Reliability, validity, and responsiveness of the Western Ontario and McMaster Universities osteoarthritis index for elderly patients with a femoral neck fracture

Background: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not in patients with a femoral neck fracture. This study aimed to determine the reliability, construct validity, and responsiveness of the WOMAC compared with the Short Form-12 (SF-12) and the EuroQol 5D (EQ-5D) questionnaires for the assessment of elderly patients with a femoral neck fracture.

Methods: Reliability was tested by assessing the Cronbach alpha. Construct validity was determined with the Pearson correlation coefficient. Change scores were calculated from ten weeks to twelve months of follow-up. Standardized response means and floor and ceiling effects were determined. Analyses were performed to compare the results for patients less than eighty years old with those for patients eighty years of age or older.

Results: The mean WOMAC total score was 89 points before the fracture in the younger patients and increased from 70 points at ten weeks to 81 points at two years postoperatively. In the older age group, these scores were 86, 75, and 78 points. The mean WOMAC pain scores before the fracture and at ten weeks and two years postoperatively were 92, 76, and 87 points, respectively, in the younger age group and 92, 84, and 93 points in the older age group. Function scores were 89, 68, and 79 points for the younger age group and 84, 71, and 73 points for the older age group. The Cronbach alpha for pain, stiffness, function, and the total scale ranged from 0.83 to 0.98 for the younger age group and from 0.79 to 0.97 for the older age group. Construct validity was good, with 82% and 79% of predefined hypotheses confirmed in the younger and older age groups, respectively. Responsiveness was moderate. No floor effects were found. Moderate to large ceiling effects were found for pain and stiffness scales at ten weeks and twelve months in younger patients (18% to 36%) and in the older age group (38% to 53%).

Conclusions: The WOMAC showed good reliability, construct validity, and responsiveness in both age groups of elderly patients with a femoral neck fracture who had been physically and mentally fit before the fracture. The instrument is suitable for use in future clinical studies in these populations.

Hybrid technique of ant colony and particle swarm optimization for short term wind energy forecasting

Wind farms are producing a considerable portion of the world renewable energy. Since the output power of any wind farm is highly dependent on the wind speed, the power extracted from a wind park is not always a constant value. In order to have a non-disruptive supply of electricity, it is important to have a good scheduling and forecasting system for the energy output of any wind park. In this paper, a new hybrid swarm technique (HAP) is used to forecast the energy output of a real wind farm located in Binaloud, Iran. The technique consists of the hybridization of the ant colony optimization (ACO) and particle swarm optimization (PSO) which are two meta-heuristic techniques under the category of swarm intelligence. The hybridization of the two algorithms to optimize the forecasting model leads to a higher quality result with a faster convergence profile. The empirical hourly wind power output of Binaloud Wind Farm for 364 days is collected and used to train and test the prepared model. The meteorological data consisting of wind speed and ambient temperature is used as the inputs to the mathematical model. The results indicate that the proposed technique can estimate the output wind power based on the wind speed and the ambient temperature with an MAPE of 3.513%.

The challenges of addressing an Aboriginal responsibility for Country in land-use and national park planning: a South East Queensland case study

This paper presents research insights on the challenges that Australian Aboriginal communities living within the South East Queensland (SEQ) metropolitan region face in seeking to exercise their contemporary responsibilities to care for Country in land-use and national park planning. A case study design was adopted to analyse the incorporation of two Aboriginal communities connections to Country in state-based planning systems, and to explore the responsibilities Aboriginal communities ethically seek to adhere to in maintaining Country from their own understandings.
Country, from an Aboriginal understanding, involves a deep ecological, cultural, economic and social comprehension of ‘law’ guided by a responsibility for Country. Otherwise known as customary law and custom, Country is that which both Aboriginals and their communities are intrinsically connected to. Country is the moral value that guides Aboriginal obligation to care and this obligation could well conflict
with mainstream contemporary Western management policy and legislation.
This research draws on insights from Quandamooka Country (North Stradbroke Island) and Jagera Country (Brisbane City and Ipswich), located within the Brisbane metropolitan region in South East Queensland of Australia. During this research, it was concluded that, in both Quandamooka Country and Jagera Country, the respective Owners are operating within a sphere of increasingly complex challenges that impact upon their ability to conserve and have recognized the values of their obligations to Country care in planning. Common themes occurring on Country identified in this research included issues relating to a neglect of care to maintain Country by planners and government officials, and interactions that prevent Traditional Owners from having their obligation of caring for Country on their terms expressed through land-use planning legislation. Political agendas of the Queensland State that influences the interactions of planners and government with Traditional Owners were also concluded to be detrimental, and to damaging trust, ongoing discussions and understandings. These insights indicate that Aboriginal communities are facing an increasing conflicting range of perceptions and comprehensions that are hindering the expression and execution of their moral responsibility embodied in their deep ecological law to care for Country in Western planning legislative obligations. It illustrates that the responsibilities given to practicing planners and government officials to care for Country under Western law are commonly not adhered to It concludes with the suggestion that for some progress to recognize an Aboriginal responsibility to Country in planning, state-Traditional Owner relations and collaboration is now needed to help transcend the legislative challenges underpinning Western planning law.

Fire and climatic extremes shape mammal distributions in a fire-prone landscape

Aim: Extreme climatic events and large wildfires are predicted to increase as the world's climate warms. Understanding how they shape species' distributions will be critical for conserving biodiversity. We used a 7-year dataset of mammals collected during and after south-east Australia's Millennium Drought to assess the roles of fire history, climatic extremes and their interactions in shaping mammal distributions. Location: Grampians National Park, south-eastern Australia.

Methods: We surveyed mammals at 36 sites along a ~50-year post-fire chronosequence in each of the 7 years. We modelled ten mammal species in relation to fire history, productivity and recent rainfall. Next, we examined the consistency of species' fire response curves across each of three climatic phases relating to the Millennium Drought. Finally, we identified the optimal distribution of fire ages for small and medium-sized mammal conservation in each of the three climatic phases.

Results: The majority of species were influenced by fire history, and all native species were negatively associated with recently burned vegetation. Seven of ten species responded positively to the end of the Millennium Drought, but six of these declined quickly thereafter. Species' responses to fire history differed depending on the climatic conditions. However, the optimal distribution of fire-age classes consistently emphasized the importance of older age classes, regardless of climatic phase. This distribution is in stark contrast to the current distribution of fire ages across the study region.

Main conclusions: Mammals in the study region face an uncertain future. The negative impact of drought, the short-lived nature of post-drought recovery and, now, the possibility of a new drought beginning forewarn of further declines. The stark contrast between the optimal and current fire-age distributions means that reducing the incidence of further fires is critical to enhance the capacity of native mammal communities to weather an increasingly turbulent climate.

Restoration rocks: integrating abiotic and biotic habitat restoration to conserve threatened species and reduce fire fuel load

With rapid urban expansion, biodiversity conservation and human asset protection often require different regimes for managing wildfire risk. We conducted a controlled, replicated experiment to optimise habitat restoration for the threatened Australian pink-tailed worm-lizard, Aprasia parapulchella while reducing fire fuel load in a rapidly developing urban area. We used dense addition of natural rock (30 % cover) and native grass revegetation (Themedatriandra and Poasieberiana) to restore critical habitat elements. Combinations of fire and herbicide (Glyphosate) were used to reduce fuel load and invasive exotic species. Rock restoration combined with herbicide application met the widest range of restoration goals: it reduced fire fuel load, increased ant occurrence (the primary prey of A. parapulchella) in the short-term and increased the growth and survival of native grasses. Lizards colonised the restored habitat within a year of treatment. Our study documents an innovative way by which conflicts between biodiversity conservation and human asset protection can be overcome.

The structure of communities in scale-free networks

Scale-free networks are often used to model a wide range of real-world networks, such as social, technological, and biological networks. Understanding the structure of scale-free networks evolves into a big data problem for business, management, and protein function prediction. In the past decade, there has been a surge of interest in exploring the properties of scale-free networks. Two interesting properties have attracted much attention: the assortative mixing and community structure. However, these two properties have been studied separately in either theoretical models or real-world networks. In this paper, we show that the structural features of communities are highly related with the assortative mixing in scale-free networks. According to the value of assortativity coefficient, scale-free networks can be categorized into assortative, disassortative, and neutral networks, respectively. We systematically analyze the community structure in these three types of scale-free networks through six metrics: node embeddedness, link density, hub dominance, community compactness, the distribution of community sizes, and the presence of hierarchical communities. We find that the three types of scale-free networks exhibit significant differences in these six metrics of community structures. First, assortative networks present high embeddedness, meaning that many links lying within communities but few links lying between communities. This leads to the high link density of communities. Second, disassortative networks exhibit great hubs in communities, which results in the high compactness of communities that nodes can reach each other via short paths. Third, in neutral networks, a big portion of links act as community bridges, so they display sparse and less compact communities. In addition, we find that (dis)assortative networks show hierarchical community structure with power-law-distributed community sizes, while neutral networks present no hierarchy. Understanding the structure of communities from the angle of assortative mixing patterns of nodes can provide insights into the network structure and guide us in modeling information propagation in different categories of scale-free networks.