Notes on distribution and behaviour of the Rufous-winged Sunbird Cinnyris rufipennis

Rufous-winged Sunbird Cinnyris rufipennis is known only from Udzungwa Mountains in central Tanzania where it occurs in nine montane forests. Based on field surveys between 2011 and 2014, supplemented by observations made by all authors since the early 1990s, we provide a map showing its distribution and relative abundance. We estimate the size of the core areas where Rufous-winged Sunbird is common to c. 120 km2 and the total range to about 200 km2. We also provide data that suggests that breeding takes place during the rainy season from November to February with the breeding area usually centred on a forest glade or tree-fall gap. Finally, we describe observations of presumed lekking courtship display with up to three males assembling in a clearing and excitedly hopping from branch to branch, singing aggressively at each other with a single female observing

Bird species richness in the montane evergreen forests of the Udzungwa Mountains, Tanzania

Species richness and relative abundance of montane forest birds in the Udzungwa Mountains are presented for the 11 forests larger than 1 km2. A high positive correlation between the number of montane bird species and the size of the forest is found with the highest species richness recorded in the largest forest. A few small (< 5 km2) forest fragments also support a high richness of forest birds. Their isolation from larger forest tracts is probably relatively recent (within the last 100–200 years) and their high bird species numbers may be partly due to delayed extirpations. Twenty-three restricted range montane forest species were recorded, and many of these were widespread in the Udzungwas. The largest populations of White-winged Apalis Apalis chariessa, Dapple-throat Arcanator orostruthus, Iringa Akalat Sheppardia lowei and Usambara Weaver Ploceus nicolli are most likely in Udzungwa forests. Keywords:  Tanzania, Udzungwa Mountains, montane forest birds, distribution, abundance, extinction deb

Increased motivation for and use of digital services in heart failure patients participating in a telerehabilitation program:a randomized controlled trial

BACKGROUND: eHealth literacy (eHL) may be an important factor in the adoption of telerehabilitation. However, little is known about how telerehabilitation affects patients’ eHL. The current study evaluated changes over time in eHL for heart failure (HF) patients in a telerehabilitation program (the Future Patient Program) compared to a traditional rehabilitation program. METHODS: As part of a randomized controlled trial comparing telerehabilitation with traditional rehabilitation, 137 HF patients completed the eHealth Literacy Questionnaire (eHLQ) at 6 and 12 months of their respective rehabilitation programs. RESULTS: At 6 months, the telerehabilitation group indicated higher levels of ‘using technology to process health information’ and ‘motivated to engage with digital services’. This difference was consistent over time, and we found no other differences between groups or over time with regard to eHL. CONCLUSIONS: Providing a digital toolbox for processing health information to HF patients may aid in increasing their eHL, motivation, and ability to engage with digital services in HF patients. Especially, if the technology is designed to support patient needs in terms of the educational content of the program. Preferably technology should be provided early on in the rehabilitation process to ensure optimal outcome. TRIAL REGISTRATION: The study was registered in ClinicalTrials.gov (NCT03388918)

Patient-Reported Outcomes From Patients With Heart Failure Participating in the Future Patient Telerehabilitation Program:Data From the Intervention Arm of a Randomized Controlled Trial

BackgroundMore than 37 million people worldwide have been diagnosed with heart failure, which is a growing burden on the health sector. Cardiac rehabilitation aims to improve patients’ recovery, functional capacity, psychosocial well-being, and health-related quality of life. However, cardiac rehabilitation programs have poor compliance and adherence. Telerehabilitation may be a solution to overcome some of these challenges to cardiac rehabilitation by making it more individualized. As part of the Future Patient Telerehabilitation program, a digital toolbox aimed at enabling patients with heart failure to monitor and evaluate their own current status has been developed and tested using data from a patient-reported outcome questionnaire that the patient filled in every alternate week for 1 year. ObjectiveThe aim of this study is to evaluate the changes in quality of life and well-being among patients with heart failure, who are participants in the Future Patient Telerehabilitation program over the course of 1 year. MethodsIn total, 140 patients were enrolled in the Future Patient Telerehabilitation program and randomized into either the telerehabilitation group (n=70) or the control group (n=70). Of the 70 patients in the telerehabilitation group, 56 (80.0%) answered the patient-reported outcome questionnaire and completed the program, and these 56 patients comprised the study population. The patient-reported outcomes consisted of three components: (1) questions regarding the patients’ sleep patterns assessed using the Spiegel Sleep Questionnaire; (2) measurements of physical limitations, symptoms, self-efficacy, social interaction, and quality of life assessed using the Kansas City Cardiomyopathy Questionnaire in 10 dimensions; and (3) 5 additional questions regarding psychological well-being that were developed by the research group. ResultsThe changes in scores during 1 year of the study were examined using 1-sample Wilcoxon signed-rank tests. There were significant differences in the scores for most of the slopes of the scores from the dimensions of the Kansas City Cardiomyopathy Questionnaire (P<.05). ConclusionsThere was a significant increase in clinical and social well-being and quality of life during the 1-year period of participating in a telerehabilitation program. These results suggest that patient-reported outcome questionnaires may be used as a tool for patients in a telerehabilitation program that can both monitor and guide patients in mastering their own symptoms. Trial RegistrationClinicalTrials.gov NCT03388918; https://clinicaltrials.gov/ct2/show/NCT0338891

Development and use of a bioeconomic model for management of mussel fisheries under different nutrient regimes in the temperate estuary of the Limfjord, Denmark

Coastal ecosystems worldwide are under pressure from human-induced nutrient inputs, fishing activities, mariculture, construction work, and climate change. Integrated management instruments handling one or more of these problems in combination with socioeconomic issues are therefore necessary to secure a sustainable use of resources. In the Limfjord, a temperate eutrophic estuary in Denmark, nutrient load reductions are necessary to fulfill EU regulations such as the Water Framework Directive (WFD). The expected outcome of these load reductions is an improved water quality, but also reduced production of the abundant stock of filter-feeding blue mussels, Mytilus edulis. This is expected to have significant economic consequences for the million-euro mussel fishing industry taking place in the Limfjord today. We developed a bioeconomic model that can be used to explore the consequences of load reductions for mussel fishery as practiced today, as well as potential management options, to obtain an economically and ecologically sustainable mussel fishery. Model simulations clearly demonstrate a substantial decrease in mussel production after the nutrient load reductions necessary to obtain the targets in the WFD. With today's practice, the mussel fishery in the Limfjord will not be profitable in a future, less eutrophic estuary. However, model simulations also revealed that mussel fishery can be profitable after implementation of the WFD with a reduction in the total fishing quota, fewer fishing vessels, and a higher fishing quota per vessel