Home About us Contact
|
Home About us Contact | ||
|
|
||
Combined Total (combined + total)
Selected AbstractsThe decline of Common Kestrels Falco tinnunculus in a forested area of northern England: the role of predation by Northern Goshawks Accipiter gentilisIBIS, Issue 3 2003S. J. Petty We have previously documented the decline of the Common Kestrel Falco tinnunculus over a 23-year period in a large coniferous forest in northern England. Kestrels fed predominantly on Field Voles Microtus agrestis, which were most abundant in young plantations (1,11 years old). Over the 23 years, voles remained abundant in the study area, but their numbers fluctuated cyclically. Here we consider whether the decline of Kestrels was linked to predation by Northern Goshawk Accipiter gentilis. Goshawks first bred in the study area in 1973 and increased until 1989, after which numbers stabilized. We use a number of approaches to explore the role of Goshawk predation, all of which are correlative, but independent. First, there was a significant negative relationship between Kestrel and Goshawk numbers after controlling for a decline in vole habitat. Short-eared Owls Asio flammeus, which also hunt by day, declined over the same period as Kestrels. Second, numbers of Tawny Owl Strix aluco and Long-eared Owl Asio otus did not decline as Goshawk numbers increased. These two species are also vole-dependent, but active by night, and less vulnerable to Goshawk attack. Third, six species of raptor comprised 4.5% of 5445 Goshawk prey items during the breeding season, but more Kestrels were killed than the combined total of all other raptors. Goshawks not only killed many adult Kestrels in early spring, prior to breeding, when it would have most impact on population levels, but there was also a temporal trend for predation on Kestrels to be inversely density-dependent. Finally, we estimated that Goshawks removed more Kestrels than were recorded each spring in the study area. We interpreted this as indicating that immigrant Kestrels were being removed continually, mostly before they could breed. We conclude that the decline of Kestrels (and possibly Short-eared Owls) was mainly due to predation by Goshawks. This study provides some of the strongest evidence yet of the role of predation in the hierarchical structuring of raptor communities. [source] Testing alternate ecological approaches to seagrass rehabilitation: links to life-history traitsJOURNAL OF APPLIED ECOLOGY, Issue 5 2010Andrew D. Irving Summary 1.,Natural resources and ecosystem services provided by the world's major biomes are increasingly threatened by anthropogenic impacts. Rehabilitation is a common approach to recreating and maintaining habitats, but limitations to the success of traditional techniques necessitate new approaches. 2.,Almost one-third of the world's productive seagrass meadows have been lost in the past 130 years. Using a combined total of three seagrass species at seven sites over 8 years, we experimentally assessed the performance of multiple rehabilitation methods that utilize fundamentally different ecological approaches. 3.,First, traditional methods of transplantation were tested and produced varied survival (0,80%) that was site dependent. Secondly, seedling culture and outplanting produced poor survival (2,9%) but reasonable growth. Finally, a novel method that used sand-filled bags of hessian to overcome limitations of traditional techniques by facilitating recruitment and establishment of seedlings in situ produced recruit densities of 150,350 seedlings m,2, with long-term survival (up to 38 months) ranging from 0 to 72 individuals m,2. 4.,Results indicate that facilitating seagrass recruitment in situ using hessian bags can provide a new tool to alleviate current limitations to successful rehabilitation (e.g. mobile sediments, investment of time and resources), leading to more successful management and mitigation of contemporary losses. Hessian bags have distinct environmental and economic advantages over other methods tested in that they do not damage existing meadows, are biodegradable, quick to deploy, and cost less per hectare (US$16 737) than the estimated ecosystem value of seagrass meadows (US$27 039 year,1). 5.,Synthesis and applications. This research demonstrates how exploring alternate ecological approaches to habitat rehabilitation can expand our collective toolbox for successfully re-creating complex and productive ecosystems, and alleviate the destructive side-effects and low success rates of more traditional techniques. Moreover, new methods can offer economic and environmental solutions to the restrictions placed upon managers of natural resources. [source] An observational study of health professionals' use of evidence to inform the development of clinical management toolsJOURNAL OF CLINICAL NURSING, Issue 16 2008Alison M Hutchinson BAppSc, MBioeth Aim., This observational study sought to investigate the process of evidence use by health professionals during development of evidence-based clinical management tools. Background., Studies conducted to explore the process of research use are scarce and knowledge of this process is essential for our understanding of the influences on research use in practice. Design., A qualitative, non-participant, observational design. Methods., Behaviour and actions of two separate multidisciplinary teams were observed and audio-recorded during a combined total of seven meetings for the development of clinical management tools. Semi-structured, one-to-one interviews were conducted approximately half-way through the development process and following completion of the clinical management tools. Results., Three major themes emerged from this research. First, the process of clinical management tool development and evidence use. Nurses assumed responsibility for coordination of development which focused on describing current practice. Second, the forms of evidence employed during the development process included the use of experiential knowledge, opinions and knowledge of the context, in addition to research evidence. However, reference to research evidence was limited and its incorporation into the instrument was infrequently observed. Third, the use of research evidence emerged with respect to how such evidence was employed. Conclusion., This study focused on real-life discussion and decision-making that occurred between health professionals when developing evidence-based clinical management tools. Health professionals may have a tendency to rely on their professional experience and current practice in preference to seeking and applying relevant research evidence. Relevance to clinical practice., Nurses have an important role to play in the development of multidisciplinary evidence-based clinical management tools, but to actively participate in this process they need to be familiar with the relevant research evidence and have the skills and confidence to integrate the evidence into practice. [source] Field and Laboratory Alcohol Detection With 2 Types of Transdermal DevicesALCOHOLISM, Issue 4 2009Paul R. Marques Background:, Two types of transdermal electrochemical sensors that detect alcohol at the skin surface were evaluated. One, the AMS SCRAMÔ device, is locked onto the ankle and is based on a fuel cell sensor; the other, a Giner WrisTASÔ device, worn on the wrist, is based on a proton exchange membrane. SCRAM is used by several court systems in the United States to monitor alcohol offenders, WrisTAS, a research prototype, is not commercially available. Methods:, The 2 devices were worn concurrently by 22 paid research subjects (15 men, 7 women), for a combined total of 96 weeks. Subjects participated in both laboratory-dosed drinking to a target of 0.08 g/dl blood alcohol concentration (BAC), and normal drinking on their own; all subjects were trained to use and carry a portable fuel-cell breath tester for BAC determinations. Overall 271 drinking episodes with BAC , 0.02 g/dl formed the signal for detection,60 from laboratory dosing, and 211 from self-dosed drinking, with BAC ranging from 0.02 to 0.230 g/dl (mean 0.077 g/dl). Results:, False negatives were defined as a transdermal alcohol concentration response equivalent <0.02 g/dl when BAC , 0.02 g/dl. The overall true-positive hit rate detected by WrisTAS was 24%. The low detection rate was due to erratic output and not recording during nearly 67% of all episodes; reportedly a chipset, not a sensor problem. SCRAM correctly detected 57% across all BAC events, with another 22% (total 79%) detected, but as <0.02 g/dl. When subjects dosed themselves to BAC , 0.08 g/dl, SCRAM correctly detected 88% of these events. SCRAM devices lost accuracy over time likely due to water accumulation in the sensor housing. Neither unit had false-positive problems when true BAC was <0.02 g/dl. Conclusions:, Each device had peculiarities that reduced performance, but both types are able to detect alcohol at the skin surface. With product improvements, transdermal sensing may become a valuable way to monitor the alcohol consumption of those who should be abstaining. [source] Medical students' personality characteristics and academic performance: a five-factor model perspectiveMEDICAL EDUCATION, Issue 11 2002Filip Lievens Objectives, This study investigates: (1) which personality traits are typical of medical students as compared to other students, and (2) which personality traits predict medical student performance in pre-clinical years. Design, This paper reports a cross-sectional inventory study of students in nine academic majors and a prospective longitudinal study of one cohort of medical students assessed by inventory during their first preclinical year and by university examination at the end of each pre-clinical year. Subjects and methods In 1997, a combined total of 785 students entered medical studies courses in five Flemish universities. Of these, 631 (80·4%) completed the NEO-PI-R (i.e. a measure of the Five-Factor Model of Personality). This was also completed by 914 Year 1 students of seven other academic majors at Ghent University. Year end scores for medical students were obtained for 607 students in Year 1, for 413 in Year 2, and for 341 in Year 3. Results, Medical studies falls into the group of majors where students score highest on extraversion and agreeableness. Conscientiousness (i.e. self-achievement and self-discipline) significantly predicts final scores in each pre-clinical year. Medical students who score low on conscientiousness and high on gregariousness and excitement-seeking are significantly less likely to sit examinations successfully. Conclusions, The higher scores for extraversion and agreeableness, two dimensions defining the interpersonal dynamic, may be beneficial for doctors' collaboration and communication skills in future professional practice. Because conscientiousness affects examination results and can be reliably assessed at the start of a medical study career, personality assessment may be a useful tool in student counselling and guidance. [source] Glomerular dysfunction, independent of tubular dysfunction, induced by antineoplastic chemotherapy in childrenPEDIATRICS INTERNATIONAL, Issue 5 2004Yukie Ikarashi AbstractBackground:,For the purpose of studying renal side-effects induced by antineoplastic agents, the authors examined glomerular injury as well as tubular injury of patients with chemotherapy. Methods:,Thirteen patients underwent a combined total of 64 courses of chemotherapy. Urinary albumin, ,2-microglobulin (,2-MG), N-acetyl-,-glucosaminidase (NAG) and urinary protein were measured before and serially after chemotherapy. Results:,The values of albumin/creatinine (albumin/cre) ratio and ,2-MG/creatinine (,2-MG/cre) ratio after chemotherapy were higher than those before chemotherapy (P < 0.01). NAG/creatinine (NAG/cre) ratio and creatinine clearance (Ccr) were not different. These were also examined before the next course of chemotherapy and were compared with those of control children. Albumin/cre ratio was significantly different (P < 0.01). ,2-MG/cre ratio and NAG/cre were not different. Furthermore, in patients with normal ,2-MG/cre, the albumin/cre ratio was significantly higher than in control children. Conclusions:,These results indicate that antineoplastic agents can not only induce tubular dysfunction but also glomerular dysfunction, which is persistent and independent of tubular dysfunction. [source] Overcoming remoteness in CME videoteleconferencing: "I want my MD TV"THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 1 2000Dr. Jeanne E. Bitterman EdD Lecturer, Education Consultant, Research Associate Abstract Videoteleconferencing in continuing medical education (CME) is here to stay. In the growing health care climate, with increased mergers of institutions and facilities, education's reliance on this medium promises to grow. This project summary describes one large metropolitan institution's effort to improve the commitment to, use in, and effectiveness of Videoteleconferencing in its multisite delivery of CME programs. The institution is a nationally renowned interdisciplinary teaching and research hospital health center, with more than 1000 beds. The medical staff numbers more than 1100. The CME program, accredited by the Medical Society of the State of New York, sponsors more than 44 activities a year, awarding over 13,000 certified category 1 CME credits and serving a combined total of over 806 participating MDs and DOs. A study team comprised of the Medical Board Education Committee's Chair-director of CME, an adult education consultant-professor of adult education, and a visual literacy consultant undertook a year-long qualitative research project to explore issues, unearth dilemmas in practice, and generate recommendations for future policy and practice related to videoteleconferencing. The primary objective was to derive strategies for enhancing the educational effectiveness and community building potential of videoteleconferencing at the hospital-health center. [source] De novo renal cell carcinoma of native kidney in renal transplant recipientsCANCER, Issue 2 2005Yann Neuzillet M.D. Abstract BACKGROUND The 10-year risk of developing a solid malignancy is 20% for kidney transplant recipients. The goal of the current study was to investigate the epidemiology and the diagnostic and prognostic parameters associated with de novo malignancies of the native kidney among transplant recipients at the authors' institution (Department of Urology and Renal Transplantation, Hôpital Salvator, Marseille, France). METHODS The authors reexamined the follow-up of 933 consecutive transplant recipients at their institution between 1987 and 2003. Immunossupressive therapy was not modified in the event of malignant disease, nor was systematic radiologic monitoring of native kidneys performed. All de novo malignancies of the native kidney were included in the current analysis. RESULTS Among the 933 patients examined, a combined total of 12 malignancies of the native kidney were diagnosed in 11 individuals. For these 11 individuals, the average ages at transplantation and diagnosis were 42.5 and 49.1 years, respectively. Ten malignancies were discovered fortuitously, whereas two were symptomatic. Among the 10 renal echographies performed, there was 1 false-negative result. Tomodensitometry was performed in 11 cases and yielded no false-negative results. The average tumor size was 37 mm. Nephrectomy was performed in 10 cases, and biopsy was performed in 1. Among the 12 kidney malignancies encountered in the current study, there were 7 conventional cell carcinomas, 3 basophilic papillary carcinomas, and 2 chromophobic renal cell carcinomas. Half of all tumors were Furhman Grade 3 lesions, and pT1aN0M0 tumors (2003 TNM staging system) also accounted for half of all malignancies in the current cohort. Two affected transplant recipients died (one due to disease), and the remaining nine are alive without recurrence and with normal renal functioning (median follow-up, 39 months). CONCLUSIONS There appears to be an increased risk of malignancy of the native kidney in renal transplant recipients, with high-grade and papillary tumors being particularly common. Consequently, systematic radiologic follow-up of native kidneys must be performed for individuals who undergo kidney transplantation. Cancer 2005. © 2004 American Cancer Society. [source] | |||||||||||||