42 research outputs found
HISTORIC AND RECENT WINTER SANDHILL CRANE DISTRIBUTION IN CALIFORNIA
Understanding the geographic distribution and long-term dynamics of winter foraging areas and night roost sites of sandhill cranes (Grus canadensis) is important to their conservation and management. We studied sandhill crane distribution in California’s Central Valley from December 2012 through February 2013. We mapped observed flock and night roost locations. Flock locations occurred between Tehama County in the north and Kern County in the south. Flocks were concentrated in the northern Sacramento Valley, the Sacramento-San Joaquin Delta, the northern San Joaquin Valley south of Tracy to Mendota (including the lower Stanislaus and Tuolumne River floodplains and the Grasslands Region), and the southern San Joaquin Valley in the vicinity of Pixley in Tulare County. We also reviewed records of historic occurrences of cranes in California to interpret the importance of our flock and night roost locations. Although cranes wintered in the Los Angeles, San Diego, and San Francisco Bay metropolitan areas in the 19th and early 20th centuries, they no longer occur in significant numbers in these areas due to widespread habitat loss. Three additional areas which were used in the mid-20th century have apparently been abandoned or are being used only infrequently: the Red Bluff area (along the Sacramento River between Red Bluff and Anderson, Tehama County), the Goose Lake area (Kern County), and the Carrizo Plain (San Luis Obispo County). The primary cause of site abandonment at these sites is loss of suitable foraging habitat (small grain crops). With the exception of the Southern San Joaquin region, crane winter range has expanded in the Central Valley since the 1960s. Range expansion has principally been due to expansion of public wildlife refuges and private sanctuaries, plus improvements in their management (including reductions in hunting disturbance). To improve habitat conditions for cranes across their Central Valley wintering range, we recommend that management be focused on protection, enhancement, and creation of crane habitat complexes, each of which should contain 1 or more roost sites surrounded by sufficient well-managed foraging habitat. The following conservation strategies (listed in order of priority) should be implemented for each major crane wintering region: 1) protect existing, unprotected roost sites by fee-title acquisition or conservation easements (prioritize among sites according to their importance to greater sandhill cranes; G. c. tabida); 2) protect foraging landscapes around existing roosts, primarily through easements restricting development and crop types that are incompatible to cranes; 3) enhance food availability within those landscapes by improving foraging conditions on conservation lands and providing annual incentives for improvements on private lands; and 4) create additional protected roost sites toward the edge of their existing range where birds can access additional foraging areas
Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study
Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
HISTORIC AND RECENT WINTER SANDHILL CRANE DISTRIBUTION IN CALIFORNIA
Understanding the geographic distribution and long-term dynamics of winter foraging areas and night roost sites of sandhill cranes (Grus canadensis) is important to their conservation and management. We studied sandhill crane distribution in California’s Central Valley from December 2012 through February 2013. We mapped observed flock and night roost locations. Flock locations occurred between Tehama County in the north and Kern County in the south. Flocks were concentrated in the northern Sacramento Valley, the Sacramento-San Joaquin Delta, the northern San Joaquin Valley south of Tracy to Mendota (including the lower Stanislaus and Tuolumne River floodplains and the Grasslands Region), and the southern San Joaquin Valley in the vicinity of Pixley in Tulare County. We also reviewed records of historic occurrences of cranes in California to interpret the importance of our flock and night roost locations. Although cranes wintered in the Los Angeles, San Diego, and San Francisco Bay metropolitan areas in the 19th and early 20th centuries, they no longer occur in significant numbers in these areas due to widespread habitat loss. Three additional areas which were used in the mid-20th century have apparently been abandoned or are being used only infrequently: the Red Bluff area (along the Sacramento River between Red Bluff and Anderson, Tehama County), the Goose Lake area (Kern County), and the Carrizo Plain (San Luis Obispo County). The primary cause of site abandonment at these sites is loss of suitable foraging habitat (small grain crops). With the exception of the Southern San Joaquin region, crane winter range has expanded in the Central Valley since the 1960s. Range expansion has principally been due to expansion of public wildlife refuges and private sanctuaries, plus improvements in their management (including reductions in hunting disturbance). To improve habitat conditions for cranes across their Central Valley wintering range, we recommend that management be focused on protection, enhancement, and creation of crane habitat complexes, each of which should contain 1 or more roost sites surrounded by sufficient well-managed foraging habitat. The following conservation strategies (listed in order of priority) should be implemented for each major crane wintering region: 1) protect existing, unprotected roost sites by fee-title acquisition or conservation easements (prioritize among sites according to their importance to greater sandhill cranes; G. c. tabida); 2) protect foraging landscapes around existing roosts, primarily through easements restricting development and crop types that are incompatible to cranes; 3) enhance food availability within those landscapes by improving foraging conditions on conservation lands and providing annual incentives for improvements on private lands; and 4) create additional protected roost sites toward the edge of their existing range where birds can access additional foraging areas
Data from: Experimental evidence of long-term reproductive costs in a colonial nesting seabird
Trade-offs between current and future reproduction are central to the evolution of life histories. Experiments that manipulate brood size provide an effective approach to investigating future costs of current reproduction. Most manipulative studies to date, however, have addressed only the short-term effects of brood size manipulation. Our goal was to determine whether survival or breeding costs of reproduction in a long-lived species manifest beyond the subsequent breeding season. To this end, we investigated long-term survival and breeding effects of a multi-year reproductive cost experiment conducted on Black-legged Kittiwakes (Rissa tridactyla), a long-lived colonial nesting seabird. We used multi-state capture-recapture modeling to assess hypotheses regarding the role of experimentally reduced breeding effort and other factors, including climate phase and colony size and productivity, on future survival and breeding probabilities during the 16-year period following the experiment. We found that forced nest failures had a positive effect on breeding probability over time, but had no effect on long-term survival. This apparent canalization of survival suggests that adult survival is the most important parameter influencing fitness in this long-lived species, and that adults should pay reproductive costs in ways that do not compromise this critical life history parameter. When declines in adult survival rate are observed, they may indicate populations of conservation concern
DataS1
Data file used for analyses of abundance, density, richness and diversity
Impact of extreme drought and incentive programs on flooded agriculture and wetlands in Californias Central Valley
BackgroundBetween 2013 and 2015, a large part of the western United States, including the Central Valley of California, sustained an extreme drought. The Central Valley is recognized as a region of hemispheric importance for waterbirds, which use flooded agriculture and wetlands as habitat. Thus, the impact of drought on the distribution of surface water needed to be assessed to understand the effects on waterbird habitat availability.MethodsWe used remote sensing data to quantify the impact of the recent extreme drought on the timing and extent of waterbird habitat during the non-breeding season (July-May) by examining open water in agriculture (rice, corn, and other crops) and managed wetlands across the Central Valley. We assessed the influence of habitat incentive programs, particularly The Nature Conservancy's BirdReturns and The Natural Resources Conservation Service's Waterbird Habitat Enhancement Program (WHEP), at offsetting habitat loss related to drought.ResultsOverall, we found statistically significant declines in open water in post-harvest agriculture (45-80% declines) and in managed wetlands (39-60% declines) during the 2013-2015 drought compared to non-drought years during the period of 2000-2011. Crops associated with the San Joaquin Basin, specifically corn, as well as wetlands in that part of the Central Valley exhibited larger reductions in open water than rice and wetlands in the Sacramento Valley. Semi-permanent wetlands on protected lands had significantly lower (39-49%) open water in the drought years than those on non-protected lands while seasonal wetlands on protected lands had higher amounts of open water. A large fraction of the daily open water in rice during certain times of the year, particularly in the fall for BirdReturns (61%) and the winter for WHEP (100%), may have been provided through incentive programs which underscores the contribution of these programs. However, further assessment is needed to know how much the incentive programs directly offset the impact of drought in post-harvest rice by influencing water management or simply supplemented funding for activities that might have been done regardless.DiscussionOur landscape analysis documents the significant impacts of the recent extreme drought on freshwater wetland habitats in the Central Valley, the benefits of incentive programs, and the value of using satellite data to track surface water and waterbird habitats. More research is needed to understand subsequent impacts on the freshwater dependent species that rely on these systems and how incentive programs can most strategically support vulnerable species during future extreme drought
AppendixS1
Number of surveys and survey days during each week of monitoring in the four enrollment periods