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Supplemental digital content is available in the text. OBJECTIVES: The aims of this study are (1) to describe the division, organizational strengths, and improvement opportunities of self-reported behaviors indicative of the multidimensional construct of professional practice and (2) to understand demographic characteristics that contributed to these strengths and improvement opportunities. BACKGROUND: Prior to implementing a system-wide interdisciplinary shared governance structure, ProHealth Care measured staff attitudes toward the multidimensional construct of professional practice as proposed within the Clinical Practice Model framework using the Professional Practice Framework Assessment Survey (PPFA-S). METHODS: Clinical and support staff were invited to share their views toward professional practice using the previously validated, reliable tool, the PPFA-S. RESULTS: Partnering relationships, scope of practice, and shared purpose were strengths. Strategies were initiated to strengthen networking councils, integrated competency, evidence-based practice, transformative capacity, and clinical tools. CONCLUSIONS: The survey identified professional practice strengths and improvement opportunities across the organization as well as factors contributing to these strengths and opportunities. These findings were useful to help guide system integration. [ABSTRACT FROM AUTHOR]

Student coaches undertake internships to develop practical skills and gain experience to improve employability prospects. The characteristics of the coaches who undertake these internships, their experiences and the nature of the work being performed are currently unknown. The purpose of this study was to report the characteristics of strength and conditioning (S&C) coaches who have undertaken internships and their experiences during their respective placements. A total of 113 men and 6 women completed an online survey. Placements generally lasted 6–12 months (66%), were unpaid (93%) and took place at professional teams (63%). All respondents had a standard of experience prior to commencement (82%); a higher-education degree (bachelor’s degree 56%; master’s degree 18%) and others were qualified S&C coaches (16%). Activities consisted largely of coaching (47%), data collection (22%) and equipment set-up (25%) but lacked provision of appropriate training. Mentors were allocated to interns; however, often developmental objectives were not discussed, meetings were rarely documented, and in some cases, no meetings took place. This study suggests that internships offer worthwhile experiences and assistance in skill development to progress in S&C. However, clearer guidelines are required to define the responsibilities of employers and interns, to maximise these experiential learning opportunities and avoid the exploitation of willing students. [ABSTRACT FROM PUBLISHER]

• Apple flowering dates advancing, in part due to spring temperature and rainfall. • Pollinating bee flight dates also advancing, in part due to spring temperature. • Different sensitivities to climate change result in to changing temporal synchrony. The phenology, or timing of key life-history events, of many globally important crops and the insects that pollinate them are shifting because of the changing climate. Where these temporal shifts occur at different rates or in different directions, it induces a risk of phenological mismatch, potentially reducing the quality and quantity of crop production. This study makes use of 48 years of UK citizen science (pollinating bee records) and systematic (apple flowering) data to report phenological shifts of apples and their bee-pollinator community. It quantifies the mismatches between peak flowering and flight dates which could potentially cause pollination deficits. Flowering onset and peak flowering dates of Bramley apples advanced throughout the study period. This advance was primarily driven by early spring temperatures, with peak flowering dates advancing by 6.7 ± 0.9 per 1 °C warming. In addition, increasing spring rainfall significantly delayed flowering dates by 0.4 ± 0.1 days per 10 mm additional rainfall. By contrast, bee phenology shifted in a non-linear manner, advancing from 1970 to 1985 before plateauing until the end of the study period. The peak flight date of the apple pollinating bee community appears to be similarly sensitive to spring temperatures, experiencing an advance of 6.5 ± 2.1 days per 1 °C warming, although individual bee species responses to climate varied. Furthermore, this study compared the phenological trends to assess the potential risk of asynchrony between crop and pollinator phenology. The different response patterns in the phenology of apples and bees led to shifting patterns of temporal mismatch between peak flowering and peak flight over time. Differences in sensitivity to climate do not appear to directly contribute to the phenological mismatch. Finally, this study highlights the potential value of citizen science data (with sufficient quality control) in understanding phenological shifts and mismatches and highlights potentially increasing temporal mismatch between apple trees and their bee pollinators. [ABSTRACT FROM AUTHOR]

Field studies of pollination services of honey bees and wild bees were carried out at a watermelon crop in western Crete. Specifically, pollination treatment by honey bee or mining bee species was applied to female flowers of a watermelon plant. There were also three other treatments; a no-visit treatment, an open-pollinated treatment and a ‘hand’ pollination treatment. Comparisons were based on the number of single bee visits to treated flowers, fruit abortion rates, seed sets as influenced by bee type and the quality characteristics of the developed fruit. The main representative genus of wild bees in the studied area was Lasioglossum. Whilst it was possible that a single visit from either bee type effected pollination, wild bees needed a significantly lower mean number of visits to effect pollination than honey bees. In particular they spent three times as long at each flower compared to Apis mellifera. None of the studied quality characteristics of the developed watermelon fruits (mean weight, brix, number of seeds per fruit and weight of seed) differed significantly for both tested pollinators. The current study provides theoretical and practical evidence to the growers of watermelon crop of the existence of alternative pollinator species that can be targeted for development and management because of their high pollination efficiencies. Therefore the results support the hypothesis that the native bee community can provide an equivalent service to that of managed honey bee pollinators for watermelon, a crop that has heavy pollination requirements. [ABSTRACT FROM AUTHOR]

Biodiversity is changing at unprecedented rates, and it is increasingly important that these changes are quantified through monitoring programmes. Previous recommendations for developing or enhancing these programmes focus either on the end goals, that is the intended use of the data, or on how these goals are achieved, for example through volunteer involvement in citizen science, but not both. These recommendations are rarely prioritized., We used a collaborative approach, involving 52 experts in biodiversity monitoring in the UK, to develop a list of attributes of relevance to any biodiversity monitoring programme and to order these attributes by their priority. We also ranked the attributes according to their importance in monitoring biodiversity in the UK. Experts involved included data users, funders, programme organizers and participants in data collection. They covered expertise in a wide range of taxa., We developed a final list of 25 attributes of biodiversity monitoring schemes, ordered from the most elemental (those essential for monitoring schemes; e.g. articulate the objectives and gain sufficient participants) to the most aspirational (e.g. electronic data capture in the field, reporting change annually). This ordered list is a practical framework which can be used to support the development of monitoring programmes., People's ranking of attributes revealed a difference between those who considered attributes with benefits to end users to be most important (e.g. people from governmental organizations) and those who considered attributes with greatest benefit to participants to be most important (e.g. people involved with volunteer biological recording schemes). This reveals a distinction between focussing on aims and the pragmatism in achieving those aims., Synthesis and applications. The ordered list of attributes developed in this study will assist in prioritizing resources to develop biodiversity monitoring programmes (including citizen science). The potential conflict between end users of data and participants in data collection that we discovered should be addressed by involving the diversity of stakeholders at all stages of programme development. This will maximize the chance of successfully achieving the goals of biodiversity monitoring programmes. [ABSTRACT FROM AUTHOR]

Invertebrates supporting natural pest control and pollination ecosystem services are crucial to world-wide crop production. Understanding national patterns in the spatial structure of natural pest control and pollination can be used to promote effective crop management and contribute to long-term food security., We mapped the species richness and functional diversity of ground beetles and bees to provide surrogate measures of natural pest control and pollination for Great Britain. Functional diversity represents the value and range of morphological and behavioural traits that support ecosystem services. We modelled the rate at which functional diversity collapsed in response to species extinctions to provide an index of functional redundancy., Deficits in functional diversity for both pest control and pollination were found in areas of high arable crop production. Ground beetle functional redundancy was positively correlated with the landscape cover of semi-natural habitats where extinctions were ordered by body size and dispersal ability. For bees, functional redundancy showed a weak positive correlation with semi-natural habitat cover where species extinctions were ordered by feeding specialization., Synthesis and applications. Increasingly, evidence suggests that functionally diverse assemblages of ground beetles and bees may be a key element to strategies that aim to support pollination and natural pest control in crops. If deficits in both functional diversity and redundancy in areas of high crop production are to be reversed, then targeted implementation of agri-environment schemes that establish semi-natural habitat may provide a policy mechanism for supporting these ecosystem services. [ABSTRACT FROM AUTHOR]

Objective: To determine the safety and efficacy of the long-acting analog insulin glargine compared with NPH insulin in patients with type 2 diabetes who were previously treated with insulin alone.Research Design and Methods: A total of 518 subjects with type 2 diabetes who were receiving NPH insulin with or without regular insulin for postprandial control were randomized to receive insulin glargine (HOE 901) once daily (n = 259) or NPH insulin once or twice daily in = 259) for 28 weeks in an open-label, multicenter trial. Doses were adjusted to obtain target fasting glucose <6.7 mmol/l. At study end point, the median total daily insulin dose in both treatment groups was 0.75 IU/kg.Results: The treatment groups showed similar improvements in HbA1c from baseline to end point on intent-to-treat analysis. The mean change (means +/- SD) in HbA1c from baseline to end point was similar in the insulin glargine group (-0.41 +/- 0.1%) and the NPH group (-0.59 +/- 0.1%) after patients began with an average baseline HbA1c of approximately 8.5%. The treatments were associated with similar reductions in fasting glucose levels. Overall, mild symptomatic hypoglycemia was similar in insulin glargine subjects (61.4%) and NPH insulin subjects (66.%) However, nocturnal hypoglycemia in the insulin glargine group was reduced by 25% during the treatment period after the dose-titration phase(26.5 vs. 35.5%, P = 0.0136). Subjects in the insulin glargine group experienced less weight gain than those in the NPH group (0.4 vs. 1.4 kg, P < 0.0007).Conclusions: In patients with type 2 diabetes, once-daily bedtime insulin glargine is as effective as once- or twice-daily NPH in improving and maintaining glycemic control. In addition, insulin glargine deonstrates a lower risk of nocturnal hypoglycemia and less weight gain compared with NPH insulin. [ABSTRACT FROM AUTHOR]

Climate plays a major role in determining where species occur, and when they are active throughout the year. In the face of a changing climate, many species are shifting their ranges poleward. Many species are also shifting their emergence phenology. Wild bees in Great Britain are susceptible to changes in climatic conditions but little is known about historic or potential future spatio-temporal trends of many species. This study utilized a sliding window approach to assess the impacts of climate on bee emergence dates, estimating the best temperature window for predicting emergence dates for 88 species of wild bees. Using a 'middle-of-the-road' (RCP 4.5) and 'worst-case' (RCP 8.5) climate scenario for the period 2070-2079, predictions of future emergence dates were made. In general, the best predicting climate window occurred in the 0-3 months preceding emergence. Across the 40 species that showed a shift in emergence dates in response to a climate window, the mean advance was 13.4 days under RCP 4.5 and 24.9 days under RCP 8.5. Species distribution models (SDMs) were used to predict suitable climate envelopes under historic (1980-1989), current (2010-2019) and future (2070-2079 under RCP 4.5 and RCP 8.5 scenarios) climate conditions. These models predict that the climate envelope for 92% of studied species has increased since the 1980s, and for 97% and 93% of species under RCP 4.5 and RCP 8.5 respectively, this is predicted to continue, due to extension of the northern range boundary. While any range changes will be moderated by habitat availability, it highlights that Great Britain will likely experience northward shifts of bee populations in the future. By combining spatial and temporal trends, this work provides an important step towards informing conservation measures suitable for future climates, directing how interventions can be provided in the right place at the right time., (© 2023 The Authors. Ecology and Evolution published by John Wiley & Sons Ltd.)

Climate change has a diverse range of impacts on wild bees, including their phenology or timing of life history events. Climate-driven phenological shifts can not only impact individuals at species level but also threaten the vital pollination service that wild bees provide to both wild plants and cultivated crops. Despite their involvement in pollination, for most bee species, especially in Great Britain, little is known about phenological shifts. This study makes use of 40 years of presence-only data for 88 species of wild bees to analyse shifts in emergence dates, both over time and in relation to temperature. The analyses reveal widespread advances in emergence dates of British wild bees, at an average rate of 0.40 ± 0.02 days per year since 1980 across all species in the study data set. Temperature is a key driver of this shift, with an average advance of 6.5 ± 0.2 days per 1°C warming. For change in emergence dates both over time and in relation to temperature, there was significant species-specific variation, with 14 species showing significant advances over time and 67 showing significant advances in relation to temperature. Traits did not appear to explain variation in individual species' responses, with overwintering stage, lecty, emergence period and voltinism considered as possible explanatory traits. Pairwise comparisons showed no differences in sensitivity of emergence dates to increasing temperature between trait groups (groups of species which share all four traits) that differed by only one trait. These results highlight not only a direct impact of temperature on the phenology of wild bees themselves but also the species-specific shifts highlight a possible impact on the temporal structure of bee communities and the pollination networks for which the wild bees are so crucial., Competing Interests: The authors declare no conflict of interest., (© 2023 The Authors. Ecology and Evolution published by John Wiley & Sons Ltd.)

Introduction: Across Australia, providing sustainable primary care services in small rural communities (<1000 population) has been increasingly challenging. It is acknowledged that health system planners must take coordinated action to strengthen systems to enable a community-empowered response to such challenges. In partnership with the Australian Government, Collaborative Care is a whole-of-system approach used in five Australian rural sub-regions to align communities, organisations, policy and funding levers with a common purpose in health workforce and service planning (article here)., Methods: A synthesis of field observations and experiences of community and jurisdictional partners in planning and implementing a Collaborative Care model., Results: In this presentation, we report on the success factors and challenges in developing models for improved rural primary health care access. Successes include sustained community participation, improved community health workforce literacy, coordination of stakeholders and resources across health and community systems combined with health service planning expertise. Challenges include the time and investment to build a coordinated partnership approach and in identifying mechanisms for ongoing financial sustainability., Discussion: Including community as a partner in design and implementation is a key enabler for achieving a tailored primary health workforce and service delivery model that is acceptable and trusted by communities. The Collaborative Care approach strengthens community through capacity building and integrating existing resources across both primary and acute care services to achieve an innovative and quality rural health workforce model built around the concept of rural generalism. Identifying mechanisms for sustainability will enhance the usefulness of the Collaborative Care Framework.

There is increasing evidence that farmers in many areas are achieving below maximum yields due to insufficient pollination. Practical and effective approaches are needed to maintain wild pollinator populations within agroecosystems so they can deliver critical pollination services that underpin crop production. We established nesting and wildflower habitat interventions in 24 UK apple orchards and measured effects on flower-visiting insects and the pollination they provide, exploring how this was affected by landscape context. We quantified the extent of pollination deficits and assessed whether the management of wild pollinators can reduce deficits and deliver improved outcomes for growers over 3 years. Wildflower interventions increased solitary bee numbers visiting apple flowers by over 20%, but there was no effect of nesting interventions. Other pollinator groups were influenced by both local and landscape-scale factors, with bumblebees and hoverflies responding to the relative proportion of semi-natural habitat at larger spatial scales (1000 m), while honeybees and other flies responded at 500 m or less. By improving fruit number and quality, pollinators contributed more than £16 k per hectare. However, deficits (where maximum potential was not being reached due to a lack of pollination) were recorded and the extent of these varied across orchards, and from year to year, with a 22% deficit in output in the worst (equivalent to ~£14 k/ha) compared to less than 3% (equivalent to ~£2 k/ha) in the best year. Although no direct effect of our habitat interventions on deficits in gross output was observed, initial fruit set and seed set deficits were reduced by abundant bumblebees, and orchards with a greater abundance of solitary bees saw lower deficits in fruit size. The abundance of pollinators in apple orchards is influenced by different local and landscape factors that interact and vary between years. Consequently, pollination, and the extent of economic output deficits, also vary between orchards and years. We highlight how approaches, including establishing wildflower areas and optimizing the ratio of cropped and non-cropped habitats can increase the abundance of key apple pollinators and improve outcomes for growers., (© 2022 The Authors. Ecological Applications published by Wiley Periodicals LLC on behalf of The Ecological Society of America.)

Background: Outreach health practitioners play a key role in enhancing access to healthcare for remote, rural, regional, and Aboriginal and Torres Strait Islander communities in Australia. Outreach health practitioners are those providing ongoing and integrated health services in communities that would otherwise have limited access. In the context of the COVID-19 pandemic, it is important to understand the job satisfaction of health workers as it correlates with long-term retention of the workforce, as well as effectiveness in the role and clinical outcomes for patients. Method: The study analysed data from 258 outreach health practitioners who responded to two cross-sectional surveys conducted by the NSW Rural Doctors Network during the COVID-19 pandemic in 2020/21 and 2021/22 in NSW and the ACT, Australia. Both bivariate and multivariate analyses were employed to assess the associations between the outcome variable (outreach health practitioners' job satisfaction) and independent variables (sociodemographic factors, motivation, self-confidence, communication, capability). Results: Overall, the study showed that 92.2% of health practitioners were satisfied in their role providing outreach health services during the COVID-19 pandemic. In the multivariable model, factors significantly associated with higher satisfaction included good communication with other local health practitioners, using telehealth along with in-person care, and having high self-rated capability compared to those health practitioners who said they had lower job satisfaction. Conclusions: Outreach health practitioners' job satisfaction is important because poor satisfaction may lead to suboptimal healthcare delivery, poor clinical outcomes, and poor retention of staff in rural settings. These findings should be taken into consideration when developing future strategies to improve job satisfaction among rural outreach health practitioners and to enhance attraction, recruitment and retention and may be applicable to the broader health workforce.

Background: Health professionals' perceptions of persuasive design techniques for use in technological solutions to improve health workforce capability have not been previously explored., Objective: This study aims to explore rural health professionals' perceptions of health workforce capability and persuasive design techniques; and translate these into recommendations for designing a health workforce capability app to increase their impact and usefulness., Methods: Qualitative interviews with 13 rural health professionals were conducted. Subsequently, 32 persuasive techniques were used as a framework to deductively analyze the data. Persuasive design technique domains were Primary Task Support, Dialog Support, System Credibility Support, Social Support, and Cialdini's Principles of Persuasion., Results: Persuasive design techniques can be applied across the factors that influence health workforce capability including health and personal qualities; competencies and skills; values, attitudes, and motivation; and factors that operate outside of work and at the team, organizational, and labor market levels. The majority of the 32 persuasive design techniques were reflected in the data from the interviews and led to recommendations as to how these could be translated into practice, with the exception of scarcity. Many suggestions and persuasive design techniques link back to the need for tailored and localized solutions such as the need for country-specific-based evidence, the wish for localized communities of practice, learning from other rural health professionals, and referral pathways to other clinicians. Participants identified how persuasive design techniques can optimize the user experience to help meet rural health professionals needs for more efficient systems to improve patient access to care, quality care, and to enable working in interprofessional team-based care. Social inclusion plays a vital role for health professionals, indicating the importance of the Social Support domain of persuasive techniques. Overall, health professionals were open to self-monitoring of their work performance and some professionals used wearables to monitor their health., Conclusions: Rural health professionals' perceptions of health workforce capability informed which persuasive design techniques can be used to optimize the user experience of an app. These were translated into recommendations for designing a health workforce capability app to increase likelihood of adoption. This study has also contributed to the further validation of the Persuasive Systems Design model through empirically aligning elements of the model to increase persuasive system content and functionality with real-world applied data, in this case the health workforce capability of rural health professionals. Our findings confirm that these techniques can be used to develop a future prototype of an app that may assist health professionals in improving or maintaining their health workforce capability which in turn may increase recruitment and retention in rural areas. Health professionals need to be central during the design phase. Interventions are needed to provide a supportive environment to rural and remote health professionals to increase their rural health workforce capability., (©Sabrina Pit, Robyn Ramsden, Aaron JH Tan, Kristy Payne, James Barr, Benjamin Eames, Mike Edwards, Richard Colbran. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 02.05.2022.)

Background: There is a need to further investigate how persuasive design principles can change rural health professionals' behaviors to look after their own health workforce capability. Several theories are used when developing apps to persuade people to change behavior, including the Persuasive System Design Model, consisting of primary task, dialogue, system credibility, and social support categories, and Cialdini's principles of persuasion. These have not been analyzed yet in the field of health workforce capability., Objective: This study aims to determine the persuasive design techniques used in capability building-related apps and to provide recommendations for designing a health workforce app to increase their persuasiveness., Methods: A Python script was used to extract a total of 3060 apps from Google Play. Keywords centered around health workforce capability elements. App inclusion criteria were as follows: been updated since 2019, rated by users on average 4 and above, and more than 100,000 downloads. Next, 2 experts reviewed whether 32 persuasive strategies were used in the selected apps, and these were further analyzed by capability categories: competencies and skills, health and personal qualities, values and attitudes, and work organization., Results: In all, 53 mobile apps were systematically reviewed to identify the persuasive design techniques. The most common were surface credibility (n=48, 90.6%) and liking (n=48), followed by trustworthiness (n=43, 81.1%), reminders (n=38, 71.7%), and suggestion (n=30, 56.6%). The techniques in the social support domain were the least used across the different apps analyzed for health workforce capability, whereas those in the primary task support domain were used most frequently. The recommendations reflect learnings from our analysis. These findings provided insight into mobile app design principles relevant to apps used in improving health workforce capability., Conclusions: Our review showed that there are many persuasive design techniques that can assist in building health workforce capability. Additionally, several apps are available in the market that can assist in improving health workforce capability. There is, however, a specific lack of digital, real-time support to improve health workforce capability. Social support strategies through using social support persuasive design techniques will need to be integrated more prominently into a health workforce capability app. An app to measure and monitor health workforce capability scores can be used in conjunction with direct real-world person and real-time support to discuss and identify solutions to improve health workforce capability for rural and remote health professionals who are at high risk of burnout or leaving the rural health workforce., (©Sabrina Winona Pit, Aaron J H Tan, Robyn Ramsden, Kristy Payne, Winona Freihaut, Oliver Hayes, Benjamin Eames, Mike Edwards, Richard Colbran. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 07.02.2022.)

Sown wildflower areas are increasingly recommended as an agri-environmental intervention measure, but evidence for their success is limited to particular insect groups or hampered by the challenges of establishing seed mixes and maintaining flower abundance over time. We conducted a replicated experiment to establish wildflower areas to support insect pollinators in apple orchards. Over three years, and across 23 commercial UK orchards with and without sown wildflowers, we conducted 828 transect surveys across various non-crop habitats. We found that the abundance of flower-visiting solitary bees, bumblebees, honeybees, and beetles was increased in sown wildflower areas, compared with existing non-crop habitats in control orchards, from the second year following floral establishment. Abundance of hoverflies and other non-syrphid flies was increased in wildflower areas from the first year. Beyond the effect of wildflower areas, solitary bee abundance was also positively related to levels of floral cover in other local habitats within orchards, but neither local nor wider landscape-scale context affected abundance of other studied insect taxa within study orchards. There was a change in plant community composition on the sown wildflower areas between years, and in patterns of flowering within and between years, showing a succession from unsown weedy species towards a dominance of sown species over time. We discuss how the successful establishment of sown wildflower areas and delivery of benefits for different insect taxa relies on appropriate and reactive management practices as a key component of any such agri-environment scheme., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2021 The Authors.)

We evaluated the capacity of selected plants, sown along a processing tomato field margin in central Greece and natural vegetation, to attract beneficial and Hymenoptera pollinating insects and questioned whether they can distract pollinators from crop flowers. Measurements of flower cover and attracted pollinators and beneficial arthropods were recorded from early-May to mid-July, during the cultivation period of the crop. Flower cover was higher in the sown mixtures compared to natural vegetation and was positively correlated with the number of attracted pollinators. The sown Glebionis coronaria , Coriandrum sativum , Anethum graveolens , and Fagopyrum esculentum attracted mainly wild bees, which were the most abundant pollinating insects. In the natural vegetation, Rapistrum rugosum attracted mainly honeybees, while Asteraceae, Convolvulaceae, and Apiaceae species attracted wild bees. Beneficial arthropod abundance and diversity were higher in the sown mixture. Tomato flowers were visited by a small number of wild bees. Their number was not affected by the distance from the field margin, indicating no distraction effect from the sown or natural vegetation flowering plants. Our results suggest that selected flowering plants can improve the field margin habitats for pollinating insects and beneficial arthropods, but more work is needed to elucidate the effect on crop pollination.

Rural health services, and the workforces that provide those services, are under unprecedented pressure due to insufficient health workforce numbers and distribution of health workforce weighted to urban areas. This creates health service access issues in rural areas, compounding existing health inequalities between rural and urban people. Many approaches to date have aimed to rectify these issues, with moderate success. In this article we present a call to action to pursue a complementary approach: supporting the capability of the rural health workforce. We hypothesise that further exploring what it means to be a 'capable' rural health professional and what processes or conditions support or erode capability may additionally bolster efforts toward strong rural and remote health systems. The Capability Approach is a theory proposed by Amartya Sen, who was awarded the Nobel Memorial Prize in Economic Sciences in 1998 for this work. Although the Capability Approach inspired, for instance, the UN's Human Development Index, it has not been deeply explored in the context of rural health workforce. While still untested, a focus on capability may assist us in taking a broader view, which encompasses functioning and the freedom to pursue different functioning combinations. The feasible freedom and opportunities are paramount to the concept of capability. We posit that competence is static and the responsibility of the practitioner (and their education), but that capability is fluid and multi-dimensional and the responsibility of the practitioner, community and system. Therefore, we hypothesise that a focus on a Capability Approach, which modulates the relation between the contextual factors and outcomes, may provide us with greater understanding and avenues for action when we aim to improve outcomes such as rural health service sustainability. Developing a list of appropriate capabilities and setting strategies to support capability and its more nuanced domains may present unique opportunities for influence, and these may have positive effects on the rural health workforce. Of course it will need to be determined if improving rural primary health professionals' capability has positive impacts upon quality and access to care, and whether supporting capability is sustainable and worthy of investment.

Aim: Globally, neurodegeneration accounts for significant morbidity and mortality among the elderly. Millions of people are afflicted with neurodegenerative diseases, with the most notable cases attributed to Alzheimer's, Huntington's, amyotrophic lateral sclerosis and Parkinson's diseases. Sensitive assays that can detect proteopathic anomalies indicative of early neurodegeneration have remained elusive. Therefore, there is an urgent need for sensitive diagnostic and prognostic biomarker assays that can guide the therapeutic regimen in the clinic. Materials & methods: Single molecule array digital immunoassay platform has sensitivity about 1000-fold higher than traditional ligand binding assays. Consequently, we are now beginning to implement ultrasensitive techniques in bioanalysis. Conclusion: In the current study, we evaluated single molecule array technology and report specifications to quantitate neurofilament light chain, a bona-fide biomarker for neurodegeneration. Preliminary neurofilament light screening results from 100 human geriatric cerebrospinal fluid samples displayed huge biological variation and warrants further investigation.

Turner, A, Bishop, C, Chavda, S, Edwards, M, Brazier, J, Kilduff, LP. Physical characteristics underpinning lunging and change of direction speed in fencing. J Strength Cond Res 30(8): 2235-2241, 2016-Lunge velocity (LV) and change of direction speed (CODS) are considered fundamental to success during fencing competitions; investigating the physical characteristics that underpin these is the aim of this study. Seventy fencers from the British Fencing National Academy took part and on average (±SD) were 16.83 ± 1.72 years of age, 178.13 ± 8.91 cm tall, 68.20 ± 9.64 kg in mass, and had 6.25 ± 2.23 years fencing experience. The relationship between anthropometric characteristics (height, arm span, and adductor flexibility) and measures of lower-body power (bilateral and unilateral countermovement jump height and reactive strength index) were examined in their ability to influence LV and CODS. In testing the former, fencers lunged (over a self-selected distance) to and from a force plate, where front leg impact and rear leg propulsive force were quantified; the lunging distance was divided by time to establish LV. Change of direction speed was measured over 12 m involving shuttles of between 2 and 4 m. Results revealed that LV and CODS averaged at 3.35 m·s and 5.45 seconds, respectively, and in both cases, standing broad jump was the strongest predictor (r = 0.51 and -0.65, respectively) of performance. Rear leg drive and front leg impact force averaged at 14.61 N·kg and 3 times body weight, respectively, with single leg jumps revealing an asymmetry favoring the front leg of 9 ± 8%. In conclusion, fencers should train lower-body power emphasizing horizontal displacement, noting that this seems to offset any advantage one would expect fencers of a taller stature to have. Also, the commonly reported asymmetry between legs is apparent from adolescence and thus also requires some attention.

Pollinators are fundamental to maintaining both biodiversity and agricultural productivity, but habitat destruction, loss of flower resources, and increased use of pesticides are causing declines in their abundance and diversity. Using historical records, we assessed the rate of extinction of bee and flower-visiting wasp species in Britain from the mid-19th century to the present. The most rapid phase of extinction appears to be related to changes in agricultural policy and practice beginning in the 1920s, before the agricultural intensification prompted by the Second World War, often cited as the most important driver of biodiversity loss in Britain. Slowing of the extinction rate from the 1960s onward may be due to prior loss of the most sensitive species and/or effective conservation programs., (Copyright © 2014, American Association for the Advancement of Science.)

1. A 39-year bumblebee data base was used to study the codistribution of six cuckoo bumblebees in the subgenus Psythirus of Bombus (hereafter called Psythirus) and their free-living bumblebee hosts in the British Isles. 2. A model of nest parasitism predicted host threshold densities and stable deterministic dynamics, with fluctuations only emerging as a result of environmental or demographic stochasticity. 3. Standardized transects indicated that variation in total number of records could be largely attributed to variation in observer effort; analyses were therefore carried out using relative abundance. 4. Spatially, parasite-free zones were evident in areas of low host abundance, but the host threshold for parasite presence differed among species and locations. 5. Temporally, the relative numbers of the parasite and host species remained relatively constant, except that the nest parasite P. campestris declined significantly since 1990. 6. There were consistent negative effects of the parasitic species on the numbers of hosts in the following year, and this pattern was seen over large geographic areas. 7. The spatio-temporal patterns confirmed a high degree of host specificity, except that P. campestris may be parasitizing not only B. pascuorum but also other species in the subgenus Thoracobombus., (© 2011 The Authors. Journal of Animal Ecology © 2011 British Ecological Society.)

Natural antimicrobial compounds perform their action mainly against cell membranes. The aim of this work was to evaluate the interaction, meant as a mechanism of action, of essential oil antimicrobial compounds with the microbial cell envelope. The lipid profiles of Escherichia coli O157:H7, Staphylococcus aureus, Salmonella enterica serovar Typhimurium, Pseudomonas fluorescens, and Brochothrix thermosphacta cells treated with thymol, carvacrol, limonene, eugenol, and cinnamaldehyde have been analyzed by gas chromatography. In line with the fatty acids analysis, the treated cells were also observed by scanning electron microscopy (SEM) to evaluate structural alterations. The overall results showed a strong decrease of the unsaturated fatty acids (UFAs) for the treated cells; in particular, the C18:2trans and C18:3cis underwent a notable reduction contributing to the total UFA decreases, while the saturated fatty acid C17:0 raised the highest concentration in cinnamaldehyde-treated cells. SEM images showed that the used antimicrobial compounds quickly exerted their antimicrobial activities, determining structural alterations of the cell envelope.