The late winter diets of barren-ground caribou in North-Central Canada

Rumen samples from 104 barren-ground caribou (Rangifer tarandus groenlandicus) collected in March 1980 and 1981 at 18 sites on the winter range in south-central Northwest Territories (NWT) and northern Saskatchewan were examined microscopically for relative occurrence of plant fragments. The composition of plant fragments in the rumens of calves did not differ from that in older caribou. Samples were homogeneous within sites and among them. Therefore we analyzed composite samples for each site and then pooled the data. Terricolous fruticose and foliose lichens averaged 68.5 ± 1.5% (SE) ot tallied fragments at all 18 sites, followed by conifer needles (11.9 ± 1.2%), green leaves of Vactinium spp., Ledum spp., and other shrubs and iorbs (5.6 ± 0.6%), twigs and bark (5.5 ± 0.4%), bryophytes (4.9 ± 0.6%) and 3.6% unidentified. The lichen component consisted of 8.4 ± 1.5% Stereocaulon spp., 46.9 ± 2.6% other fruticose lichens (largely Cladina spp., Cladonia spp., and Cetraria spp.), and 13.2 ± 1.5% foliose lichens (largely Peltigera spp.). A comparison of rumen contents with the average relative abundance of plants found in feeding craters at 13 sites suggests that use of plant species was not always proportionate to their occurrence

In Vitro Digestibilities of Plants Utilized by Barren-Ground Caribou

Rumen fluids of barren-ground caribou (Rangifer tarandus groenlandicus) were used with standard in vitro procedures in March 1981 to investigate the relative digestibilities of forages collected on caribou winter ranges in the southern Northwest Territories. In vitro dry matter disappearance (IVDMD) of the three most abundant arboreal lichens, when fermented in test tubes for 60 h, averaged 67% compared with 43% for the seven most common terricolous lichens. The DMD of leaves of the most common shrubs, Vaccinium vitis-idaea, Empetrum nigrum, Arctostaphylos spp., and Ledum spp. averaged 46% (37-51%). Eight bryophyte species averaged 17% (7-28%) DMD. The DMD of species of three lichen genera with low protein contents, Cladina, Cladonia, and Cetraria, continued to increase with increasing fermentation periods up to 180 h. Nine species of lichens averaged 49% DMD when fermented for 60 h in test tubes, 64% when fermented in Erlenmeyer flasks, and 76% when 60 mg of urea was added to flasks. DMDs of 22 plant species were significantly higher in March 1981 than in similar tests conducted one year earlier. This annual variation in the digestive capacities of ruminal fluids was associated with the physical condition of the caribou and may have been related to their nutritional history.Key words: Canada, caribou, digestibilities, in vitro, lichens, nutrition, RangiferMots clés: Canada, caribou, digestibilité, in vitro, lichens, nutrition, Rangife

Successful and unsuccessful attempts to resolve caribou management and timber harvesting issues in west central Alberta

Research studies of woodland caribou in west central Alberta began in 1979 in response to proposed timber harvesting on their winter ranges. Using results from initial studies, timber harvest guidelines were developed. A recent review of these guidelines, and the assumptions on which they were based, has resulted in a renegotiation by government and industry of timber harvesting on caribou range in west central Alberta. Caribou range in west central Alberta overlaps many jurisdictional boundaries: federal and provincial lands, four Forest Management Agreement Areas, three Alberta Land and Forest Service Regions and two Alberta Fish and Wildlife Service Regions. This jurisdictional complexity in combination with other factors such as total allocation of the timber resources, high levels of petroleum, natural gas and coal extraction activities, a high level of concern by public groups for caribou conservation and recent understanding of woodland caribou needs for abundant space has made resolution of caribou/timber harvest conflicts exceedingly slow and often relatively unproductive. This paper reviews 10 years of trying to resolve conflicts between timber harvesting and caribou conservation through meetings, committees, integrated resource planning, policy papers and public consultation. We describe what might be learned by other jurisdictions that are trying to resolve similar caribou/timber harvesting issues. We conclude with an overview of recent timber harvest planning initiatives on caribou range in west central Alberta

What Can We Learn From Calf/Cow Ratios?

Trends in population growth can be monitored with data for key vital rates without requiring knowledge of abundance. Adult female survival has the highest elasticity for ungulate population dynamics, but the more variable recruitment rates can be better predictors of local variation in growth rates. Recruitment is often monitored using young adult age ratios, which are difficult to reliably interpret given the contribution of multiple vital rates to annual ratios. We show how concurrent monitoring of adult female survival and age ratios allows both retrospective estimation of empirical population growth rates and the decomposition of recruitment-specific vital rates. We demonstrate the estimation of recruitment and population growth rates for one woodland caribou population using these methods, including elasticity and life-stage simulation analysis of the relative contribution of adult female survival and recruitment rates to variation in population growth. We show, for this woodland caribou population, that adult survival and recruitment rates are nearly equivalent drivers of population growth rates. We recommend the concurrent monitoring of adult female survival to reliably interpret age ratios when managing caribou and other ungulates

Transcending Scale Dependence in Identifying Habitat with Resource Selection Functions

Multi-scale resource selection modeling is used to identify factors that limit species distributions across scales of space and time. This multi-scale nature of habitat suitability complicates the translation of inferences to single, spatial depictions of habitat required for conservation of species. We estimated resource selection functions (RSFs) across three scales for a threatened ungulate, woodland caribou (Rangifer tarandus caribou), with two objectives: (1) to infer the relative effects of two forms of anthropogenic disturbance (forestry and linear features) on woodland caribou distributions at multiple scales and (2) to estimate scale-integrated resource selection functions (SRSFs) that synthesize results across scales for management-oriented habitat suitability mapping. We found a previously undocumented scale-specific switch in woodland caribou response to two forms of anthropogenic disturbance. Caribou avoided forestry cut-blocks at broad scales according to first-and second-order RSFs and avoided linear features at fine scales according to third-order RSFs, corroborating predictions developed according to predator-mediated effects of each disturbance type. Additionally, a single SRSF validated as well as each of three single-scale RSFs when estimating habitat suitability across three different spatial scales of prediction. We demonstrate that a single SRSF can be applied to predict relative habitat suitability at both local and landscape scales in support of critical habitat identification and species recovery

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

ARIA

Supporting materials for ARI

Prise en charge des infections urinaires fébriles de l'adulte en médecine générale (une enquête de pratique)

LYON1-BU Santé (693882101) / SudocSudocFranceF

Linking habitat selection and predation risk to spatial variation in survival

1. A central assumption underlying the study of habitat selection is that selected habitats confer enhanced fitness. Unfortunately, this assumption is rarely tested, and in some systems, gradients of predation risk may more accurately characterize spatial variation in vital rates than gradients described by habitat selection studies. 2. Here, we separately measured spatial patterns of both resource selection and predation risk and tested their relationships with a key demographic trait, adult female survival, for a threatened ungulate, woodland caribou (Rangifer tarandus caribou Gmelin). We also evaluated whether exposure to gradients in both predation risk and resource selection value was manifested temporally through instantaneous or seasonal effects on survival outcomes. 3. We used Cox proportional hazards spatial survival modelling to assess the relative support for 5 selection- and risk-based definitions of habitat quality, as quantified by woodland caribou adult female survival. These hypotheses included scenarios in which selection ideally mirrored survival, risk entirely drove survival, non-ideal selection correlated with survival but with additive risk effects, an ecological trap with maladaptive selection and a non-spatial effect of annual variation in weather. 4. Indeed, we found positive relationships between the predicted values of a resource selection function (RSF) and survival, yet subsequently incorporating an additional negative effect of predation risk greatly improved models further. This revealed a positive, but non-ideal relationship between selection and survival. Gradients in these covariates were also shown to affect individual survival probability at multiple temporal scales. Exposure to increased predation risk had a relatively instantaneous effect on survival outcomes, whereas variation in habitat suitability predicted by an RSF had both instantaneous and longer-term seasonal effects on survival. 5. Predation risk was an additive source of hazard beyond that detected through selection alone, and woodland caribou selection thus was shown to be non-ideal. Furthermore, by combining spatial adult female survival models with herd-specific estimates of recruitment in matrix population models, we estimated a spatially explicit landscape of population growth predictions for this endangered species