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Summer ; Includes bibliographical references. ; Healthcare delivery in the United States is rapidly changing and collaborative practice models have been cited as an approach to improving efficiency and effectiveness, reducing cost and maintaining safety and quality. Measurement of collaboration as a process would aid our understanding of the role of interprofessional collaboration between midwives and physicians in improving outcomes of care. A descriptive study was conducted to determine whether the collaborative process could be measured with information collected at the individual level and aggregated to represent the practice as a whole. The study evaluated the psychometric properties of the Collaborative Practice Scale (CPS) at the individual and practice level in midwife-physician collaborative practices that provide inpatient maternity services in the Military Health System. The sample included 106 midwives and physicians who provide care in obstetric practices located in 10 Military Treatment Facilities (MTFs) across the United States. Psychometric properties of the CPS included Cronbach's alpha coefficient of .98. Test-retest reliability was measured in a two-week interval with an intraclass correlation coefficient of .99 (p < .01). Internal consistency was measured with item-to-total correlations ranging from .83-.94 and inter-item correlations from .71-.88. Principal components analysis resulted in a single factor loading, accounting for over 80% of total variance. Psychometric properties of the scale were also evaluated at the MTF/practice level. Strong within practice agreement (rwg(j) = .94) and between practices variance, (ICC1 = .15, ICC2 = .65) provided support for use of the construct to represent the practice in multilevel research. Among practices with higher CPS scores, patterns of reporting on scale items were similar, while patterns for items in low-scoring groups were markedly inconsistent. Interprofessional collaboration as a construct can be measured and used in multilevel research. The results of this study provide sufficient evidence to prompt further study of the relationship of the collaborative process to outcomes of care. Evaluating this relationship is necessary to provide evidence that collaborative care models are effective in improving the safety, quality, and efficiency of healthcare.

The process of gaining research access in the social sciences is becoming increasingly difficult. Changes in legislation and an increasingly managerialist and risk-averse approach to service provision have contributed to organizations adopting a protectionist stance when it comes to granting research access. The student researcher's experience of negotiating this research access landscape has been neglected. This article explores the findings from three case studies of gaining research access to social service organizations for the purpose of undertaking PhD research. It outlines the reflexive approach which was adopted, through peer support and discussion groups, in order to develop the ideas presented. The article utilizes emerging evidence, policy and identity theory to contextualize and develop understanding around the difficulties experienced in these three case studies. In particular the article highlights how issues of identity impact on the research access process. The article suggests strategies for gaining research access which could be adopted by student researchers, supervisors and universities. The article also recommends that issues to do with research governance and research access be considered in plans aimed at developing social work research capacity.

INTRODUCTION: Obesity may interfere with job performance and increase the risk of injury during firefighting activity. Obesity also has many deleterious effects on health indices and is associated with higher all-cause mortality. Studies report a high prevalence of obesity in the fire service. Also, firefighters' work schedule (12-hour to 24-hour shifts) and food availability during night shifts may be related to weight gain. Studies in American firefighters have shown annual weight gain between 0.5 and 1.5 kg. This study aims to report the obesity prevalence in the fire service to describe how it varies based on country and region, job status, type of firefighter and gender. METHODS AND ANALYSIS: The main outcome evaluated will be obesity prevalence. We will systematically search the literature databases PubMed, Medline, Web of Science, Sportdiscus, Academic Search Premier, Cumulative Index of Nursing and Allied Health Literature (CINAHL), SciTech Premium Collection, Sports Medicine & Education Index, Research Library and Scopus. One reviewer will perform the search. Two independent reviewers will select studies, extract data from eligible studies and evaluate their methodological and reporting quality. Agreement between reviewers will be measured using Cohen's kappa. Other data of interest will include age, body mass index, body fat percentage, job status (career, volunteer or military), years of service and type of firefighter (eg, structural and wildland firefighter). We will produce a narrative summary of our findings. Tables will be generated to summarise data. ETHICS AND DISSEMINATION: This systematic review does not require ethics clearance since published studies with non-identifiable data will be used. The results of the systematic review will be disseminated via publication in a peer-reviewed journal and through conference presentations. PROSPERO REGISTRATION NUMBER: CRD42019129122.

This document includes the search strategies for an article titled, "A Scoping review of pregnancy, childbirth, and the postpartum period in active duty US Military women" to be submitted for publication. Search strategies are listed for Ovid Medline, Embase, CINAHL, Cochrane Library, Web of Science, and PsycInfo.

[EN] Diplodia tip blight is the most ubiquitous and abundant disease in Spanish Pinus radiata plantations. The economic losses in forest stands can be very severe because of its abundance in cones and seeds together with the low genetic diversity of the host. Pinus resinosa is not genetically diverse in North America either, and Diplodia shoot blight is a common disease. Disease control may require management designs to be adapted for each region. The genetic diversity of the pathogen could be an indicator of its virulence and spreading capacity. Our objective was to understand the diversity of Diplodia spp. in Spanish plantations and to compare it with the structure of American populations to collaborate in future management guidelines. Genotypic diversity was investigated using microsatellite markers. Eight loci (SS9-SS16) were polymorphic for the 322 isolates genotyped. The results indicate that Diplodia sapinea is the most frequent Diplodia species present in plantations of the north of Spain and has high genetic diversity. The higher genetic diversity recorded in Spain in comparison to previous studies could be influenced by the intensity of the sampling and the evidence about the remarkable influence of the sample type. ; This research was funded by INIA, grant number: RTA 2017-00063-C04-03, LIFE programme, grant number: LIFE14 ENV/ES/000179 and by the Basque Government, grant number FUNGITRAP 19-00031. Red pine cone collection in New England and pathogen isolation was funded by USDA Forest Service. ; Aragonés, A.; Manzanos, T.; Stanosz, G.; Munck, IA.; Raposo, R.; Elvira-Recuenco, M.; Berbegal Martinez, M. (2021). Comparison of Diplodia Tip Blight Pathogens in Spanish and North American Pine Ecosystems. Microorganisms. 9(12):1-17. https://doi.org/10.3390/microorganisms9122565 ; S ; 1 ; 17 ; 9 ; 12

Abstract
The wildland firefighter exposure and health effect (WFFEHE) study was a 2-year repeated-measures study to investigate occupational exposures and acute and subacute health effects among wildland firefighters. This manuscript describes the study rationale, design, methods, limitations, challenges, and lessons learned. The WFFEHE cohort included fire personnel ages 18–57 from six federal wildland firefighting crews in Colorado and Idaho during the 2018 and 2019 fire seasons. All wildland firefighters employed by the recruited crews were invited to participate in the study at preseason and postseason study intervals. In 2019, one of the crews also participated in a 3-day midseason study interval where workplace exposures and pre/postshift measurements were collected while at a wildland fire incident. Study components assessed cardiovascular health, pulmonary function and inflammation, kidney function, workplace exposures, and noise-induced hearing loss. Measurements included self-reported risk factors and symptoms collected through questionnaires; serum and urine biomarkers of exposure, effect, and inflammation; pulmonary function; platelet function and arterial stiffness; and audiometric testing. Throughout the study, 154 wildland firefighters participated in at least one study interval, while 144 participated in two or more study interval. This study was completed by the Centers for Disease Control and Prevention's National Institute for Occupational Safety and Health through a collaborative effort with the U.S. Department of Agriculture Forest Service, Department of the Interior National Park Service, and Skidmore College. Conducting research in the wildfire environment came with many challenges including collecting study data with study participants with changing work schedules and conducting study protocols safely and operating laboratory equipment in remote field locations. Forthcoming WFFEHE study results will contribute to the scientific evidence regarding occupational risk factors and exposures that can impact wildland firefighter health over a season and across two wildland fire seasons. This research is anticipated to lead to the development of preventive measures and policies aimed at reducing risk for wildland firefighters and aid in identifying future research needs for the wildland fire community.