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Objective: To report self‐perceived readiness for work as a junior doctor in a national cohort of rural clinical school students. Design: Cross‐sectional study using a self‐report questionnaire. Independent variables included 14 individual readiness items related to clinical and professional tasks, sociodemographic data and reported experience of rural clinical school (RCS) training. Participants were 668 medical students (55.3% females) completing a full academic year in rural Australia. Multivariable analysis explored factors associated with overall readiness for work as a junior doctor. Findings: 86% agreed that RCS experience prepared them to undertake the roles and responsibilities of a junior doctor. Self‐ratings for specific clinical and professional tasks varied from a mean score of 5.9–8.0 out of 10, and 13 of the 14 items were associated with the outcome (p‐value <0.001, except for performing spirometry). Lowest readiness scores were seen for some aspects including raising concerns about a colleague (mean score 6.1) or responding to workplace bullying (mean score 6.0). Aspects of the RCS experience that were strongly associated with overall readiness included: feeling a valued team‐member (OR 9.28, 95%CI 2.43–35.39), feeling well‐supported academically (OR 6.64, 95%CI 3.39–13.00), having opportunity for unsupervised but supported clinical practice (OR 4.67, 95%CI 1.45–15.00), having a rural mentor (OR 3.38, 95%CI 1.89–6.06) and having a previous health professional qualification (OR 2.7, 95%CI 1.32–5.54). Discussion: Most RCS students felt ready for work as a junior doctor. Important aspects of RCS experience are likely to include students feeling integrated within the clinical team and having opportunities for authentic clinical roles. There remains a significant challenge for medical school curricula to address professional areas where graduates felt less prepared. [ABSTRACT FROM AUTHOR]

Atlantic tarpon Megalops atlanticus are highly migratory sportfish that support recreational fisheries throughout their range. In US waters, juveniles can be found in coastal and estuarine habitats along the Gulf of Mexico and Atlantic seaboard, with temperature limiting their northern latitudinal distribution. Juveniles may overwinter in these areas during the first several years of life. Low temperatures are known to cause mortality in adults, but the challenges of temperature are less understood for juveniles. Furthermore, salinity, which can change dramatically in these habitats, may have a synergistic effect with temperature. To examine the physiological effects of temperature and salinity on juvenile tarpon, wild fish were acclimated to a range of conditions that potentially occur in the northern range of their estuarine habitats. The haematology of juvenile tarpon was examined in two salinity (≤2 and ≥30 ppt) and temperature (15 and 25°C) treatments, followed by a low‐temperature tolerance test. After 2 weeks in treatment conditions, blood samples were analysed for haematocrit, pH, red blood cell concentration, haemoglobin content and plasma osmolality. Increased plasma osmolality was observed in fish at low temperature (15°C compared to 25°C) and at high salinity (≥30 ppt compared to ≤2 ppt). Blood pH was increased at 15°C compared to 25°C, with the highest pH at 15°C and low salinity. Haemoglobin, haematocrit and red blood cell concentration were higher at 25°C than 15°C, with haemoglobin lowest at 15°C and low salinity. For the low‐temperature tolerance test, all fish were acclimated to 15°C for 2 weeks, then transferred to separate tanks where temperature was gradually decreased at 0.9 ± 0.1°C/h until fish lost equilibrium. Fish at low salinity lost equilibrium more rapidly (1 ppt, 12.65 ± 0.46°C) than fish at high salinity (30 ppt, 11.26 ± 0.14°C). The results indicate juvenile tarpon are susceptible to low temperature, which is exacerbated by low salinity, findings useful in the assessment of juvenile tarpon overwintering habitat. [ABSTRACT FROM AUTHOR]

Age and growth of early‐life‐stage Atlantic tarpon Megalops atlanticus collected from Mississippi coastal waters in the northcentral Gulf of Mexico (GOM) are described using otolith microstructure analysis. Tarpon leptocephali (n = 95, 16.0—27.8 mm standard length, LS) collected from June throughOctober 2013—2018, ranged in age from 22 to 43 days (mean = 30.9 ± 0.5 days). Leptocephalus somatic growth rates ranged 0.46—1.24 mm day−1 (mean = 0.76 ± 0.02 mm day−1), and leptocephalus otolith growth rates ranged 1.78—3.97 μm day−1 (mean = 2.58 ± 0.04 μm day−1). Growth rates were inversely correlated to leptocephalus age, indicating the shrinkage phase associated with leptocephalus metamorphosis. Juvenile tarpon (n = 358, 50—359 mm fork length, LF) were collected from August through December 2007—2018. Juveniles exhibited a positive allometric relationship (adjusted R2 = 0.99, P < 0.001) between length and mass. The age of 100 juveniles (71—277 mm LF) ranged from 76 to 174 days. Juvenile growth rate was estimated as 1.56 ± 0.11 mm day−1. Significant (P < 0.001) linear relationships were found between juvenile age and otolith metrics, including otolith mass (R2 = 0.81) and radius (R2 = 0.68). Evaluation of the backcalculated hatch dates suggests that specimens in the collection hatched from late May through mid‐September with slight peaks during July and August. A Rao's Spacing Test of Uniformity indicates the presence of significant lunar periodicity in leptocephalus hatch dates (n = 95, U = 250.1, P < 0.05), with 50% of the leptocephali hatched within 5 days (before or after) of the full moon. This study fills critical gaps in the scientific knowledge of tarpon and provides estimates of early‐life‐history metrics for an iconic game fish at the northernmost extent of its GOM range. [ABSTRACT FROM AUTHOR]

It is widely accepted that assessment plays a role in monitoring the development of young children with special needs in early intervention/early childhood settings. The process of assessing young children's language skills often looks for delays within a solid language foundation. However, many children who are deaf or hard of hearing (DHH) may not have a solid language foundation to assess, leading to inaccurate assessment. When we reframe how we assess language skills in children who are DHH, we ensure the assessment provides a comprehensive picture of the child's language development. It is important to modify language assessment tools where necessary while ensuring the assessment stays reliable and valid. It is critical to use multiple assessment tools to monitor the child's progress, including standardized assessments and assessment tools normed for DHH populations. Finally, it is crucial to monitor the child's skills in each language that they are using, regardless of which language is used most often. We explain why each of these factors needs to be considered in the assessment of young children who are DHH, will discuss the challenges of assessing this population, and will provide solutions to some of the challenges of assessing language skills in of young children who are DHH. [ABSTRACT FROM AUTHOR]

A limited supply of oyster shell for restoration practices has prompted investigations of alternative substrates used in construction of artificial oyster reefs. The success of oyster reef restoration projects is increasingly focused not only on oyster densities, but also on habitat provisioning for associated fauna. A subtidal oyster reef complex (0.24 km2) was restored in the Mission-Aransas Estuary, Texas, U.S.A., in July 2013 using replicated mounds of concrete, limestone, river rock, and oyster shell substrates. Oyster and reef-associated fauna characteristics were quantified quarterly for 15 months, using sampling trays that were deployed 3 months after construction. The highest densities of oyster spat occurred 9 months after tray deployment (July 2014, 1,264/m2), whereas juvenile oyster densities increased throughout the study period to 283/m2. Concrete (1,022/m2) and limestone (939/m2) supported the highest number of oysters over all dates. Oyster shell (1,533/m2) and concrete (1,047/m2) substrates supported the highest densities of associated motile fauna. Faunal diversity (Hill's N1) did not vary by substrate material, but did show seasonal variation. A simple benefit-cost ratio was used to indicate the localized monetary value for each of the substrates. Oyster shell and concrete substrates returned the highest benefit-cost ratio for motile fauna, while concrete yielded the highest benefit-cost ratio for oyster abundance. Incorporating benefit-cost ratios in restoration planning will allow practitioners to better integrate substrate-specific ecological values with economic considerations and project goals to maximize return on restoration investments. [ABSTRACT FROM AUTHOR]

Motivated by a study of social variation in the relationship of functional limitation prevalence to age, this paper examines methods for modelling social variation in health outcomes. It is argued that, from a Bayesian perspective, modelling the dependence of functional limitation prevalence on age separately for each social group, corresponds to an implausible prior model, in addition to leading to imprecise estimates for some groups. The alternative strategy of fitting a single model, perhaps including some age-by-group interactions but omitting higher-order interactions, requires a strong prior commitment to the absence of such effects. Hierarchical Bayesian modelling is proposed as a compromise between these two analytical approaches. Under all hierarchical Bayes analyses there is strong evidence for an ethnic group difference in limitation prevalence in early- to mid-adulthood among tertiary-qualified males. In contrast, the single-model approach largely misses this effect, while the group-specific analyses exhibit an unrealistically large degree of heterogeneity in gender-education-specific ethnicity effects. The sensitivity of posterior inferences to prior specifications is studied. [ABSTRACT FROM AUTHOR]