Michael Almeida has recently tried to show that if S5 correctly represents metaphysical necessity, there can be no non-trivial evidence for or against the existence of the traditional God. Evidence would thus be irrelevant to the reasonability of traditional theistic belief. Almeida's argument has implications beyond its announced target: it amounts to a new argument for sweeping scepticism. Almeida's argument for the irrelevance of evidence to the existence of God would apply to any state of affairs that entails some metaphysical necessity. In S5, every state of affairs entails some metaphysical necessity, so Almeida should conclude that non-trivial evidence for or against any state of affairs is impossible. I argue that the problem is not with S5 but with inadequately motivated assumptions about evidential support. Avoiding those assumptions disables the argument for sweeping scepticism and without foreclosing the possibility of non-trivial evidence for or against the existence of the traditional God.

Early adolescents (ages 10–14) living in low- and middle-income countries have heightened vulnerability to psychosocial risks, but available evidence from these settings is limited. This study used data from the Global Early Adolescent Study to characterize prototypical patterns of emotional and behavioral problems among 10,437 early adolescents (51% female) living in the Democratic Republic of Congo (DRC), Malawi, Indonesia, and China, and explore the extent to which these patterns varied by country and sex. LCA was used to identify and classify patterns of emotional and behavioral problems separately by country. Within each country, measurement invariance by sex was evaluated. LCA supported a four-class solution in DRC, Malawi, and Indonesia, and a three-class solution in China. Across countries, early adolescents fell into the following subgroups: Well-Adjusted (40–62%), Emotional Problems (14–29%), Behavioral Problems (15–22%; not present in China), and Maladjusted (4–15%). Despite the consistency of these patterns, there were notable contextual differences. Further, tests of measurement invariance indicated that the prevalence and nature of these classes differed by sex. Findings can be used to support the tailoring of interventions targeting psychosocial adjustment, and suggest that such programs may have utility across diverse cross-national settings.

The Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events hosted a workshop at the request of the Federal Interagency Committee on Emergency Medical Services (FICEMS) that brought together a range of stakeholders to broadly identify and confront gaps in rural infrastructure that challenge mass casualty incident (MCI) response and potential mechanisms to fill them. This report summarizes the presentations and discussions around 6 major issues specific to rural MCI preparedness and response: (1) improving rural response to MCI through improving daily capacity and capability, (2) leveraging current and emerging technology to overcome infrastructure deficits, (3) sustaining and strengthening relationships, (4) developing and sharing best practices across jurisdictions and sectors, (5) establishing metrics research and development, and (6) fostering the need for federal leadership to expand and integrate EMS into a broader rural response framework.

(Disaster Med Public Health Preparedness. 2012;6:297–302)

Your mother was wise to teach you that just because everybody's doing it, that doesn't make it right. She would have been wise to add that just because everybody thinks it, that doesn't make it right, either. On the other hand, she would not have been wise to add (and probably did not) that when everybody agrees, that is no evidence whatsoever. When nearly everybody believes something, that's a reason in its favor.

A companion paper in this issue describes the mapping of Cape Sable seaside sparrow (Ammodramus maritimus mirabilis) habitat using satellite imagery. In general, those maps are correct. However, testing against an independent survey of the sparrow population does identify errors. Those errors fall into two categories, model errors and bird errors. The model errors result from genuine problems with the model. More interesting for conservation are the bird errors, which are more numerous. They are of two types. (1) Commission errors: some suitable habitat does not contain birds. These are areas where prior events have depleted sparrow numbers, but because the sparrows do not disperse long distances, they cannot occupy it quickly. (2) Omission errors: some birds remain in unsuitable habitat that was formerly suitable. This results from the sparrow's very high site fidelity. Often, they will not leave an area even when it is no longer suitable. The consequences of these bird errors are that some habitat and some birds are not contributing to the species' survival. Thus, an estimate of only the amount of habitat or only the sparrow population may present an overly optimistic view of the sparrow's plight.

The Cape Sable seaside sparrow (Ammodramus maritimus mirabilis) is Federally protected under the Endangered Species Act of the United States of America. This legislation prohibits direct or indirect take - the killing or harming - of the protected species. In 1993 and 1995, the opening of floodgates into Everglades National Park during the normal dry season resulted in a direct take of the sparrow. The argument was also made that there was indirect take through destruction of the habitat upon which the sparrow depends. Using a combination of fieldwork and satellite image analysis, we show that the floods did damage to the habitat of the sparrow. Moreover, they did so for a period longer than the actual flooding, further increasing the sparrow's extinction risk. Recovery of the sparrow population to pre-flood levels will require an adequate and stable amount of habitat. We now have a technique for monitoring that habitat and ensuring that poor water management does not threaten it. More broadly, this technique has the potential for monitoring the habitat of many other species and avoiding another situation such as the sparrow faces.

The legally endangered Cape Sable seaside-sparrow (Ammodramus maritimus mirabilis) is restricted to short-hydroperiod, marl prairies within Florida's Everglades National Park and Big Cypress National Preserve. Marl prairies are typified by dense, mixed stands of graminoid species usually below 1 m in height, naturally inundated by freshwater for 3–7 months annually. Water levels affect the birds directly, by flooding their nests, and indirectly by altering the habitat on which they depend. Managed redistribution of water flows flooded nearly half of the sparrow's geographical range during several consecutive breeding seasons starting in 1993. Furthermore, these high water levels rapidly changed plant communities, so jeopardizing the sparrow's survival by reducing the availability of nesting habitat.

Introduction: Prior studies have documented less than 3% survival for out-of-hospital cardiac arrest (CA) in D.C. EMS intubation has failed to improve extremely poor survival rates for out of hospital CA. This study will investigate whether the addition of automatic external defibrillator (AED) use will improve the negligible survival rate experienced in a system that transports 80,000 pts/yr; Thus replicating success with AED for CA in other centers.

Methods: Retrospective review of all CA data from D.C. EMS system from 1-12/91 (no AED) vs. 1-12/93 (AED in use). Supporting data from run sheets and hospital records was compared for years with and without the AED using student's t test, chi-square with p <0.05.

Results: In 1991 there were 414 out of hospital CAs arrests with an overall survival rate of 2.3% with a mean EMS arrival time of 10 minutes. There were no significant differences with respect to CA patients’ age, bystander CPR or BLS/ALS response times between two years (1991 and 1993) p = NS. In VF patients who comprised 26% and 24% of presenting rhythms for ’91 and ’93 respectively, the use of AEDs improved survival 3.8% vs. 29% with AEDs in ’93 (p <0.05). There was no difference in percentage of non-VF presenting rhythms or patient outcomes between the two groups.