Estimation of spatiotemporal trends in bat abundance from mortality data collected at wind turbines.

Renewable energy sources, such as wind energy, are essential tools for reducing the causes of climate change, but wind turbines can pose a collision risk for bats. To date, the population-level effects of wind-related mortality have been estimated for only 1 bat species. To estimate temporal trends in bat abundance, we considered wind turbines as opportunistic sampling tools for flying bats (analogous to fishing nets), where catch per unit effort (carcass abundance per monitored turbine) is a proxy for aerial abundance of bats, after accounting for seasonal variation in activity. We used a large, standardized data set of records of bat carcasses from 594 turbines in southern Ontario, Canada, and corrected these data to account for surveyor efficiency and scavenger removal. We used Bayesian hierarchical models to estimate temporal trends in aerial abundance of bats and to explore the effect of spatial factors, including landscape features associated with bat habitat (e.g., wetlands, croplands, and forested lands), on the number of mortalities for each species. The models showed a rapid decline in the abundance of 4 species in our study area; declines in capture of carcasses over 7 years ranged from 65% (big brown bat [Eptesicus fuscus]) to 91% (silver-haired bat [Lasionycteris noctivagans]). Estimated declines were independent of the effects of mitigation (increasing wind speed at which turbines begin to generate electricity from 3.5 to 5.5 m/s), which significantly reduced but did not eliminate bat mortality. Late-summer mortality of hoary (Lasiurus cinereus), eastern red (Lasiurus borealis), and silver-haired bats was predicted by woodlot cover, and mortality of big brown bats decreased with increasing elevation. These landscape predictors of bat mortality can inform the siting of future wind energy operations. Our most important result is the apparent decline in abundance of four common species of bat in the airspace, which requires further investigation.

Estimación de Tendencias Espacio-Temporales en la Abundancia de Murciélagos a Partir de Datos de Mortalidad Recolectados Alrededor de Turbinas de Viento Resumen Las fuentes de energía renovable, como la energía eólica, son herramientas esenciales para la reducción de las causas del cambio climático, aunque las turbinas de viento pueden representar un riesgo de colisión para los murciélagos. A la fecha, los efectos a nivel poblacional de la mortalidad asociada a estas turbinas sólo han sido estimados para una especie de murciélagos. Para estimar las tendencias temporales en la abundancia de murciélagos consideramos a las turbinas de viento como herramientas para el muestreo oportunista de los murciélagos en vuelo (análogo a las redes de pesca), en donde el esfuerzo de captura por unidad (abundancia de cadáveres por turbina monitoreada) es un sustituto para la abundancia aérea de murciélagos, después de considerar la variación estacional en la actividad. Utilizamos un conjunto grande de datos estandarizados del registro de cadáveres de murciélagos alrededor de 594 turbinas al sur de Ontario, Canadá, y corregimos estos datos para justificar la eficiencia del muestreador y la extracción por carroñeros. Usamos modelos de jerarquía bayesiana para estimar las tendencias temporales en la abundancia aérea de los murciélagos y para explorar los efectos de los factores espaciales, incluyendo las características del paisaje asociadas con el hábitat de los murciélagos (p. ej.: humedales, tierras de cultivo y bosques), sobre el número de muertes para cada especie. Los modelos mostraron una declinación rápida en la abundancia de cuatro especies dentro de nuestra área de estudio. Las declinaciones en la captura de cadáveres a lo largo de siete años variaron desde el 65% (Eptesicus fuscus) hasta el 91% (Lasionycteris noctivagans). Las declinaciones estimadas fueron independientes a los efectos de mitigación (el incremento en la velocidad a la cual las turbinas comienzan a generar electricidad de 3.5 a 5.5 m/s), lo cual redujo significativamente la mortalidad de los murciélagos, aunque no llegó a eliminarla. La mortalidad a finales del verano de las especies Lasiurus cinereus, Lasiurus borealis y Lasionycteris noctivagans la pronosticó la cobertura de los lotes boscosos, mientras que la mortalidad de E. fuscus disminuyó conforme incrementó la elevación. Estos elementos pronosticadores del paisaje pueden utilizarse para informar al momento de elegir el sitio para la actividad eólica en el futuro y así evitar la mortalidad en murciélagos. Nuestro resultado más importante es la declinación aparente en la abundancia de cuatro especies comunes de murciélagos en el espacio aéreo, lo cual requiere de más investigación.

Starting from scratch: Developing and sustaining a rural research team lessons from a nutrition and dietetics case study.

OBJECTIVE: To describe the development of and key factors for sustaining a rural-based research team focussed on nutrition and dietetics. DESIGN: A longitudinal embedded case study approach with data sourced from publicly available records and observations. Case study sub-units were developed into 3 phases with analysis using theoretical propositions and pattern matching. Quantitative data were descriptively analysed. SETTING: University of Newcastle Department of Rural Health across 4 rural sites. PARTICIPANTS: Publicly available data sources from existing team members. MAIN OUTCOME MEASURES: Staffing levels, research supervision, internal and external grant outcomes and peer-reviewed journal publications. RESULT: Academic staffing has increased by 4 full-time equivalent positions over 18 years, with 6 current higher-degree research students. Key factors identified in the development of a discipline-specific research workforce included staff higher degree by research completions, longevity of staff in research-active roles, immersive rural placements with a research component and collaborations with nationally competitive researchers. Rural pilot research projects, community connections, understanding of the local context and research networks were fundamental to establishing a viable team. CONCLUSION: Systematically investing in research that is embedded in local communities will ensure sustainability and relevance, capacity building of existing staff and an ability to problem solve at the local level. Sustained and focussed investment is needed if the current rural research workforce is to develop towards a capacity that meets current demand.

A Qualitative Study Supporting Optimal Nutrition in Advanced Liver Disease-Unlocking the Potential for Improvement.

Malnutrition rates in Advanced Liver Disease (ALD) are significantly higher than those in well-compensated liver disease. In addition to its physiological impact, malnutrition is detrimental for quality of life and social, emotional, and psychological well-being. Studies within oncology and renal supportive care have identified the influence of non-physiological factors on malnutrition risk. Integrating similar factors into malnutrition screening for ALD could improve identification of at-risk patients to optimize treatment planning. This qualitative study aimed to understand the holistic factors influencing nutritional status in the ALD population. Semi-structured interviews with 21 patients, carers, and clinicians explored the experiences of malnutrition in ALD. Thematic analysis revealed five key themes: (i) appropriateness of healthcare delivery; (ii) health- and food-related factors; (iii) high symptom burden, (iv) social support impacting well-being, and (v) physical and structural supports. Current screening methods do not adequately capture all potential drivers of malnutrition in the ALD population. Adopting a more supportive approach including both physiological and non-physiological factors in ALD malnutrition screening may promote more timely and comprehensive nutritional interventions that address the complex and holistic needs of patients living with ALD.

Informing online professional dietetics practice: The development and pilot testing of the Social Media Evaluation Checklist.

AIM: To develop and pilot a tool to evaluate Australian dietitians' and student dietitians' ethical and professional practice using social media. METHODS: A Social Media Evaluation Checklist was developed based on checklist development literature with a four-staged process. Stage one included a literature review and input from an expert panel to ensure content validity. Stages two and three were to ensure face validity by categorising the checklist and pilot testing the tool. Instagram profiles and posts were audited by two authors using the checklist in the final stage to analyse ethical and professional use. An account purposely created for this study was used, and the first 25 dietitian and first 25 student dietitian profiles identified using the key words 'dietitian', 'student dietitian' and 'dietitian student' and the hashtag '#australiandietitian' were reviewed. RESULTS: A total of 50 Instagram profiles and 250 posts were audited based on seven categories; (1) financial disclosure, (2) cultural awareness, (3) evidence-based information, (4) transparency, (5) privacy/confidentiality, (6) professionalism and (7) justifiability. Areas for improvement included advertising transparency which was met in only 12% of dietitian posts, and the provision of evidence-based information, which was met in 56% of dietitian posts and 72% of student dietitian posts. CONCLUSIONS: This study provides insight into the ethical and professional use of social media by Australian dietitians and dietetics students. With the evolving nature of social media, guidance is required. This will ensure dietitians remain, now and in the future, the credible source of nutrition information for the public.

Mapping Simulated-Based Learning Experiences Incorporated Into Professional Placements in Allied Health Programs: A Scoping Review.

SUMMARY STATEMENT: Emerging literature continues to demonstrate the use of innovative practices such as simulated-based learning experiences to prepare students for professional placements. This scoping review aimed to provide a broad overview of how simulated-based learning experiences have been implemented within or immediately before the professional practice placements of entry-level allied health programs. Four databases (MEDLINE, EMCARE, CINAHL, and Scopus) were searched up to August 2020. Kirkpatrick's evaluation framework was used to categorize outcomes, and the Simulation-Based Research Extension for the CONSORT statement was used to appraise the quality of simulation reporting. The search revealed 6584 unique abstracts with 321 full-text articles reviewed. Forty-eight studies met the inclusion criteria. This review has shown a clear trend toward using simulation within or immediately before the professional practice placements of allied health programs. Using Kirkpatrick's evaluation framework, most studies reported on student reaction (level 1) and learning (level 2) obtained during the simulation experience. There was limited evidence showing how the benefits gained in simulation translated to the clinical environment (level 3) or impacted the organization (level 4). Further research is required to review the optimal proximity of simulation to allied health professional placements and how gains are obtained from simulation transition to the clinical environment. In addition, more consistent reporting of simulation methodologies and evaluation methods are needed to strengthen the evidence base.

Characterizing the Health of Older Rural Australians Attending Rural Events: Implications for Future Health Promotion Opportunities.

This paper describes the health of older Australians (>65 years) attending rural events to inform health promotion interventions for rural populations. This cross-sectional study collected survey data and objective health measures between 2017 and 2020 at two events held in rural New South Wales, Australia. Participants included in the analysis were adults > 65 years of age. Data included demographic and health information, anthropometric measures (height, weight, waist circumference), and dietary and physical activity data. A total of 256 people > 65 years participated. Our sample, which was mostly male (59.0%), contained people aged between 66 and 75 years (72.3%). Participants lived in either a large rural (34.0%) or small rural town (22.3%), with low levels of education (60.9% did not complete high school). Dietary quality was rated as below average. All but 17.2% of the participants reported having a health condition. The risk of a health condition was associated with increasing age, lower education, and higher waist circumference, but not remoteness. Rural events may provide an opportunity to access, engage with, and understand the health of older rural Australians, especially males. They may offer ideal contexts for health and nutrition promotion opportunities in rural areas where access to health professionals is limited.

Timing and Weather Offer Alternative Mitigation Strategies for Lowering Bat Mortality at Wind Energy Facilities in Ontario.

Relatively high mortality of migratory bats at wind energy facilities has prompted research to understand the underlying spatial and temporal factors, with the goal of developing more effective mitigation approaches. We examined acoustic recordings of echolocation calls at 12 sites and post-construction carcass survey data collected at 10 wind energy facilities in Ontario, Canada, to quantify the degree to which timing and regional-scale weather predict bat activity and mortality. Rain and low temperatures consistently predicted low mortality and activity of big brown bats (Eptesicus fuscus) and three species of migratory tree bats: hoary bat (Lasiurus cinereus), eastern red bat (L. borealis), and silver-haired bat (Lasionycteris noctivagans). Bat activity occurred in waves with distinct peaks through the season; regardless of seasonal timing, most activities occurred in the first half of the night. We conclude that wind energy facilities could adopt a novel and more effective curtailment strategy based on weather and seasonal and nocturnal timing that would minimize mortality risks for bats while increasing the opportunities for power generation, relative to the mitigation strategy of increasing cut-in wind speed to 5.5 m/s.

Developing and maintaining collaborative practice: Exploring perspectives from dietetics and speech pathology about 'what works well'.

AIM: The aim was to support rich collaborative practice between two professions who frequently work together across both ordered and organic modes of collaboration. METHODS: This study uses a qualitative research approach of collaborative dialogical inquiry to explore the question 'From the perspective of dietitians and speech pathologists, "what works well" for developing and maintaining collaborative practice?' We deliberately chose a context where collaborative practice is evident, University Department of Rural Health (UONDRH). Participants in the research were academics and clinicians from dietetics and speech pathology. Data were sourced from our research reflections and focus group transcriptions. Analysis was dialogical and iterative. RESULTS: Beyond shared purpose, knowledge of roles and good communication, the notions of curiosity, willingness and momentum were at the core of 'what works well' for collaborative practice between dietitians and speech pathologists. Participant perspectives related to collaborative practice between these professions and beyond to other professions, and involved collaborative practice within and across healthcare organisations and a university setting. CONCLUSIONS: Our interpreted themes of curiosity, willingness and momentum for developing and maintaining collaborative practice highlight the importance of paying attention to the less visible and difficult to measure aspects of patient-centred care. Questions for reflection are suggested to inform the ongoing process of developing and maintaining our and others' collaborative practice.

Early breeders choose differently - Refining measures of habitat quality for the yellow-bellied sapsucker (Sphyrapicus varius), a keystone species in the mixedwood boreal forest.

Despite the prevalent use of nest-site selection studies to define habitat quality for birds, many studies relying on use-availability analysis have found poor correlations between selected vegetation and reproductive success. Using 3 years of data from northeastern British Columbia (2007-2009), we determined timing of breeding from hatching dates and contrasted the nest-site selection of earlier (n = 22) with later-nesting pairs (n = 36) of yellow-bellied sapsuckers (Sphyrapicus varius), because early breeders were expected to be more reproductively successful. We then compared these choices with those identified from use-availability analysis, and determined whether reproductive performance (fledgling production) was related to selected vegetation. None of the vegetation characteristics selected for nest sites from available vegetation predicted reproductive performance. Earlier-nesting pairs fledged more young on average than later breeders (4.41, SE = 0.18 versus 3.92, SE = 0.16), and chose less decayed aspen trees for nesting, that were surrounded on average by 3 times the number of food trees (paper birch, Betula papyrifera). Potential preference for birch trees was masked in the use-availability analysis, because the selection rate was dominated by the choices of the larger number of later-nesting pairs. Similarly, the majority (69%) of nest cavity entrances faced south, but earlier breeding pairs excavated northward-oriented cavities more frequently than did later breeding pairs, which strongly predicted their higher fledgling production. To our knowledge, our study is the first to compare the choices of early versus later breeders to test the efficacy of use-availability studies in defining habitat quality. We found that use-availability analysis was inadequate for determining vegetation characteristics related to reproductive performance. In contrast, measuring the distinct preferences of earlier breeders resulted in an improved ability to measure habitat quality and explain the spatial distribution of yellow-bellied sapsuckers, a keystone species of the mixedwood boreal forest.

An innovative dietetic student placement model in rural new South wales, australia.

Over the past 10 years, the University of Newcastle Department of Rural Health, based in Tamworth, New South Wales, has supported increased opportunities for short- and long-term rural dietetic placements through an ongoing collaboration between Hunter New England Local Health District dietitians and University of Newcastle academic staff, using an innovative student placement model. A recent strategy has been the implementation of year-long student attachments to a rural area in an attempt to improve long-term recruitment and retention of staff to rural and remote areas. This paper describes the dietetic student placement model and outcomes to date. There has been an increase in the number and diversity of student placements in Tamworth, from 2 student placements in 2002 to 33 in 2013 and a maximum increase of 317 student weeks. Students have rated the short- and long-term options highly. Intention to work rurally after graduation was reported at 49% for the 2011/2012 cohort of students. Seventy-three percent of all year-long students have obtained work in a rural setting after graduation. An increased exposure to a rural location has the potential to increase the recruitment of staff in rural areas.