Cyp27b1 null mice on either a normal or a high calcium/phosphate-containing rescue diet were treated with vehicle or 1,25(OH)2D3 and evaluated 6 h later. RNA samples from the duodena were then subjected to RNA sequence analysis, and the data were analyzed bioinformatically. 1,25(OH)2D3 altered expression of large collections of genes in animals under either dietary condition. 45 genes were found common to both 1,25(OH)2D3-treated groups and were composed of genes previously linked to intestinal calcium uptake, including S100g, Trpv6, Atp2b1, and Cldn2 as well as others. An additional distinct network of 56 genes was regulated exclusively by diet. We then conducted a ChIP sequence analysis of binding sites for the vitamin D receptor (VDR) across the proximal intestine in vitamin D-sufficient normal mice treated with vehicle or 1,25(OH)2D3. The residual VDR cistrome was composed of 4617 sites, which was increased almost 4-fold following hormone treatment. Interestingly, the majority of the genes regulated by 1,25(OH)2D3 in each diet group as well as those found in common in both groups contained frequent VDR sites that likely regulated their expression. This study revealed a global network of genes in the intestine that both represent direct targets of vitamin D action in mice and are involved in calcium absorption.

Ultrafine particle size as a tracer for aircraft turbine emissions.

Ultrafine particle number (UFPN) and size distributions, black carbon, and nitrogen dioxide concentrations were measured downwind of two of the busiest airports in the world, Los Angeles International Airport (LAX) and Hartsfield-Jackson International Airport (ATL - Atlanta, GA) using a mobile monitoring platform. Transects were located between 5 km and 10 km from the ATL and LAX airports. In addition, measurements were taken at 43 additional urban neighborhood locations in each city and on freeways. We found a 3-5 fold increase in UFPN concentrations in transects under the landing approach path to both airports relative to surrounding urban areas with similar ground traffic characteristics. The latter UFPN concentrations measured were distinct in size distributional properties from both freeways and across urban neighborhoods, clearly indicating different sources. Elevated concentrations of Black Carbon (BC) and NO2 were also observed on airport transects, and the corresponding pattern of elevated BC was consistent with the observed excess UFPN concentrations relative to other urban locations.

Correlations between short-term mobile monitoring and long-term passive sampler measurements of traffic-related air pollution.

Mobile monitoring has provided a means for broad spatial measurements of air pollutants that are otherwise impractical to measure with multiple fixed site sampling strategies. However, the larger the mobile monitoring route the less temporally dense measurements become, which may limit the usefulness of short-term mobile monitoring for applications that require long-term averages. To investigate the stationarity of short-term mobile monitoring measurements, we calculated long term medians derived from a mobile monitoring campaign that also employed 2-week integrated passive sampler detectors (PSD) for NOx, Ozone, and nine volatile organic compounds at 43 intersections distributed across the entire city of Baltimore, MD. This is one of the largest mobile monitoring campaigns in terms of spatial extent undertaken at this time. The mobile platform made repeat measurements every third day at each intersection for 6-10 minutes at a resolution of 10 s. In two-week periods in both summer and winter seasons, each site was visited 3-4 times, and a temporal adjustment was applied to each dataset. We present the correlations between eight species measured using mobile monitoring and the 2-week PSD data and observe correlations between mobile NOx measurements and PSD NOx measurements in both summer and winter (Pearson's r = 0.84 and 0.48, respectively). The summer season exhibited the strongest correlations between multiple pollutants, whereas the winter had comparatively few statistically significant correlations. In the summer CO was correlated with PSD pentanes (r = 0.81), and PSD NOx was correlated with mobile measurements of black carbon (r = 0.83), two ultrafine particle count measures (r =0.8), and intermodal (1-3 µm) particle counts (r = 0.73). Principal Component Analysis of the combined PSD and mobile monitoring data revealed multipollutant features consistent with light duty vehicle traffic, diesel exhaust and crankcase blow by. These features were more consistent with published source profiles traffic-related air pollutants than features based on the PSD data alone. Short-term mobile monitoring shows promise for capturing long-term spatial patterns of traffic-related air pollution, and is complementary to PSD sampling strategies.

Multi-pollutant mobile platform measurements of air pollutants adjacent to a major roadway.

A mobile monitoring platform developed at the University of Washington Center for Clean Air Research (CCAR) measured 10 pollutant metrics (10 s measurements at an average speed of 22 km/hr) in two neighborhoods bordering a major interstate in Albuquerque, NM, USA from April 18-24 2012. 5 days of data sharing a common downwind orientation with respect to the roadway were analyzed. The aggregate results show a three-fold increase in black carbon (BC) concentrations within 10 meters of the edge of roadway, in addition to elevated nanoparticle concentration and particulate matter with aerodynamic diameter < 1 µm (PN1) concentrations. A 30% reduction in ozone concentration near the roadway was observed, anti-correlated with an increase in the oxides of nitrogen (NOx). In this study, the pollutants measured have been expanded to include polycyclic aromatic hydrocarbons (PAH), particle size distribution (0.25-32 µm), and ultra-violet absorbing particulate matter (UVPM). The raster sampling scheme combined with spatial and temporal measurement alignment provide a measure of variability in the near roadway concentrations, and allow us to use a principal component analysis to identify multi-pollutant features and analyze their roadway influences.

A Multiple Indicators Multiple Cause (MIMIC) model of respiratory health and household factors in Chinese children: the seven Northeastern cities (SNEC) study.

In China, with the rapid economic development and improvement of living standards over the past few decades, the household living environment has shifted dramatically. The aim of the present study is to assess the impact of home environment factors on respiratory symptoms and asthma in Chinese children. Investigators analyzed data collected in the 25 districts from the seven Northeastern cities to examine health effects on respiratory symptoms and asthma in 31,049 children aged 2-14 years. Factor analysis was used to reduce 33 children's lifestyle and household variables to six new 'factor' variables. The multiple indicators multiple causes approach was used to examine the relationship between indoor air pollution and respiratory health status, controlling for covariates. Factor analyses generated six factor variables of potential household risk factors from an original list of 33 variables. The respiratory symptoms and asthma were significantly associated with the recent home renovation factor (estimate = 0.076, p < 0.001), pet ownership factor (estimate = 0.095, p < 0.001), environmental tobacco smoke (ETS) exposure factor (estimate = 0.181, p < 0.001) and PVC-flooring factor (estimate = 0.031, p = 0.007). Home ventilation factor was not related to any respiratory condition (estimate = 0.028, p = 0.074). Independent respiratory health effects existed for multiple household environmental factors recent home renovation, pet ownership, ETS, and PVC-flooring.

Photoluminescence intermittency from single quantum dots to organic molecules: emerging themes.

Recent experimental and theoretical studies of photoluminescence intermittency (PI) or "blinking" exhibited by single core/shell quantum dots and single organic luminophores are reviewed. For quantum dots, a discussion of early models describing the origin of PI in these materials and recent challenges to these models are presented. For organic luminophores the role of electron transfer, proton transfer and other photophysical processes in PI are discussed. Finally, new experimental and data analysis methods are outlined that promise to be instrumental in future discoveries regarding the origin(s) of PI exhibited by single emitters.

A Novel Presentation of Clostridium perfringens in Young Broilers.

Necrotic enteritis (NE) is an important intestinal disease of commercial poultry associated with poor performance, high mortality, and significant economic loss. In this case report, a novel presentation of NE is described in young broilers. Initially, affected farms presented with a moderate increase in mortality at or before 19 days of age. Farms experiencing the disease syndrome belonged to two complexes of the same company. However, all farms sourced chicks from the same hatchery. Farm postmortem examinations revealed moderate to severe enteritis of the upper small intestine characterized by multifocal, irregular, plaque-like, mucosal ulcerations. Additionally, thinning of the intestinal wall with consequential distension and ballooning and a necrotic, pseudomembranous layer covering the mucosa were observed in some birds. Clinically affected birds were submitted to the Poultry Research and Diagnostic Laboratory at Mississippi State University for further evaluation. Birds were between 5 and 11 days of age and presented with similar gross lesions. Anaerobic culture was performed, and Clostridium perfringens was isolated from affected intestinal sections. Environmental sampling at the hatchery was also performed to evaluate the presence and load of clostridial organisms. Clostridium perfringens was isolated from samples collected in the egg room, hatchers/hatch halls, separator room, processing room, and transport trucks. Furthermore, VITEK® mass spectrometry matrix-assisted laser desorption ionization time-of-flight results indicated a 99.9% genetic relatedness between hatchery and live bird isolates, demonstrating an epidemiologic link between clinically affected birds and the hatchery as a point source. This novel presentation of C. perfringens in young broilers warrants attention because proper development of the gastrointestinal tract in the first weeks of life is critical for competitive production in the modern broiler.

Reporte de caso- Nueva presentación de Clostridium perfringens en pollos de engorde jóvenes. La enteritis necrótica es una enfermedad intestinal importante de las aves comerciales asociada con un bajo rendimiento, alta mortalidad y pérdidas económicas significativas. En este reporte de caso, se describe una presentación nueva de enteritis necrótica en pollos de engorde jóvenes. Inicialmente, las granjas afectadas presentaron un aumento moderado en la mortalidad a los 19 días de edad o antes. Las granjas que presentaban el síndrome de la enfermedad pertenecían a dos complejos de la misma empresa. Sin embargo, todas las granjas obtuvieron pollitos de la misma incubadora. Los exámenes post mortem de la granja revelaron una enteritis de moderada a severa en la parte superior del intestino delgado caracterizada por ulceraciones de la mucosa multifocales, irregulares y similares a placas. Además, en algunas aves se observó adelgazamiento de la pared intestinal con la consiguiente distensión e hinchazón y una capa pseudomembranosa necrótica que cubría la mucosa. Las aves clínicamente afectadas se enviaron al Laboratorio de Investigación y Diagnóstico Avícola de la Universidad Estatal de Mississippi para una evaluación adicional. Las aves tenían entre cinco y once días de edad y presentaban lesiones macroscópicas similares. Se realizó cultivo de anaerobios y se aisló Clostridium perfringens de las secciones intestinales afectadas. También se realizaron muestreos ambientales en la incubadora para evaluar la presencia y carga de organismos clostridiales. Se aisló Clostridium perfringens de muestras recolectadas en la sala de huevos, incubadoras/salones de incubación, sala de separación, sala de procesamiento y camiones de transporte. Además, los resultados de la espectrometría de masas MALDI-TOF de VITEK® indicaron una relación genética del 99.9 % entre los aislados de la incubadora y de aves vivas, lo que demuestra un vínculo epidemiológico entre las aves clínicamente afectadas y la incubadora como fuente de infección común. Esta nueva presentación de C. perfringens en pollos de engorde jóvenes merece atención porque el desarrollo adecuado del tracto gastrointestinal en las primeras semanas de vida es fundamental para la producción competitiva en el pollo de engorde moderno.

Two mechanisms for fluorescence intermittency of single violamine R molecules.

The environment and temperature-dependent photoluminescence (PL) intermittency or "blinking" demonstrated by single violamine R (VR) molecules is investigated in two environments: poly(vinyl alcohol) (PVOH) and single crystals of potassium acid phthalate (KAP). In addition, temperatures ranging from 23 °C to 85 °C are studied, spanning the glass-transition temperature of PVOH (T(g) = 72 °C). The PL intermittency exhibited by VR is analyzed using probability histograms of emissive and non-emissive periods. In both PVOH and KAP, these histograms are best fit by a power law, consistent with the kinetics for dark state production and decay being dispersed as observed in previous studies. However, these systems have different temperature dependences, signifying two different blinking mechanisms for VR. In PVOH, the on- and off-event probability histograms do not vary with temperature, consistent with electron transfer via tunneling between VR and the polymer. In KAP the same histograms are temperature dependent, and show that blinking slows down at higher temperatures. This result is inconsistent with an electron-transfer process being responsible for blinking. Instead, a non-adiabatic proton-transfer between VR and KAP is presented as a model consistent with this temperature dependence. In summary, the results presented here demonstrate that for a given luminophore, the photochemical processes responsible for PL intermittency can change with environment.

Conserving social-ecological systems in Indonesia: human-nonhuman primate interconnections in Bali and Sulawesi.

An important question asked by primatologists and conservationists alike is: what is the relevance of primates and primate conservation for ecosystem conservation? The goal of this article is to contribute to this dialogue by advocating the use of a research perspective that focuses on the dynamics of human-nonhuman primate sympatry and interaction (i.e., ethnoprimatology) in order to better understand complex social-ecological systems and to inform their conservation management. This perspective/approach is based largely on the recognition that human primates are important components of all ecological systems and that niche construction is a fundamental feature of their adaptive success. To demonstrate the relevance of the human-nonhuman primate interface for ecosystem conservation, we provide examples from our research from two islands in the Indonesian archipelago: Bali and Sulawesi. In Bali, humans and long-tail macaques coexist in a system that creates favorable environments for the macaques. This anthropogenic landscape and the economic and ecological relationships between humans and monkeys on Bali provide insight into sustainable systems of human/nonhuman primate coexistence. In Lore Lindu National Park in Central Sulawesi, villagers and Tonkean macaques overlap in their use of both forest and cultivated resources. The finding that the Arenga pinnata palm is extremely important for both villagers and macaques points to a conservation management recommendation that may help protect the overall ecosystem; the cultivation and propagation of mutually important tree species at forest-agricultural ecotone as a means to curb crop raiding and to alleviate farmer's perceived need to clear additional forest.

Roadside monkeys: anthropogenic effects on moor macaque (Macaca maura) ranging behavior in Bantimurung Bulusaraung National Park, Sulawesi, Indonesia.

A growing body of research focuses on how anthropogenic factors affect the behavior and ecology of primates and their ecosystems. Infrastructural development, such as roads, is an increasingly pervasive anthropogenic impact that destroys primate habitat, affects the distribution and dispersal of primates, and facilitates human-primate interactions. At our field site in Bantimurung-Bulusaraung National Park, Sulawesi, Indonesia, a major road bisects the habitat of the endangered moor macaque (Macaca maura). Beginning in 2015, we observed a behavioral shift by our main study group: they began spending more time along the road foraging in trash pits and waiting for provisions from vehicles. Our objective in this study was to examine how access to anthropogenic foods has affected the group's ranging behavior by comparing ranging data collected before (2010-2011) and after the shift (2016-2017). In contrast to what we expected, home ranges were significantly larger and daily travel distance was significantly longer after the shift compared to before. As predicted, mean distance to the road decreased after the shift. These results likely reflect the irregular and spatially dispersed nature of provisioning at this site. The macaques appear to be attracted to the road because it presents opportunities to obtain palatable and energy-dense foods. Our results indicate that moor macaques are able to flexibly adjust their ranging behavior in response to anthropogenic impacts. However, given the risks of being in proximity to roads and humans, management of this emerging human-macaque interface is needed.

Confinement-controlled self assembly of colloids with simultaneous isotropic and anisotropic cross-section.

The phase behavior of building blocks with mushroom cap-shaped particle morphology is explored under 2D and quasi-2D confinement conditions. Fast confocal microscopy imaging of the particles sedimented in a wedge cell reveals a range of mono- and bilayer structures partially directed by the isotropic and anisotropic profiles of the particle geometry. The sequence of phases tracked with increasing confinement height includes those reported in spheres, in addition to the more complex rotator and orientation-dependent phases observed for a class of short rod-like colloids. In the later case, the major particle axis reorients with respect to the substrate. Closest packing considerations provide rationale for the observed 1Delta (hexagonal)-1Buckled-1Sides (rotator)-2square (square)-2Delta (hexagonal)-2Sides (rotator) structural transitions with height.

Unraveling the dispersed kinetics of dichlorofluorescein in potassium hydrogen phthalate crystals.

The connection between photoluminescence (PL) intermittency and excited-state kinetics is explored for 2',7'-dichlorofluorescein (DCF) isolated in crystals of potassium acid phthalate (KAP) using time-tagged, time-resolved, time-correlated single-photon counting (T3R-TCSPC). In this technique, PL intermittency or "blinking" is measured in conjunction with the time of photon arrival relative to photoexcitation, allowing for the correlation of emissive intensities and excited-state decay kinetics of single molecules. The blinking trace is parsed into emissive and nonemissive segments using change-point-detection analysis, and the duration of these segments are used to quantify PL intermittency. The results presented here demonstrate that two populations of DCF exist in KAP, with one population demonstrating single-exponential excited state decay over the course of the blinking trace, and the other demonstrating stretched-exponential decay. Molecules demonstrating single-exponential decay also demonstrate modest intensity variation in the blinking trace. Correlation of the emission intensity and excited-state lifetimes demonstrates that for these molecules spectral diffusion is largely responsible for the evolution in emission intensity. In contrast, molecules demonstrating nonexponential excited-state decay vary in emission intensity. Correlation of the emissive intensities with the excited-state lifetimes demonstrates that these molecules undergo changes in both radiative and nonradiative decay rate constants as well as spectral diffusion. These observations suggest that DCF exists in two environments in KAP differentiated by the propensity for proton-transfer with the surrounding KAP matrix. The results presented here provide further insight into the origin of PL intermittency demonstrated by DCF in KAP and related systems.

Macaques in farms and folklore: exploring the human-nonhuman primate interface in Sulawesi, Indonesia.

The island of Sulawesi is an ecologically diverse and anthropogenically complex region in the Indonesian archipelago; it is home to multiple macaque species and a key locus of human-nonhuman primate interconnections. Here, we review the ethnoprimatology of Sulawesi by exploring two primary domains of the human-macaque interface: overlapping resource use and cultural perceptions of macaques. Crop raiding is the primary form of overlapping resource use. While the raiding of cacao plantations predominates in Central and South Sulawesi, subsistence crops (e.g., sweet potato and maize) are most vulnerable on Buton, Southeast Sulawesi. Despite this overlap levels of conflict are generally low, with farmers showing considerable tolerance. This tolerance can be explained by positive perceptions of the macaques despite their crop raiding behavior, and the finding that in some areas macaques figure prominently in local folklore, hence affording them protection. These findings provide some hope for the future management and conservation of these endemic macaques.

Activity budget, home range, and habitat use of moor macaques (Macaca maura) in the karst forest of South Sulawesi, Indonesia.

Primate behavior can be responsive to the different ecological pressures associated with different habitats, as well as to the effects of direct and indirect anthropogenic disturbance. The karst forest ecosystem of South Sulawesi (Indonesia) represents one of the few intact forests available for residual populations of the moor macaque, but our understanding of its habitat use is limited. In the present study, this gap in knowledge was addressed by observing the activity and habitat use of two groups of moor macaques and by assessing the suitability of different habitats in the karst forest. Through a fine-scale vegetation analysis of 1 ha of forest in Bantimurung Bulusaraung National Park, we identified the presence of two distinct habitats that differ in terms of forest structure and composition. The karst plain forest (KPF) provided a greater abundance and diversity of food resources than the karst tower forest (KTF). In addition, anthropogenic disturbance was high in the KPF but low in the KTF. Behavioral data collected via group scans indicate that the macaques devoted more time to feeding activities when in the KPF, suggesting an ability to adjust their feeding behavior to meet their nutritional needs. However, the larger of the two groups used the food-rich KPF more than expected, implying that the KTF may represent a valuable refuge for the smaller group, as it is a less risky portion of its home range. The results of this study therefore provide novel information on the ecology of moor macaques and their habitats that can inform conservation planning for remnant populations.

A Quantitative Measurement of Physical Therapists' Empathy and Exploration of the Relationship With Practice Setting and Work Engagement.

Clinical empathy has been studied in a number of health-care disciplines suggesting that higher practitioner empathy leads to improved patient health and wellness and improved patient outcomes. While some aspects of the physical therapist-patient relationship have been described, evidence of quantitative assessment of clinical empathy in physical therapists is scarce. To investigate the level of self-reported clinical empathy in physical therapists and its relationship to practice environment and workplace engagement, the Jefferson Scale of Empathy-Health Provider version (JSE-HP) and the Oldenburg Burnout Inventory (OLBI) were used. Study participants were 123 physical therapists working full time at either an acute care setting, a rehabilitation hospital, or an outpatient clinic. These physical therapists demonstrated a mean JSE-HP score of 118.5 (9.1) and a mean OLBI score of 15.63 (3.5). This mean empathy score was found to be higher than reported empathy level of some health disciplines such as nursing and pharmacy yet lower than others such as mental health workers, psychiatrists, and pediatricians. Practice setting was not found to be a significant factor regarding empathy levels in physical therapists. As reported in previous studies, there was a positive correlation between being female and having higher empathy levels. A positive correlation was found between age and work disengagement. Finally, our hypothesis regarding a negative correlation between empathy and work disengagement was confirmed, suggesting that workplace disengagement may diminish a physical therapist's empathy, which may then negatively affect patient clinical outcomes.