European Starling Use of Nest Boxes Relative to Human Disturbance

European starling (Sturnus vulgaris; starling) nesting poses debris hazards within airport hangars and to engine and flight surfaces of moored aircraft. We questioned whether consistent removal of nest material would negatively affect use of a nest site, measured by a reduction in material accumulation. We conducted our study on a 2,200-ha site in Erie County, Ohio, USA (41° 22’ N, 82° 41’ W), from April 15 through June 2, 2020. We used 120 wooden nest boxes on utility poles, protected by an aluminum predator guard below the box. Our treatments included (1) twice weekly, repeated nest material removal (RMR; n = 40 nest boxes); (2) complete nest removal, but only after nest construction and ≥1 starling egg was laid (CNR; n = 40 nest boxes); and (3) a control; n = 40 nest boxes; N = 120 nest boxes). Starlings deposited approximately 50% greater mass of nest material and eggs at RMR than CNR nest boxes, indicating that consistent disturbance failed to dissuade use. Predator guard protection of nest boxes at our site reduced nest predation of starlings; the current starling population is likely adapted to selecting these sites. Similar selection toward low nest-predation risk associated with anthropogenic structures and moored aircraft is also possible. Aside from covering moored aircraft and closing hangar doors, actions not necessarily feasible, removal of starling nesting material more than twice weekly would be necessary to maintain minimum control over material deposition that could affect aircraft function and safety

Continuous Glucose Monitors and Automated Insulin Dosing Systems in the Hospital Consensus Guideline.

This article is the work product of the Continuous Glucose Monitor and Automated Insulin Dosing Systems in the Hospital Consensus Guideline Panel, which was organized by Diabetes Technology Society and met virtually on April 23, 2020. The guideline panel consisted of 24 international experts in the use of continuous glucose monitors (CGMs) and automated insulin dosing (AID) systems representing adult endocrinology, pediatric endocrinology, obstetrics and gynecology, advanced practice nursing, diabetes care and education, clinical chemistry, bioengineering, and product liability law. The panelists reviewed the medical literature pertaining to five topics: (1) continuation of home CGMs after hospitalization, (2) initiation of CGMs in the hospital, (3) continuation of AID systems in the hospital, (4) logistics and hands-on care of hospitalized patients using CGMs and AID systems, and (5) data management of CGMs and AID systems in the hospital. The panelists then developed three types of recommendations for each topic, including clinical practice (to use the technology optimally), research (to improve the safety and effectiveness of the technology), and hospital policies (to build an environment for facilitating use of these devices) for each of the five topics. The panelists voted on 78 proposed recommendations. Based on the panel vote, 77 recommendations were classified as either strong or mild. One recommendation failed to reach consensus. Additional research is needed on CGMs and AID systems in the hospital setting regarding device accuracy, practices for deployment, data management, and achievable outcomes. This guideline is intended to support these technologies for the management of hospitalized patients with diabetes

Improving primary palliative care in Scotland:lessons from a mixed methods study

BACKGROUND: Since 2012, all GP practices across Scotland have been supported to take a systematic approach to end-of-life care, by helping them to identify more patients for palliative care through a Palliative Care Directed Enhanced Service (DES). We aimed to understand the impact of this initiative. METHODS: Routine quantitative data from the 2012/13, and 2013/14 DES were collected from regional health boards, analysed and discussed. Qualitative data were collected from a sample of 2012/13 DES returns and analysed using Thematic Analysis. RESULTS: Data were received from 512 practices in nine Scottish Health boards for the 2012-13 DES and 638 practices in 11 Health boards for 2013-14. A sample of 90 of the returns for 2012-13 was selected for qualitative analysis. In 2012-13, 72 % of patients who died of cancer were listed on the palliative care register (PCR) before death while 27 % of patients who died as a result of non-malignant conditions were listed on the PCR. In 2013-14, cancer identification remained the same but identification of people dying with other long-term conditions had improved to 32.5 %. We identified several key issues needed to improve palliative care in the community. The need for training to identify patients with palliative care needs (particularly non-cancer); communication skills training; improvements in sharing information across the NHS; under-resource of and lack of coordination with district nurses; improvements in information technology; and tools for working with enlarged palliative care registers. CONCLUSIONS: The DES helped more patients with long-term conditions (LTC) receive generalist palliative care. Approaching generalist palliative care as anticipatory care could facilitate communication between GPs and patients/families and remove some barriers to early identification of palliative care needs. Improvement of information technology and use of identification tools like the SPICT™ may improve professionals’ communication with each other and help may make identification and management of patients easier. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12875-015-0391-x) contains supplementary material, which is available to authorized users

Consensus Recommendations for the Use of Automated Insulin Delivery (AID) Technologies in Clinical Practice

International audienceThe significant and growing global prevalence of diabetes continues to challenge people with diabetes (PwD), healthcare providers and payers. While maintaining near-normal glucose levels has been shown to prevent or delay the progression of the long-term complications of diabetes, a significant proportion of PwD are not attaining their glycemic goals. During the past six years, we have seen tremendous advances in automated insulin delivery (AID) technologies. Numerous randomized controlled trials and real-world studies have shown that the use of AID systems is safe and effective in helping PwD achieve their long-term glycemic goals while reducing hypoglycemia risk. Thus, AID systems have recently become an integral part of diabetes management. However, recommendations for using AID systems in clinical settings have been lacking. Such guided recommendations are critical for AID success and acceptance. All clinicians working with PwD need to become familiar with the available systems in order to eliminate disparities in diabetes quality of care. This report provides much-needed guidance for clinicians who are interested in utilizing AIDs and presents a comprehensive listing of the evidence payers should consider when determining eligibility criteria for AID insurance coverage

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

Natal Colony Site Fidelity Of Herring Gulls At Sandusky Bay, Ohio.

We studied three Herring Gull (Larus argentatus) colonies in the Sandusky Bay area, Sandusky, OH, between 1981 and 2006. During this period, we banded 24,000 nestlings and received reports of 347 recovered bands. Forty-nine of these band recoveries were as adults recovered during the nesting season as far as 890 km from their natal colony. Gulls were also captured at five other colonies located in the Great Lakes. Gulls recovered outside the original 10-min block of banding accounted for 47 percent of the returns. We hypothesize that half of the recoveries of adult Herring Gulls during the nesting season occurred outside their natal colony, because prime nesting locations within a colony became scarce and suboptimal nesting locations were the only option for nesting

Predator scent and visual cue applied to nest boxes fail to dissuade European Starlings (\u3ci\u3eSturnus vulgaris\u3c/i\u3e) from nesting

Indirect predator cues have been shown to enhance perceived nest predation risk in both open-cup and cavity-nesting birds. We hypothesized that scent from the raccoon (Procyon lotor) inside nest boxes, supplemented with raccoon hair as a visual cue on the outside of the box, would enhance perceived risk to the European Starling (Sturnus vulgaris), resulting in reduced use of treated nest boxes and negative effects on reproduction. The starling is recognized, outside its native range, as a competitor with indigenous cavity nesters and a pest species, and efforts to deter its nesting have generally been unsuccessful. Our objectives were to examine nest initiation, clutch development, and hatching success by starlings relative to 4 nest box treatments. Starlings selected from nest boxes treated with a novel visual cue at the entry hole, predator scent inside the nest box and supplemented with a predator visual cue at the entry hole, the predator visual cue, or a novel odor inside the box and supplemented with the novel visual cue at the entry hole (n = 120 boxes; n = 30 per treatment). Starlings established nest bowls in 65% of nest boxes (novel visual cue = 21 boxes, predator scent/predator visual cue = 19 boxes, predator visual cue = 17 boxes, novel odor/novel visual cue = 21 boxes); clutches (≥1 egg) were laid in 80 boxes, but 2 boxes contained a single egg with no nest. We observed no effects of treatment on likelihood of starlings laying a clutch, date of first egg, clutch size, or hatchling number. We conclude that raccoon scent inside nest boxes, supplemented by raccoon hair as a visual cue, failed to enhance perceived risk to starlings such that nesting was deterred. We suggest that direct or indirect experience with nest predation attempts (which enhance perceived risk) and the starling’s plasticity in antipredator responses are key hurdles in development of an efficacious nesting deterrent. Therefore, we encourage the evaluation of direct predation risk via use of predator effigies on or in nest boxes, as well as in foraging areas proximate to nest boxes. Se ha demostrado que las señales indirectas de depredadores aumentan la percepción del riesgo de depredación en aves con nidos de copa abierta y aquellas que anidan en cavidades. Sometimos a prueba nuestra hipótesis de que el olor del mapache (Procyon lotor) en el interior de las cajas-nido, adicionado con pelo de mapache como señal visual fuera de la caja-nido, aumentaría la percepción de riesgo para el estornino Sturnus vulgaris, teniendo como resultado un uso reducido de las cajas-nido tratadas y efectos negativos en su reproducción. Fuera de su rango nativo de distribución, el estornino es reconocido como un competidor con aves locales que anidan en cavidades y como una plaga, y los esfuerzos para detener su anidación generalmente han fracasado. Nuestros objetivos fueron examinar el inicio del nido, desarrollo de la puesta y éxito de eclosión en relación a 4 tratamientos de caja-nido. Los estorninos eligieron entre cajas-nido tratadas con una señal visual nueva en el agujero de entrada, con olor de depredador dentro de la caja-nido y suplementada con una señal visual en el agujero de entrada, con se˜nal visual del depredador o con un olor nuevo dentro de la caja suplementada con la señal visual en el agujero de entrada (n = 120 cajas; n = 30 por tratamiento). Los estorninos establecieron nidos en el 65% de las cajas-nido (con la señal visual nueva = 21 cajas, con olor y señal visual nueva de depredador = 19 cajas, con señal visual de depredador = 17 cajas, y con olor nuevo y señal visual nueva = 21 cajas). Hicieron puestas (≥1 huevo) en 80 cajas, si bien 2 de éstas contenían un único huevo sin nido. No observamos efectos del tratamiento en la probabilidad de que los estorninos hicieran una puesta, en la fecha del primer huevo, tamaño de puesta o número de polluelos. Concluimos que el olor del mapache en el interior de las cajas-nido, suplementado con pelo de mapache como señal visual, no aumentan el riesgo percibido por los estorninos al grado de disuadir su anidaci´on. Sugerimos que la experiencia directa o indirecta con intentos de depredación de nidos (que aumentan el riesgo percibido), y la plasticidad del estornino en su respuesta antidepredador, son obstáculos clave en el desarrollo de un desalentador de anidación. Por ello, proponemos la evaluación de riesgo directo de depredación por medio de efigies de depredadores sobre o dentro de las cajas nido, así como en áreas de forrajeo cercanas a cajas-nido

European Starling Nest‐site Selection Given Enhanced Direct Nest Predation Risk

The European starling (Sturnus vulgaris) is recognized, outside its native range, as an invasive species, and efforts to deter its nesting have generally been unsuccessful. Enhancing perceived risk at the nest site is a little‐explored route in developing a nest deterrent. Specifically, nest predation risk affects site selection, reproduction, antipredator behavior, and fitness in nesting birds. We questioned whether perceived predation risk as related to a snake model positioned inside a nest box, in striking form, moving, and present throughout the period of cavity site selection would induce European starlings to avoid or delay nest construction. We conducted our study on the 2,200‐ha National Aeronautics and Space Administration Plum Brook Station (PBS), Erie County, Ohio, USA. Our objectives were to examine nest initiation, clutch development, and hatching success by starlings relative to 4 nest‐box treatments: moving snake model, movement mechanism only, immobile snake model, and control (empty box). We applied treatments across 120 nest boxes on PBS (30 boxes/treatment) from 15 April through 17 June 2019. We observed no treatment effects on nest initiation or date of nest bowl formation. Starlings occupied (laid ≥1 egg) in 76% of nest boxes (moving snake model = 22 boxes, movement mechanism = 25 boxes, immobile snake model = 21 boxes, control = 23 boxes). We observed no effects of treatment on likelihood of starlings laying a clutch, date of first egg, clutch size, or hatching success. We suggest that starlings adapted to perceived risk because models, despite animacy, did not attack. Therefore, snake models, as developed herein, are ineffective starling nesting deterrents