title: Diel and seasonal courses of ambient carbon dioxide concentration and their effect on productivity of the epilithic lichen Lecanora muralis in a temperate, suburban habitat

authors: Lange, Otto L.

subjects: CO₂

abstract: Ambient CO₂ concentration (together with CO₂ exchange and microclimate) was recorded every 30 min for 15 months for Lecanora muralis growing in the Botanical Garden Würzburg (Germany, northern Bavaria), a habitat on the outskirts of the city. Annual mean CO₂ was around 17 ppm higher than the global average reported for the time of measurement (361 ppm; 1995/96), and daily values ranged from 317 to 490 ppm. Diel courses of CO₂ could be classified into three different types. Type A, when CO₂ levels rose overnight and then fell strongly to below global levels during the day, which predominated in the summer (about 75 of days); Type B, irregular diel courses occurred during all seasons with often very rapid changes apparently due to advective CO₂ transport; Type C, CO₂ concentration was typically almost stable at generally between c. 330 and 430 ppm which predominated in the winter (63 of days).
Under controlled conditions, CO₂ saturation of net photosynthesis (NP) of L. muralis at optimal hydration and light occurred at around 1000 ppm. NP was also affected by low CO₂ at limiting light and thallus water contents. Based upon these data, we estimated the improvement of NP of L. muralis due to transient increase of ambient CO₂ (as compared with the global average) for one selected combination of environmental factors (nocturnal dew or frost). This combination is an important source of water for the lichen, resulting in 40 of its annual production and, especially in these situations, photosynthesis was increased by high ambient CO₂ in the early morning under prevailing Type A conditions. After dew activation, light compensation point of NP occurred at an average concentration of 413 ppm and diel maxima of NP at 402 ppm. This allows a rough estimate that the transiently elevated CO₂ increased the photosynthetic gain of the lichen after dew of 7, or an improvement to its annual carbon balance of about 3. Conditions, especially interrelationships between lichen hydration, light and CO₂ are so complex that we are not yet able to extend our estimates to other environmental situations of photosynthetic activity of L. muralis.

text: Diel and seasonal courses of ambient carbon dioxide concentration and their effect on productivity of the epilithic lichen Lecanora muralis in a temperate, suburban habitat Ambient CO₂ concentration (together with CO₂ exchange and microclimate) was recorded every 30 min for 15 months for Lecanora muralis growing in the Botanical Garden Würzburg (Germany, northern Bavaria), a habitat on the outskirts of the city. Annual mean CO₂ was around 17 ppm higher than the global average reported for the time of measurement (361 ppm; 1995/96), and daily values ranged from 317 to 490 ppm. Diel courses of CO₂ could be classified into three different types. Type A, when CO₂ levels rose overnight and then fell strongly to below global levels during the day, which predominated in the summer (about 75 of days); Type B, irregular diel courses occurred during all seasons with often very rapid changes apparently due to advective CO₂ transport; Type C, CO₂ concentration was typically almost stable at generally between c. 330 and 430 ppm which predominated in the winter (63 of days).
Under controlled conditions, CO₂ saturation of net photosynthesis (NP) of L. muralis at optimal hydration and light occurred at around 1000 ppm. NP was also affected by low CO₂ at limiting light and thallus water contents. Based upon these data, we estimated the improvement of NP of L. muralis due to transient increase of ambient CO₂ (as compared with the global average) for one selected combination of environmental factors (nocturnal dew or frost). This combination is an important source of water for the lichen, resulting in 40 of its annual production and, especially in these situations, photosynthesis was increased by high ambient CO₂ in the early morning under prevailing Type A conditions. After dew activation, light compensation point of NP occurred at an average concentration of 413 ppm and diel maxima of NP at 402 ppm. This allows a rough estimate that the transiently elevated CO₂ increased the photosynthetic gain of the lichen after dew of 7, or an improvement to its annual carbon balance of about 3. Conditions, especially interrelationships between lichen hydration, light and CO₂ are so complex that we are not yet able to extend our estimates to other environmental situations of photosynthetic activity of L. muralis.

year: 2008

title: Applying Rasch Methodology to Examine and Enhance Precision of the Baby Care Questionnaire

authors: Truong, Quoc Cuong

abstract: The Baby Care Questionnaire (BCQ) is an established ordinal measure of parenting beliefs about infant care, which includes structure and attunement scales. Rasch analysis is a powerful method to examine and improve psychometric properties of ordinal scales. This study aimed to evaluate the psychometric properties and improve precision of the structure and attunement scales of the BCQ using Rasch methodology. A Partial Credit Rasch model was applied to a sample of 450 mothers from the United Kingdom (n = 225) and New Zealand (n = 225) who completed the BCQ. Initial analyses indicated acceptable reliability of the structure and attunement scales of the BCQ, but some items showed misfit to the Rasch model associated with local dependency issues in both scales. After combining locally dependent items into testlets, both scales of the BCQ met expectations of the unidimensional Rasch model and demonstrated adequate and strong reliability and invariance across countries and person factors such as participants’ age and their baby’s sex. This permitted the generation of conversion algorithms to transform ordinal scores into interval data to enhance the precision of both scales of the BCQ. In conclusion, using Rasch methodology, this study demonstrated robust psychometric properties of the structure and attunement scales of the BCQ after minor modifications. The ordinal-to-interval conversion tables published here can be used to further enhance the precision of the structure and attunement scales of the BCQ without changing their original response format. These findings contribute to the enhancement of precision in measuring parenting beliefs about infant care.

text: Applying Rasch Methodology to Examine and Enhance Precision of the Baby Care Questionnaire The Baby Care Questionnaire (BCQ) is an established ordinal measure of parenting beliefs about infant care, which includes structure and attunement scales. Rasch analysis is a powerful method to examine and improve psychometric properties of ordinal scales. This study aimed to evaluate the psychometric properties and improve precision of the structure and attunement scales of the BCQ using Rasch methodology. A Partial Credit Rasch model was applied to a sample of 450 mothers from the United Kingdom (n = 225) and New Zealand (n = 225) who completed the BCQ. Initial analyses indicated acceptable reliability of the structure and attunement scales of the BCQ, but some items showed misfit to the Rasch model associated with local dependency issues in both scales. After combining locally dependent items into testlets, both scales of the BCQ met expectations of the unidimensional Rasch model and demonstrated adequate and strong reliability and invariance across countries and person factors such as participants’ age and their baby’s sex. This permitted the generation of conversion algorithms to transform ordinal scores into interval data to enhance the precision of both scales of the BCQ. In conclusion, using Rasch methodology, this study demonstrated robust psychometric properties of the structure and attunement scales of the BCQ after minor modifications. The ordinal-to-interval conversion tables published here can be used to further enhance the precision of the structure and attunement scales of the BCQ without changing their original response format. These findings contribute to the enhancement of precision in measuring parenting beliefs about infant care.

year: 2024-01-12

title: How do colorectal cancer patients rate their GP: a mixed methods study

authors: Blackmore, Tania Louise

subjects: Science & Technology

abstract: Background: New Zealand (NZ) has a high incidence of colorectal cancer (CRC) and low rates of early diagnosis. With screening not yet nationwide, the majority of CRC is diagnosed through general practice. A good patient-general practitioner (GP) relationship can facilitate prompt diagnosis, but when there is a breakdown in this relationship, delays can occur. Delayed diagnosis of CRC in NZ receives a disproportionally high number of complaints directed against GPs, suggesting deficits in the patient-GP connection. We aimed to investigate patient-reported confidence and ratings of their GP following the diagnostic process. 
Methods: This study is a mixed methods analysis of responses to a structured questionnaire and free text comments from patients newly diagnosed with CRC in the Midland region of NZ. A total of 195 patients responded to the structured questionnaire, and 113 patients provided additional free text comments. Descriptive statistics were used to describe the study population and chi square analysis determined the statistical significance of factors possibly linked to delay. Free text comments were analysed using a thematic framework. 
Results: Most participants rated their GP as ‘Very good/Good’ at communication with patients about their health conditions and involving them in decisions about their care, and 6.7% of participants rated their overall level of confidence and trust in their GP as ‘Not at all’. Age, gender, ethnicity and a longer diagnostic interval were associated with lower confidence and trust. Free text comments were grouped in to three themes: 1. GP Interpersonal skills; (communication, listening, taking patient symptoms seriously), 2. Technical competence; (speed of referral, misdiagnoses, lack of physical examination), and 3. Organisation of general practice care; (appointment length, getting an appointment, continuity of care). 
Conclusions: Māori, females, and younger participants were more likely to report low confidence and trust in their GP. Participants associate a poor diagnostic experience with deficits in the interpersonal and technical skills of their GP, and health system factors within general practice. Short appointment times, access to appointments and poor GP continuity are important components of how patients assess their experience and are particularly important to ensure equal access for Māori patients.

text: How do colorectal cancer patients rate their GP: a mixed methods study Background: New Zealand (NZ) has a high incidence of colorectal cancer (CRC) and low rates of early diagnosis. With screening not yet nationwide, the majority of CRC is diagnosed through general practice. A good patient-general practitioner (GP) relationship can facilitate prompt diagnosis, but when there is a breakdown in this relationship, delays can occur. Delayed diagnosis of CRC in NZ receives a disproportionally high number of complaints directed against GPs, suggesting deficits in the patient-GP connection. We aimed to investigate patient-reported confidence and ratings of their GP following the diagnostic process. 
Methods: This study is a mixed methods analysis of responses to a structured questionnaire and free text comments from patients newly diagnosed with CRC in the Midland region of NZ. A total of 195 patients responded to the structured questionnaire, and 113 patients provided additional free text comments. Descriptive statistics were used to describe the study population and chi square analysis determined the statistical significance of factors possibly linked to delay. Free text comments were analysed using a thematic framework. 
Results: Most participants rated their GP as ‘Very good/Good’ at communication with patients about their health conditions and involving them in decisions about their care, and 6.7% of participants rated their overall level of confidence and trust in their GP as ‘Not at all’. Age, gender, ethnicity and a longer diagnostic interval were associated with lower confidence and trust. Free text comments were grouped in to three themes: 1. GP Interpersonal skills; (communication, listening, taking patient symptoms seriously), 2. Technical competence; (speed of referral, misdiagnoses, lack of physical examination), and 3. Organisation of general practice care; (appointment length, getting an appointment, continuity of care). 
Conclusions: Māori, females, and younger participants were more likely to report low confidence and trust in their GP. Participants associate a poor diagnostic experience with deficits in the interpersonal and technical skills of their GP, and health system factors within general practice. Short appointment times, access to appointments and poor GP continuity are important components of how patients assess their experience and are particularly important to ensure equal access for Māori patients.

year: 2021-04-08