Mental health services for Chinese in a community health center

Serious mental health problems exist within the Chinese population of the United States. This article describes one center's attempt to meet the psychiatric needs of both nonpsychotic and psychotic Chinese patients through bilingual, culturally relevant treatments.     

The FARSEEING real-world fall repository: a large-scale collaborative database to collect and share sensor signals from real-world falls

Background

Real-world fall events objectively measured by body-worn sensors can improve the understanding of fall events in older people. However, these events are rare and hence challenging to capture. Therefore, the FARSEEING (FAll Repository for the design of Smart and sElf-adaptive Environments prolonging Independent livinG) consortium and associated partners started to build up a meta-database of real-world falls.

Results

Between January 2012 and December 2015 more than 300 real-world fall events have been recorded. This is currently the largest collection of real-world fall data recorded with inertial sensors. A signal processing and fall verification procedure has been developed and applied to the data. Since the end of 2015, 208 verified real-world fall events are available for analyses. The fall events have been recorded within several studies, with different methods, and in different populations. All sensor signals include at least accelerometer measurements and 58 % additionally include gyroscope and magnetometer measurements. The collection of data is ongoing and open to further partners contributing with fall signals. The FARSEEING consortium also aims to share the collected real-world falls data with other researchers on request.

Conclusions

The FARSEEING meta-database will help to improve the understanding of falls and enable new approaches in fall risk assessment, fall prevention, and fall detection in both aging and disease.

     

Calibration of FI‐ISK,an Invasiveness Screening Tool for Nonnative Freshwater Invertebrates

The Freshwater Invertebrate Invasiveness Scoring Kit (FI‐ISK) is proposed as a screening tool for identifying potentially invasive freshwater invertebrates. FI‐ISK was adapted from the Fish Invasiveness Scoring Kit (FISK) of Copp, Garthwaite, and Gozlan, which is an adapted form of the Weed Risk Assessment (WRA) of Pheloung, Williams, and Halloy. Initial assessments using FI‐ISK, which include confidence (certainty/uncertainty) rankings by the assessor to each response, were calibrated to determine the most appropriate score thresholds for classifying nonnative species into low‐, medium‐, and high‐risk categories, using both the original medium‐to‐high risk threshold scores for the WRA (i.e., ≥6) and for FISK (i.e., ≥19). Patterns of the assessor's confidence, when making the responses during the FI‐ISK assessments, were also examined. Using receiver operating characteristic (ROC) curves, FI‐ISK was shown to distinguish accurately (and with statistical confidence) between potentially invasive and noninvasive species of nonnative crayfish (Decapoda: Astacidae, Cambaridae, Parastacidae), with the statistically appropriate threshold score for high‐risk species scores being ≥16. FI‐ISK represents a useful and viable tool to aid decision‐ and policymakers in assessing and classifying freshwater invertebrates according to their potential invasiveness.     

Regulation issues in the Italian local transport system: aligning transactions and governance structures

This paper refers to the concept of public governance in the light of Transaction Cost Economics (TCE). While TCE is well developed and widely applied in the private sector, only a few studies have adopted such framework to investigate the provision of public services. We aim at pointing out the coherence between peculiar typologies of transactions and a given set of governance structures, within Local Public Transport systems. The core of the analysis is the alignment between characteristics of transactions and governance structures. The empirical section addresses these issues referring to three case studies, pointing out an articulated organizational configuration in terms of actors involved and governance structures adopted. The analysis shows an alignment between the choices underlying the design of the local transport system and the outcomes expected in terms of TCE.     

Effectiveness of FISK,an Invasiveness Screening Tool for Non‐Native Freshwater Fishes,to Perform Risk Identification Assessments in the Iberian Peninsula

Risk assessments are crucial for identifying and mitigating impacts from biological invasions. The Fish Invasiveness Scoring Kit (FISK) is a risk identification (screening) tool for freshwater fishes consisting of two subject areas: biogeography/history and biology/ecology. According to the outcomes, species can be classified under particular risk categories. The aim of this study was to apply FISK to the Iberian Peninsula, a Mediterranean climate region highly important for freshwater fish conservation due to a high level of endemism. In total, 89 fish species were assessed by three independent assessors. Results from receiver operating characteristic analysis showed that FISK can discriminate reliably between noninvasive and invasive fishes for Iberia, with a threshold of 20.25, similar to those obtained in several regions around the world. Based on mean scores, no species was categorized as “low risk,” 50 species as “medium risk,” 17 as “moderately high risk,” 11 as “high risk,” and 11 as “very high risk.” The highest scoring species was goldfish Carassius auratus. Mean certainty in response was above the category “mostly certain,” ranging from tinfoil barb Barbonymus schwanenfeldii with the lowest certainty to eastern mosquitofish Gambusia holbrooki with the highest level. Pair‐wise comparison showed significant differences between one assessor and the other two on mean certainty, with these two assessors showing a high coincidence rate for the species categorization. Overall, the results suggest that FISK is a useful and viable tool for assessing risks posed by non‐native fish in the Iberian Peninsula and contributes to a “watch list” in this region.     

Application of FISK,an Invasiveness Screening Tool for Non‐Native Freshwater Fishes,in the Murray‐Darling Basin (Southeastern Australia)

The Fish Invasiveness Scoring Kit (FISK) is currently one of the most popular pre‐screening tools for freshwater fishes. A recent upgrade has ensured its wider climatic relevance to countries with subtropical regions. This enhancement is of particular importance to Australia, which encompasses tropical, arid, and temperate zones, and where the introduction of non‐native fish species poses a significant risk to biodiversity. In this study, 55 fish species previously evaluated in a U.K.‐based calibration of FISK are reassessed for their potential invasiveness in the Murray‐Darling Basin (MDB; southeastern Australia), the continent's largest catchment encompassing arid and temperate climates. Approximately half of the species were classed as “medium risk” and the other half as “high risk,” and the ≥19 threshold previously identified from the calibration study was confirmed. The three highest scoring species (common carp Cyprinus carpio carpio, goldfish Carassius auratus, and eastern mosquitofish Gambusia holbrooki) were those already present and invasive in the area, whereas nearly half of the tropical and subtropical species had lower scores compared to U.K. assessments, possibly because of climate change predictions of drier conditions across the MDB. There were some discordances between FISK and two Australian‐based assessment protocols, one of which is qualitative and the other represents a simplified version of FISK. Notably, the Australian origins of FISK should provide for an additional reason for further applications of the tool in other RA areas (i.e., drainage basins) of the continent, ultimately encouraging adoption as the country's reference screening tool for management and conservation purposes.     

Revisions of the Fish Invasiveness Screening Kit (FISK) for its Application in Warmer Climatic Zones,with Particular Reference to Peninsular Florida

The initial version (v1) of the Fish Invasiveness Scoring Kit (FISK) was adapted from the Weed Risk Assessment of Pheloung, Williams, and Halloy to assess the potential invasiveness of nonnative freshwater fishes in the United Kingdom. Published applications of FISK v1 have been primarily in temperate‐zone countries (Belgium, Belarus, and Japan), so the specificity of this screening tool to that climatic zone was not noted until attempts were made to apply it in peninsular Florida. To remedy this shortcoming, the questions and guidance notes of FISK v1 were reviewed and revised to improve clarity and extend its applicability to broader climatic regions, resulting in changes to 36 of the 49 questions. In addition, upgrades were made to the software architecture of FISK to improve overall computational speed as well as graphical user interface flexibility and friendliness. We demonstrate the process of screening a fish species using FISK v2 in a realistic management scenario by assessing the Barcoo grunter Scortum barcoo (Terapontidae), a species whose management concerns are related to its potential use for aquaponics in Florida. The FISK v2 screening of Barcoo grunter placed the species into the lower range of medium risk (score = 5), suggesting it is a permissible species for use in Florida under current nonnative species regulations. Screening of the Barcoo grunter illustrates the usefulness of FISK v2 as a proactive tool serving to inform risk management decisions, but the low level of confidence associated with the assessment highlighted a dearth of critical information on this species.     

Calibration of FISK, an Invasiveness Screening Tool for Nonnative Freshwater Fishes

Adapted from the weed risk assessment (WRA) of Pheloung, Williams, and Halloy, the fish invasiveness scoring kit (FISK) was proposed as a screening tool for freshwater fishes. This article describes improvements to FISK, in particular the incorporation of confidence (certainty/uncertainty) ranking of the assessors' responses, and reports on the calibration of the score system, specifically: determination of most appropriate score thresholds for classifying nonnative species into low-, medium-, and high-risk categories, assessment of the patterns of assessors' confidences in their responses in the FISK assessments. Using receiver operating characteristic (ROC) curves, FISK was demonstrated to distinguish accurately (and with statistical confidence) between potentially invasive and noninvasive species of nonnative fishes, with the statistically appropriate threshold score for high-risk species scores being ≥19. Within the group of species classed as high risk using this new threshold, a "higher risk" category could be visually identified, at present consisting of two species (topmouth gudgeon Pseudorasbora parva and gibel carp Carassius gibelio ). FISK represents a useful and viable tool to aid decision- and policymakers in assessing and classifying freshwater fishes according to their potential invasiveness.