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Background: The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services. Methods: A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group. Results: The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework. Conclusions: The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.

This study examined the diversity and relative abundance of fish species in six coastal habitats during the day and at night. Habitats included seagrass beds, Ecklonia macroalgal beds, other macrophytes, deep reef, rhodolith beds and sand. Surveys were conducted using baited remote underwater stereo-video systems, which at night were equipped with either white or red lights. Three research questions were examined;1) do fish assemblages sampled during the day differ to those sampled at night across six inshore and near shore marine habitats? 2) Are patterns of habitat associations displayed by diurnal fishes maintained at night? 3) Do stereo-BRUVs sample different fish assemblages when equipped with red versus white lights? Diurnal surveys sampled significantly greater species richness (66% greater) and numbers of individuals (92% more than red lights, 82% than white lights) than nocturnal surveys. Diurnal surveys also showed greater discrimination in the fish assemblages between the six habitats with replicate samples from a habitat clustered together.This clustering of replicate samples was reduced at night where a number of species of fish were seen in multiple habitats. Thirty-one percent of the species viewed at night were seen on multiple habitats, but only a single habitat during the day.Compared to red lights, white lights surveyed a greater number of individuals and species in rhodolith beds (94% more individuals and 63% more species) and over sand (94% more individuals, 83% more species). This was likely due to an attraction of fish to bait fish accumulating near the white light source, but not in the red light source. However, surveys of fish assemblages at night were deemed most effective when red lights wereused, because this lighting type had an improved ability to statistically distinguish fish assemblages across the habitats surveyed. By conducting nocturnal survey studies researchers may obtain a more holistic understanding of habitat use by fish spe

The dorso-laterally located eyes of the southern hemisphere lamprey Mordacia mordax (Agnatha) contain a single morphological type of retinal photoreceptor, which possesses ultrastructural characteristics of both rods and cones. This photoreceptor has a large refractile ellipsosome in the inner segment and a long cylindrical outer segment surrounded by a retinal pigment epithelium that contains two types of tapetal reflectors. The photoreceptors form a hexagonal array and attain their peak density (33,200 receptors/mm 2) in the ventro-temporal retina. Using the size and spacing of the photoreceptors and direct measures of aperture size and eye dimensions, the peak spatial resolving power and optical sensitivity are estimated to be 1.7 cycles deg-1 (minimum separable angle of 34′7″) and 0.64 μm2 steradian (white light) and 1.38 μm2 steradian (preferred wavelength or λmax), respectively. Microspectrophotometry reveals that the visual pigment located within the outer segment is a rhodopsin with a wavelength of maximum absorbance (λmax) at 514 nm. The ellipsosome has very low absorptance (<0.05) across the measured spectrum (350-750 nm) and probably does not act as a spectral filter. In contrast to all other lampreys studied, the optimized receptor packing, the large width of the ellipsosome-bearing inner segment, together with the presence of a retinal tapetum in the photophobic Mordacia, all represent adaptations for low light vision and optimizing photon capture.

The morphology and spectral absorption characteristics of the retinal photoreceptors in the southern hemisphere lamprey Geotria australis (Agnatha) were studied using light and electron microscopy and microspectrophotometry. The retinae of both downstream and upstream migrants of Geotria contained two types of cone photoreceptor and one type of rod photoreceptor. Visual pigments contained in the outer segments of these three photoreceptor types had absorbance spectra typical of porphyropsins and with wavelengths of maximum absorbance (downstream/ upstream) at 610/616 nm (long-wavelength-sensitive cone, LWS), 515/515 nm (medium-wavelength-sensitive cone, MWS), and 506/500 nm (medium-wavelength-sensitive rod). A “yellow” photostable pigment was present in the myoid region of all three types of photoreceptor in the downstream migrant. The same short-wavelength-absorbing pigment, which prevents photostimulation of the beta band of the visual pigment in the outer segment, was present in the rods and LWS cones of the upstream migrant, but was replaced by a large transparent ellipsosome in the MWS cones. Using microspectrophotometric and anatomical data, the quantal spectral sensitivity of each photoreceptor type was calculated. Our results provide the first evidence of a jawless vertebrate, represented today solely by the lampreys and hagfishes, with two morphologically and physiologically distinct types of cone photoreceptors, in addition to a rod-like photoreceptor containing a colored filter (a cone-like characteristic). In contrast, all other lampreys studied thus far have either (1) one type of cone and one type of rod, or (2) a single type of rod-like photoreceptor.

A set of 25 digital magnetic tapes contain the better part of five years' single-component quantitative geomagnetic micropulsation information recorded at a quiet site in Southern Alberta. These tapes, derived from the original records, now exist in a standard, readable format. (Author)

A method of predicting, to continental ranges, both the radial and tangential magnetic field intensities of extremely low frequency transmissions has been developed and confirmed by measurement. At the test frequencies, 45 and 75 Hz, the two component intensities are comparable over distances exceeding 1000 km. (Author), Summary in French. Revision of report dated 30 Jul 73.